Helen Bader School of Social Welfare, University of Wisconsin-Milwaukee, 2400 E. Hartford Ave., Milwaukee, WI 53211, United States of America.
Helen Bader School of Social Welfare, University of Wisconsin-Milwaukee, 2400 E. Hartford Ave., Milwaukee, WI 53211, United States of America.
Child Abuse Negl. 2023 Oct;144:106384. doi: 10.1016/j.chiabu.2023.106384. Epub 2023 Aug 3.
Adverse childhood experiences (ACEs) are associated with negative outcomes over the life course and across generations, including domestic violence (DV) and child maltreatment. However, no studies have examined the connection between parents' ACEs and their child's risk of child protective services (CPS) involvement or possible mechanisms of transmission.
In addition to describing the prevalence and correlates of CPS involvement, our primary aims are to test whether parental adversity in childhood is associated with CPS involvement and whether DV victimization mediates the ACE-CPS association.
The sample included 3039 primary caregivers and 3343 children served by home visiting programs in Wisconsin between 2014 and 2019.
Using matched home visiting and CPS records, we generated prevalence estimates of screened-in CPS reports and assessed bivariate associations between CPS involvement and ACEs, DV, and household demographics. We then conducted a two-stage path analysis to test the association between ACEs and CPS involvement and whether DV mediated the ACE-CPS association.
Overall, 22.8 % of caregivers had a screened-in report. Prevalence rates were higher among women who endured ACEs and DV, and they varied by demographic characteristics. ACEs were directly linked to DV and CPS involvement, and there was an indirect pathway linking ACEs to CPS involvement through DV exposure.
Home visiting programs serve families that frequently interact with the child welfare system. By enhancing the trauma-responsive potential of these interventions, it may be possible to interrupt intergenerational mechanisms that contribute to child abuse and neglect and CPS involvement.
不良童年经历（ACEs）与一生中的负面结果以及代际传递有关，包括家庭暴力（DV）和儿童虐待。然而，尚无研究探讨父母的 ACEs 与其子女受儿童保护服务（CPS）介入的风险之间的联系，或可能的传递机制。
除了描述 CPS 介入的患病率和相关因素外，我们的主要目的是检验父母在童年时期的逆境是否与 CPS 介入有关，以及 DV 受害是否介导 ACE-CPS 关联。
该样本包括 2014 年至 2019 年间威斯康星州的 3039 名主要照顾者和 3343 名接受家访项目服务的儿童。
我们使用匹配的家访和 CPS 记录，生成了筛选出的 CPS 报告的患病率估计，并评估了 CPS 介入与 ACEs、DV 和家庭人口统计学之间的双变量关联。然后，我们进行了两阶段路径分析，以检验 ACEs 与 CPS 介入之间的关联，以及 DV 是否介导 ACE-CPS 关联。
总体而言，22.8%的照顾者有筛选出的报告。经历 ACEs 和 DV 的女性的患病率更高，而且她们的患病率因人口统计学特征而异。ACEs 与 DV 和 CPS 介入直接相关，而 ACEs 通过 DV 暴露与 CPS 介入之间存在间接途径。
家访项目为经常与儿童福利系统互动的家庭提供服务。通过增强这些干预措施的创伤反应能力，可能会中断导致虐待和忽视儿童以及 CPS 介入的代际机制。
