Joshi Divya, Brownell Marni, Decaire Elizabeth, Santos Rob, Dharmasena Isuru, Prior Heather, Ekuma Okechukwu, Attard Charlene, Afifi Tracie O, Gonzalez Andrea
Department of Health Research Methods, Evidence, and Impact, McMaster University, Hamilton, ON, Canada.
Department of Community Health Sciences, Manitoba Centre for Health Policy, University of Manitoba, Winnipeg, MB, Canada.
Can J Public Health. 2025 Mar 19. doi: 10.17269/s41997-025-01005-9.
Triple P is a multilevel parenting program aimed at promoting children's emotional, social, and behavioural competence and preventing behavioural problems through supporting parents in positive parenting.
Examine the rollout of the Triple P system parenting program on child maltreatment rates in Manitoba, Canada, using administrative data analysis and document review of policies and programs.
This population-based retrospective cohort study included 962,170 children aged 18 years or younger. Administrative healthcare and social services data from the Manitoba Population Research Data Repository were used to compare child maltreatment indicators before (1989-2004) and after (2005-2018) Triple P implementation.
Compared to before Triple P implementation, injury hospitalization rates were lower in the early (2005-2011) and later (2012-2018) periods of implementation. Maltreatment hospitalization and violent death rates were not statistically different in the early period, but they were lower in the later period of Triple P implementation. The interrupted time-series analysis showed that after Triple P intervention in 2005, injury hospitalization rates increased until 2012, followed by a gradual decline through 2018, compared to the expected trend without the intervention. Maltreatment hospitalization trends displayed a decline until 2012, followed by an increase, and then a gradual decline from 2014 to 2018 relative to the anticipated trend without the intervention. These trends varied by age, sex, income quintiles, and region.
Triple P is one of several programs that may have contributed to reductions in child maltreatment rates observed in Manitoba since the implementation of the program.
“积极育儿三重干预项目”（Triple P）是一个多层次的育儿项目，旨在通过支持父母进行积极育儿，促进儿童的情感、社交和行为能力发展，并预防行为问题。
利用行政数据分析以及对政策和项目的文件审查，研究“积极育儿三重干预项目”系统育儿项目在加拿大曼尼托巴省儿童虐待率方面的推广情况。
这项基于人群的回顾性队列研究纳入了962,170名18岁及以下的儿童。使用了来自曼尼托巴省人口研究数据存储库的行政医疗保健和社会服务数据，以比较“积极育儿三重干预项目”实施前（1989 - 2004年）和实施后（2005 - 2018年）的儿童虐待指标。
与“积极育儿三重干预项目”实施前相比，在实施的早期（2005 - 2011年）和后期（2012 - 2018年），受伤住院率较低。虐待住院率和暴力死亡率在早期没有统计学差异，但在“积极育儿三重干预项目”实施的后期较低。中断时间序列分析表明，与没有干预的预期趋势相比，2005年“积极育儿三重干预项目”干预后，受伤住院率在2012年前上升，随后在2018年前逐渐下降。虐待住院趋势在2012年前呈下降趋势，随后上升，然后在2014年至2018年相对于没有干预的预期趋势逐渐下降。这些趋势因年龄、性别、收入五分位数和地区而异。
“积极育儿三重干预项目”是自该项目实施以来可能促成曼尼托巴省儿童虐待率下降的几个项目之一。
