Abdul Rahim Razlyn, Pilkington R, D'Onise K, Lynch J
School of Public Health, The University of Adelaide, Adelaide, South Australia, Australia.
Robinson Research Institute, The University of Adelaide, Adelaide, South Australia, Australia.
J Paediatr Child Health. 2025 Mar 20. doi: 10.1111/jpc.70036.
Compared prevalence of risk factors for child protection (CP) contact and contact patterns with health, education and housing systems as opportunities to be observed for reporting to CP between Culturally and Linguistically Diverse (CALD) and non-CALD children.
Health, births, education and public housing data for children and parents from 12 months before the child's birth to age 7 from the South Australian Better Evidence, Better Outcomes, Linked Data platform.
SA-born children in their first year in public school from 2009 to 2015 (n = 76 563). CALD: non-Indigenous, language other than English/Indigenous/Sign, or at least one parent born in a non-English speaking country.
antenatal visits, 1-4-week check attendance, emergency presentations, and hospital admissions (0-7 years), preschool attendance, parental records for mental health, alcohol and other drug (AOD) use, self-harm, family domestic violence (FDV), maltreatment and housing insufficiency.
Contact for antenatal visits, 1-4-week check, and hospital admissions (0-7 years) were comparable across both groups. CALD children had more emergency presentations (RD 7.7% points, 95% CI 6.8-8.9). By age 7, more non-CALD children had at least one parent with mental health issues (RD 5.9 [95% CI 5.3-6.6]), AOD (RD 5.8 [95% CI 5.4-6.2]) and housing insufficiency (RD 7.8 [95% CI 6.9-8.6]). The prevalence of other risk factors was similar across both groups.
The lower CP contact in CALD children is likely explained by a lower prevalence of CP risk factors and not due to fewer opportunities to be observed in their contact with the three systems.
比较文化和语言背景多元（CALD）儿童与非CALD儿童之间儿童保护（CP）接触的风险因素患病率以及与卫生、教育和住房系统的接触模式，以此作为向CP报告的观察机会。
从南澳大利亚更好证据、更好结果、关联数据平台获取儿童及其父母从孩子出生前12个月到7岁的健康、出生、教育和公共住房数据。
2009年至2015年在公立学校就读一年级的南澳大利亚出生儿童（n = 76563）。CALD儿童定义为：非原住民，非英语/原住民/手语以外的语言，或至少一位父母出生在非英语国家。
两组在产前检查、1 - 4周检查出勤、急诊就诊和住院（0 - 7岁）方面的接触情况相当。CALD儿童急诊就诊更多（风险差7.7个百分点，95%置信区间6.8 - 8.9）。到7岁时，更多非CALD儿童至少有一位父母存在心理健康问题（风险差5.9 [95%置信区间5.3 - 6.6]）、药物和酒精滥用（风险差5.8 [95%置信区间5.4 - 6.2]）以及住房不足（风险差7.8 [95%置信区间6.9 - 8.6]）。两组其他风险因素的患病率相似。
CALD儿童中CP接触较低可能是由于CP风险因素患病率较低，而非与这三个系统接触时被观察到的机会较少。
