Measuring the Incidence of Child Maltreatment Using Linked Data: A Two-State Comparison

Measuring and comparing the incidence of child maltreatment is challenging. Linkage of statewide birth cohorts with Child Protective Services reports to study incident child maltreatment over the life course are becoming more common. This study compares the reported incidence between 2 states derive...

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Veröffentlicht in:American journal of preventive medicine 2020-04, Vol.58 (4), p.e133-e140
Hauptverfasser: Parrish, Jared W., Fleckman, Julia M., Prindle, John J., Eastman, Andrea L., Weil, Lindsey E.G.
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container_end_page e140
container_issue 4
container_start_page e133
container_title American journal of preventive medicine
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creator Parrish, Jared W.
Fleckman, Julia M.
Prindle, John J.
Eastman, Andrea L.
Weil, Lindsey E.G.
description Measuring and comparing the incidence of child maltreatment is challenging. Linkage of statewide birth cohorts with Child Protective Services reports to study incident child maltreatment over the life course are becoming more common. This study compares the reported incidence between 2 states derived from population-based administrative data linkages. Linked births (2009–2011) with Child Protective Services records (2009–2015) and deaths in each state were used to compare the cumulative incidence of a Child Protective Services report before age 7 years. Given differences in population race structure and documented disparities of race groups in Child Protective Services data, variation was adjusted for using direct standardization. Unadjusted cumulative incidence, race cumulative incidence, and race-adjusted cumulative incidence were compared. Analyses were completed in 2018. Before age 7 years, 26.0% of Alaskan children and 19.0% of Californian children were reported to Child Protective Services (RR=1.37, p
doi_str_mv 10.1016/j.amepre.2019.11.007
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Linkage of statewide birth cohorts with Child Protective Services reports to study incident child maltreatment over the life course are becoming more common. This study compares the reported incidence between 2 states derived from population-based administrative data linkages. Linked births (2009–2011) with Child Protective Services records (2009–2015) and deaths in each state were used to compare the cumulative incidence of a Child Protective Services report before age 7 years. Given differences in population race structure and documented disparities of race groups in Child Protective Services data, variation was adjusted for using direct standardization. Unadjusted cumulative incidence, race cumulative incidence, and race-adjusted cumulative incidence were compared. Analyses were completed in 2018. Before age 7 years, 26.0% of Alaskan children and 19.0% of Californian children were reported to Child Protective Services (RR=1.37, p&lt;0.001). Aside from Asian/Pacific Islanders, the cumulative incidence between states was similar for each race. The race-adjusted cumulative incidence indicated that children born in Alaska were 1.10 times as likely to experience a report before age 7 years compared with children in California. Much of the difference in risk for child maltreatment observed between Alaska and California is most likely due to variation in the population structure by race as opposed to modifiable factors. Standardization is a simple method to adjust for population structure differences. 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source Applied Social Sciences Index & Abstracts (ASSIA); Elsevier ScienceDirect Journals Complete; Sociological Abstracts
subjects Age
Age differences
Births
Child abuse & neglect
Child welfare
Children
Children & youth
Data
Life course
Pacific Islander people
Population
Race
Racial differences
Services
Standardization
title Measuring the Incidence of Child Maltreatment Using Linked Data: A Two-State Comparison
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