Poverty and Health Inequities in Children Investigated by Child Protective Services

The objective of our study was to examine the association between poverty and child health outcomes in school-age children referred to child protective services. We conducted a secondary analysis of children aged 5 to 9 years in the Second National Survey of Child and Adolescent Well-Being, a nation...

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Veröffentlicht in:Clinical pediatrics 2023-11, Vol.62 (11), p.1398-1406
Hauptverfasser: Truschel, Larissa Lester, Fong, Hiu-fai, Stoklosa, Hanni M., Monuteaux, Michael C., Lee, Lois
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container_end_page 1406
container_issue 11
container_start_page 1398
container_title Clinical pediatrics
container_volume 62
creator Truschel, Larissa Lester
Fong, Hiu-fai
Stoklosa, Hanni M.
Monuteaux, Michael C.
Lee, Lois
description The objective of our study was to examine the association between poverty and child health outcomes in school-age children referred to child protective services. We conducted a secondary analysis of children aged 5 to 9 years in the Second National Survey of Child and Adolescent Well-Being, a nationally representative longitudinal observational data set of children referred to protective services for maltreatment (2008-2012). We analyzed the association of poverty, defined as family income below the federal poverty level (FPL), with caregiver report of the child’s overall health, primary care, and emergency department visits using Pearson’s chi-squared test. Children below FPL compared with children above it had poorer overall health (29.8% vs 18.0%, P = .03). We also conducted a longitudinal multivariable logistic regression analysis and found poverty was associated with the child’s poorer overall health at 36 months (odds ratios 2.78, 95% confidence interval 1.55-5.01). Future studies and interventions to improve health in this at-risk population should target poverty.
doi_str_mv 10.1177/00099228231161472
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subjects Chi-square test
Child welfare
Children
Children & youth
Emergency medical care
Health disparities
Pediatrics
Poverty
Primary care
Social services
Well being
title Poverty and Health Inequities in Children Investigated by Child Protective Services
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