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

Autor: Parrish JW; Division of Public Health, Department of Health and Social Services, State of Alaska, Anchorage, Alaska., Fleckman JM; Department of Global Community Health and Behavioral Sciences, School of Public Health and Tropical Medicine, Tulane University, New Orleans, Louisiana. Electronic address: jfleckma@tulane.edu., Prindle JJ; Suzanne Dworak-Peck School of Social Work, University of Southern California, Los Angeles, California., Eastman AL; Suzanne Dworak-Peck School of Social Work, University of Southern California, Los Angeles, California., Weil LEG; Department of Psychiatry and Behavioral Sciences, Feinberg School of Medicine, Northwestern University, Chicago, Illinois.
Jazyk: angličtina
Zdroj: American journal of preventive medicine [Am J Prev Med] 2020 Apr; Vol. 58 (4), pp. e133-e140. Date of Electronic Publication: 2020 Jan 29.
DOI: 10.1016/j.amepre.2019.11.007
Abstrakt: Introduction: 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.
Methods: 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.
Results: 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<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.
Conclusions: 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. This study contributes to the growing body of knowledge regarding the use of linked administrative data to study maltreatment and provides insights into considerations for making comparisons or conducting cross-jurisdictional analyses based on commonly aligned data sets.
(Copyright © 2020 American Journal of Preventive Medicine. Published by Elsevier Inc. All rights reserved.)
Databáze: MEDLINE
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