Re-envisaging child protection contacts as an early prevention opportunity to support child development and well-being: an Australian data linkage study.

IF 4.9 2区 医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Kathleen Falster, Rhiannon Megan Pilkington, Tasnia Ahmed, Alicia Montgomerie, Mark Hanly, B J Newton, Marni Brownell, Ben Edwards, Raghu Lingam, Anthony Shakeshaft, Michelle Cretikos, Jessica Stewart, Katherine Hawkins, Kitty McClean, John W Lynch
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引用次数: 0

Abstract

Objectives: To quantify developmental vulnerability at age 5 by child protection contacts before school in two Australian states.

Methods: All children with birth, child protection and/or 2009, 2012, 2015 and 2018 Australian Early Development Census (AEDC) data in New South Wales (NSW) and South Australia (SA) were grouped according to child protection contact before school: no contact, child protection reports, screened-in reports, investigations, substantiations and out-of-home care (OOHC). The outcome was developmental vulnerability on ≥1 AEDC domains or medically diagnosed conditions with support needs at school entry.

Results: 56 650 (14.2%) NSW children and 12 617 (15.6%) SA children had ≥1 child protection contact before school. Developmental vulnerability on ≥1 domains or medically diagnosed conditions was lowest in the no child protection group (NSW, 21-22%; SA, 24-25%), with progressively higher risk in the child protection report (NSW, 35%; SA, 41-46%) through to the OOHC (NSW, 50-54%; SA, 59-66%) groups in all AEDC years. Developmental risk was higher among children aged <2 years at first contact and those with more reports. Children with only one child protection report before school had approximately 65% higher developmental risk than the no child protection group in both states.

Conclusions: A single child protection report before school was an early indicator of higher developmental risk at age 5, with higher developmental risks among children with earlier, more serious and frequent child protection contacts. Beyond child safety screening, child protection reports represent an opportunity to mobilise early health and social support for children with developmental support needs.

将儿童保护联系重新设想为支持儿童发展和福祉的早期预防机会:澳大利亚数据联系研究。
目的:在澳大利亚的两个州,通过儿童保护机构在上学前接触来量化5岁儿童的发育脆弱性。方法:所有在新南威尔士州(NSW)和南澳大利亚州(SA)出生、接受儿童保护和/或2009年、2012年、2015年和2018年澳大利亚早期发展普查(AEDC)数据的儿童,根据上学前儿童保护接触情况:无接触、儿童保护报告、筛查报告、调查、证实和家庭外护理(OOHC)进行分组。结果为≥1个AEDC域的发育脆弱性或入学时需要支持的医学诊断条件。结果:56 650例(14.2%)新南威尔士州儿童和12 617例(15.6%)SA儿童在上学前有≥1次儿童保护接触。在≥1个领域或医学诊断条件上的发育脆弱性在无儿童保护组中最低(新南威尔士州,21-22%;南澳大利亚州,24-25%),在儿童保护报告中风险逐渐增加(新南威尔士州,35%;SA, 41-46%)到OOHC (NSW, 50-54%;SA, 59-66%)组在所有AEDC年。结论:上学前单一儿童保护报告是5岁儿童发育风险较高的早期指标,接触儿童保护时间越早、越严重、越频繁的儿童发育风险较高。除了儿童安全检查之外,儿童保护报告还提供了一个机会,为有发展支助需要的儿童动员早期保健和社会支助。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Journal of Epidemiology and Community Health
Journal of Epidemiology and Community Health 医学-公共卫生、环境卫生与职业卫生
CiteScore
11.10
自引率
0.00%
发文量
100
审稿时长
3-6 weeks
期刊介绍: The Journal of Epidemiology and Community Health is a leading international journal devoted to publication of original research and reviews covering applied, methodological and theoretical issues with emphasis on studies using multidisciplinary or integrative approaches. The journal aims to improve epidemiological knowledge and ultimately health worldwide.
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