Nonlinear child protection intervention and child population density: A prevalence study

Abstract

Background: Prior studies suggest that numerous variables such as service availability, socioeconomic vulnerability, and other features of the contexts around families may account for clustering of child protection cases in certain areas. Notions of “spatial equity” prompt us to inquire about CP involvement across differently populated geographies. Objective: This study aims to illustrate whether child population density plays a significant role in the likelihood of childhood prevalence of involvement in the child protection system. Participants and Setting: This study draws from administrative CP data spanning 2000 to 2017 across 10,640 Census Dissemination Areas (DAs) of Quebec, the most socially progressive jurisdiction in North America where many family-oriented services and income transfers are universal. Methods: Using cumulative risk life table analyses, we calculate actual prevalence rates of confirmed CP reports, findings of a child’s security or development being compromised (SDC), and placement out of the home. Results were presented according to geographic tiers defined by their child population density. Results: Results show that children in the lowest population density tier experienced the highest prevalence of CP involvement (19.6% confirmed report, 12.4% SDC, 6.9% placement). The second highest prevalence rates were found in the highest population density tier (15.3% confirmed report, 9.6% SDC, 6.2% placement). The middle density tier fell below average with the lowest rates (12.4% confirmed report, 7.1% SDC, 3.9% placement). Conclusions: The findings suggest that there is a nonlinear relationship between population density and prevalence of child protection involvement. We propose that this may relate to availability, accessibility, and appropriateness of both formal services and informal supports, as well as demographic patterns of socioeconomically vulnerable, Indigenous, and Black children living in certain areas of the province. Findings should prompt further inquiry into mechanisms of risk across regions to inform prevention policy.