Child welfare outcomes among children with and without Nurse-Family Partnership: A propensity score matched assessment in Florida from 2010 to 2023

IF 3.4 2区心理学 Q1 FAMILY STUDIES

Child Abuse & Neglect Pub Date : 2025-08-23 DOI:10.1016/j.chiabu.2025.107631

James Kaferly , Gregory Tung , Laura Helmkamp , Michael Knudtson , Natalie Murphy , Mandy A. Allison

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引用次数: 0

Abstract

Background

Evidence from Nurse-Family Partnership (NFP) indicates home visiting programs prevent child maltreatment. Widely implemented among diverse populations at risk for child welfare involvement, programs' effectiveness on child welfare outcomes is limited.

Objective

To examine child welfare outcomes following a maltreatment report among NFP and comparison children.

Participants and setting

First born children of 38,257 primiparous persons in Florida between January 1, 2010 and September 7, 2023.

Methods

We linked Florida NFP, birth certificate and child welfare datasets. Using multivariable logistic regression, we created propensity scores for NFP participation by dyad sociodemographic characteristics: age; race; ethnicity; birthplace; education level; marital status; prenatal care; insurance and child's birth year and county. After matching, we estimated program effects on investigations, verifications, removals, kinship placement, family permanency and termination of parental rights (TPR) for the two cohorts of children reported to child welfare using generalized linear mixed models.

Results

We identified 1597 NFP and 6392 comparison children with a report. NFP children had significantly greater odds of reports (Odds Ratio [OR] 1.33, 95 % confidence interval [CI] 1.24–1.41) but not investigations (OR 0.91, CI 0.79–1.05), verification (OR 1.06, CI 0.92–1.21), removal (OR 0.99, CI 0.78–1.24), kinship placement (OR 1.21, CI 0.78–1.88), familial permanency (OR 0.71, CI 0.48–1.04) or TPR (OR 1.24, CI 0.62–2.48).

Conclusions

While post-report child welfare outcomes did not differ between NFP and comparison children, future research should increase sample sizes to detect potentially small but significant program effects and develop approaches to account for child welfare policy and practice heterogeneity.

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有和没有护士-家庭伙伴关系的儿童福利结果：2010年至2023年佛罗里达州倾向得分匹配评估

来自护士家庭合作（NFP）的证据表明，家访计划可以防止儿童虐待。在儿童福利参与风险的不同人群中广泛实施，项目对儿童福利结果的有效性是有限的。目的探讨NFP儿童和比较儿童遭受虐待报告后的儿童福利结果。2010年1月1日至2023年9月7日期间佛罗里达州38,257名初产妇的第一胎。方法将佛罗里达州NFP、出生证明和儿童福利数据集联系起来。使用多变量逻辑回归，我们根据双重社会人口统计学特征创建了NFP参与的倾向得分：年龄；竞赛;种族的;出生地;教育水平;婚姻状况;产前护理;保险和孩子的出生年份和县。在匹配之后，我们使用广义线性混合模型估计了两组报告给儿童福利的儿童在调查、验证、移除、亲属安置、家庭永久性和父母权利终止（TPR）方面的计划效果。结果通过一份报告，我们确定了1597名NFP儿童和6392名对照儿童。NFP儿童报告的几率（比值比[OR] 1.33, 95%可信区间[CI] 1.24 - 1.41）显著高于调查（OR 0.91, CI 0.79-1.05）、验证（OR 1.06, CI 0.92-1.21）、移除（OR 0.99, CI 0.78-1.24）、亲属定位（OR 1.21, CI 0.78-1.88）、家族永久性（OR 0.71, CI 0.48-1.04）或TPR （OR 1.24, CI 0.62-2.48）。虽然报告后的儿童福利结果在NFP和比较儿童之间没有差异，但未来的研究应该增加样本量，以发现潜在的小但重要的项目效应，并开发出解释儿童福利政策和实践异质性的方法。

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

Child Abuse & Neglect Multiple-

CiteScore

7.40

自引率

10.40%

发文量

397

期刊介绍： Official Publication of the International Society for Prevention of Child Abuse and Neglect. Child Abuse & Neglect The International Journal, provides an international, multidisciplinary forum on all aspects of child abuse and neglect, with special emphasis on prevention and treatment; the scope extends further to all those aspects of life which either favor or hinder child development. While contributions will primarily be from the fields of psychology, psychiatry, social work, medicine, nursing, law enforcement, legislature, education, and anthropology, the Journal encourages the concerned lay individual and child-oriented advocate organizations to contribute.