智力残疾儿童进入荷兰儿童保护系统的年龄:一项病例对照研究

Lianne Bakkum, Carlo Schuengel
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引用次数: 0

摘要

背景众所周知,智力残疾父母的子女参与儿童保护的比例过高。重要的是要确定其儿童保护轨迹的特点。目的比较父母有和没有身份证的儿童的以下护理特征:入学年龄(周),第一次干预的持续时间(周),以及有兄弟姐妹参与儿童保护的可能性。参与者和设置荷兰人口水平的行政数据被使用。父母有ID(病例)的孩子与对照组1:1匹配。使用的样本如下:N = 4526例儿童保护;有儿童保护的青少年服务机构中有3200例;没有儿童保护的青少年服务机构318例。方法采用线性和逻辑回归模型。发现有ID父母的孩子进入儿童保护时年龄更小(B = - 176.76, [-187.68;- 165.83]),青少年服务与儿童保护(B = - 152.73, [-165.97;- 139.48]),以及没有儿童保护的青少年服务(B = - 143.10, [-188.72;−97.47]),且初始儿童保护干预时间较长(B = 34.68, [25.94;43.42])。此外,这些孩子更有可能有兄弟姐妹接受儿童保护(OR 1.28, [1.18;1.40]),青少年服务与儿童保护(OR 1.14, [1.02;1.27]),以及没有儿童保护的青少年服务(OR 69.23, [30.84;198.00])。结论父母患有ID的儿童进入儿童保护和青少年服务机构的年龄更小,时间更长,且通常有兄弟姐妹陪同。这项研究强调需要调查导致这种差别待遇的背景因素。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Age at entry into the Dutch child protection system of children of parents with intellectual disability: A case-control study

Background

It is well established that children of parents with intellectual disability (ID) are disproportionately involved in child protection. It is important to identify the characteristics of their child protection trajectories.

Objective

Children of parents with and without ID were compared on the following characteristics of care: age at entry (weeks), duration of the first intervention (weeks), and the likelihood of having a sibling involved in child protection.

Participants and setting

Dutch population-level administrative data were used. Children of parents with ID (cases) were 1:1 matched with controls. The following samples were used: N = 4526 cases in child protection; N = 3200 cases in youth services with child protection; N = 318 cases in youth services without child protection.

Methods

Linear and logistic regression models were used.

Findings

Children of parents with ID were younger at entry into child protection (B = −176.76, [-187.68; −165.83]), youth services with child protection (B = −152.73, [-165.97; −139.48]), and youth services without child protection (B = −143.10, [-188.72; −97.47]), and they had longer initial child protection interventions (B = 34.68, [25.94; 43.42]). Further, these children were more likely to have a sibling in child protection (OR 1.28, [1.18; 1.40]), youth services with child protection (OR 1.14, [1.02; 1.27]), and youth services without child protection (OR 69.23, [30.84; 198.00]).

Conclusion

Children of parents with ID enter child protection and youth services at younger ages and for longer periods, more often accompanied by a sibling. This study highlights the need to investigate contextual factors contributing to this differential treatment.
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