加州单亲生育:儿童保护服务介入风险的人口调查。

IF 1.8 4区 医学 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Maternal and Child Health Journal Pub Date : 2025-05-01 Epub Date: 2025-04-04 DOI:10.1007/s10995-025-04080-z
Lindsey Palmer, Bryn King, Andrea Lane Eastman, Eunhye Ahn, Julia Reddy, Emily Putnam-Hornstein
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引用次数: 0

摘要

目的:目前的研究调查了在出生时有一个或两个合法父母的婴儿参与儿童保护服务(CPS)的差异率。方法:使用生命出生记录来记录2017年加利福尼亚州所有登记出生的儿童(N = 470,854)。然后在相关的CPS记录中对该出生队列进行前瞻性随访,直至1岁。结果:出生记录显示,7.1%的婴儿(n = 33,597)只有一方合法父母。调整社会人口因素后,出生记录上只有一方父母的婴儿报告遭受虐待的可能性是其两倍多(IRR = 2.20;99% ci[2.12, 2.29])。在整个出生队列中,父母的社会人口学因素(教育、年龄、公共保险、种族和民族)观察到CPS报告可能性的显著差异;然而,在只有一个合法父母的婴儿中,这些因素在不同程度上减弱了。实践结论:单亲父母出生的婴儿具有较高的与CPS参与率升高相关的因素浓度。评估与单亲家庭有关的情况,例如了解家庭组成和谁参与照顾婴儿,可以解释潜在的脆弱性并确定服务需求。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Single-Parent Births in California: A Population-Based Examination of the Risk of Child Protective Services Involvement.

Objectives: The current study examined differential rates of child protective services (CPS) involvement between infants with one or two legally established parents at birth.

Methods: Vital birth records were used to document all children with a registered birth in California in 2017 (N = 470,854). This birth cohort was then prospectively followed in linked CPS records through age 1 year.

Results: Birth records indicated that 7.1% of infants (n = 33,597) had only one legally established parent. Adjusting for sociodemographic factors, infants with only one parent documented on the birth record were more than twice as likely to be reported for maltreatment (IRR = 2.20; 99% CI [2.12, 2.29]). In the overall birth cohort, significant differences in the likelihood of a CPS report were observed by parental sociodemographic factors (education, age, public insurance, race and ethnicity); however, these same factors were attenuated, to varying degrees, among infants with a single legal parent.

Conclusions for practice: Infants born with a single legal parent had a higher concentration of factors associated with heightened rates of CPS involvement. Assessing the circumstances associated with single parenthood, such as understanding household composition and who is involved in the infant's care, may explain potential vulnerability and identify service needs.

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来源期刊
Maternal and Child Health Journal
Maternal and Child Health Journal PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-
CiteScore
3.20
自引率
4.30%
发文量
271
期刊介绍: Maternal and Child Health Journal is the first exclusive forum to advance the scientific and professional knowledge base of the maternal and child health (MCH) field. This bimonthly provides peer-reviewed papers addressing the following areas of MCH practice, policy, and research: MCH epidemiology, demography, and health status assessment Innovative MCH service initiatives Implementation of MCH programs MCH policy analysis and advocacy MCH professional development. Exploring the full spectrum of the MCH field, Maternal and Child Health Journal is an important tool for practitioners as well as academics in public health, obstetrics, gynecology, prenatal medicine, pediatrics, and neonatology. Sponsors include the Association of Maternal and Child Health Programs (AMCHP), the Association of Teachers of Maternal and Child Health (ATMCH), and CityMatCH.
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