英格兰母亲的行政家事法庭护理程序和医院记录的联系:第一次活产后家事法院护理程序的联系准确性和累积发生率。

IF 2.2 Q3 HEALTH CARE SCIENCES & SERVICES
International Journal of Population Data Science Pub Date : 2024-06-16 eCollection Date: 2024-01-01 DOI:10.23889/ijpds.v9i2.2404
Georgina Ireland, Linda Wijlaars, Matthew Jay, Qi Feng, Katie Harron, Claire Grant, Ruth Gilbert
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引用次数: 0

摘要

简介:公法家庭法院护理程序(CP)数据的联系,所有妇女分娩在英国国民保健制度医院允许计算CP参与的累积发生率的母亲与第一个孩子出生。目的:评估连锁准确性并确定人群亚组首次活产(FLB)后CP的10年累积发病率。方法:使用医院事件统计(HES: 1997-21),将参与CP(2007-2021)的Cafcass(儿童和家庭法院咨询和支持服务)的母亲与英格兰所有分娩母亲的NHS英格兰相关记录联系起来。我们计算了匹配率,并评估了潜在误报和遗漏环节的间接证据。我们使用生存分析来估计总体10年内CP的累积发病率,以及首次活产的5岁产妇年龄组。结果:在120,937名参与CP的母亲中,6.6% (n = 8,010)因缺少邮政编码或出生日期或年龄50岁而被排除在外。在剩余的112,927名母亲中,92,891名(82.8%)与HES分娩记录有关。少数民族背景、年龄较大或居住在大伦敦地区的母亲的匹配率最低,但随着时间的推移,匹配率有所提高。在3572737名患有FLB的母亲中,38462名患有CP。FLB后10年CP累积发病率为1.31%(95%可信区间[CI];1.29-1.32),在15-19岁的母亲(6.79%,95% CI: 6.69-6.89)和生活在最贫困地区的母亲(2.47%,95% CI: 2.43-2.51)中最高。结论:1 / 77的母亲和1 / 15的首次活产年龄在20岁以下的母亲在10年内发生了CP。连锁错误可能低估了伦敦或少数民族背景母亲的CP发病率。要点:总体而言,在Cafcass护理程序中记录为母亲的妇女中有82.8%与医院分娩记录相关联。少数民族背景、第一胎年龄较大或居住在大伦敦地区的母亲的匹配率最低。1.3%(77分之一)的第一胎母亲在10年内参与了护理程序,6.8%(15分之一)的高龄母亲参与了护理程序
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Linkage of administrative family court care proceedings and hospital records for mothers in England: linkage accuracy and cumulative incidence of family court care proceedings after a first live birth.

Introduction: Linkage of public law family court care proceedings (CP) data to all women giving birth in NHS hospitals in England allows calculation of the cumulative incidence of CP involvement for mothers with first children born.

Objectives: To assess linkage accuracy and determine the 10-year cumulative incidence of CP after a first live birth (FLB) for population subgroups.

Method: NHS England linked records for mothers in Cafcass (Children and Family Court Advisory and Support Service) involved in CP (2007-2021) to all mothers with a delivery in England using Hospital Episode Statistics (HES: 1997-21). We calculated match rates and assessed indirect evidence of potential false positive and missed links. We used survival analyses to estimate cumulative incidence of CP within 10 years overall and for five-year maternal age groups at first live birth.

Results: Of 120,937 mothers involved in CP, 6.6% (n = 8,010) were excluded due to missing postcode or date of birth, or age <15 or >50. Of the remaining 112,927 mothers, 92,891 (82.8%) were linked to a HES delivery record. Match rates were lowest for mothers with an ethnic minority background, older at first case, or residing in Greater London, but improved over time.Of 3,572,737 mothers with a FLB, 38,462 had CP involvement. The cumulative incidence of CP at 10 years from FLB was 1.31% (95% Confidence Interval [CI]; 1.29-1.32) overall and highest in mothers aged 15-19 years (6.79%, 95% CI: 6.69-6.89) and those living in the most deprived areas (2.47%, 95% CI: 2.43-2.51).

Conclusion: One in 77 of all mothers and one in 15 aged less than 20 at first live birth were involved in CP within 10 years. Linkage error may underestimate the incidence of CP for mothers in London or with an ethnic minority background.

Key points: Overall, 82.8% of women recorded as a mother in Cafcass care proceedings were linked to a hospital delivery record.Match rates were lowest for mothers with an ethnic minority background, older age at first child, or residing in Greater London.1.3% of all mothers (1 in 77) with a first birth were involved in care proceedings within 10 years and 6.8% (1 in 15) of mothers aged <20 at first live birth.

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