COVID-19大流行期间儿童和家庭服务转诊：对加拿大不列颠哥伦比亚省和西北地区行政数据的分析

IF 3.4 2区心理学 Q1 FAMILY STUDIES

Child Abuse & Neglect Pub Date : 2025-06-03 DOI:10.1016/j.chiabu.2025.107517

Masako Tanaka , Nathaniel J. Pollock , Margot Shields , Sarah Richter , Dawn-Li Blair , France Cormier , Amanda White , Andrea Gonzalez , Harriet MacMillan , Lil Tonmyr

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引用次数: 0

摘要

背景：关于疫情对加拿大儿童和家庭服务影响的证据有限。目的确定与大流行前相比，大流行期间学校关闭/重新开放的转诊模式是否发生了变化，并评估按儿童年龄和性别、转诊来源、儿童虐待类型和服务反应划分的转诊量的变化。研究人员分析了加拿大不列颠哥伦比亚省（BC）和西北地区（NWT）儿童和家庭服务机构的未识别记录级行政数据。方法我们使用频率和相对百分比变化（RPC）来评估大流行前和大流行期间转诊的每月变化，并按年龄、性别、转诊来源、虐待类型和服务反应分层。我们对2020/2021年每个月平均转诊人数与2019年相应月份的差异进行了t检验，并使用t检验和卡方检验来检验大流行前12个月与大流行前12个月之间的总体差异。结果BC省2020年4月和5月儿童和家庭服务转诊人数显著下降(RPC分别为26.2%、22.6%；0.05)，与2019年同期相比。随后是2020年6月的回升，统计上与2019年6月相似。降幅最大的是由学校/儿童保育人员转诊（RPC：分别为73.4%和73.8%）。0.05)。在西北西北地区，模式相似。在2020年8月至9月学校重新开学后，这两个司法管辖区的转介总数与2019年同期相比没有统计学差异。结论：BC省和NWT省所有转诊病例和学校/托儿人员转诊病例的减少似乎与2020年初与大流行相关的学校关闭相一致。

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Referrals to child and family services during the COVID-19 pandemic: An analysis of administrative data from British Columbia and Northwest Territories, Canada

Background

Evidence about the impact of the pandemic on child and family services in Canada is limited.

Objectives

To determine if patterns of referrals changed in relation to in-person school closures/re-openings during the pandemic compared with a pre-pandemic period and to assess variations in referral volumes by child age and sex, referral source, child maltreatment type, and service response.

Participants and setting

De-identified record-level administrative data from child and family services in British Columbia (BC) and Northwest Territories (NWT), Canada were analyzed.

Methods

We used frequencies and relative percent change (RPC) to assess monthly changes in referrals in the pre-pandemic and pandemic periods, stratified by age, sex, referral source, maltreatment type, and service response. We conducted t-tests for differences in the average number of referrals between each month in 2020/2021 versus the corresponding month in 2019 and used t-tests and Chi-square tests to examine the overall differences between the pre-pandemic 12-month period and the first 12 months of the pandemic.

Results

In BC, referrals to child and family services decreased significantly in April and May 2020 (RPC: 26.2 %, 22.6 %, respectively, p < 0.05) compared with the same months in 2019. This was followed by an upturn in June 2020, which was statistically similar to June 2019. The sharpest reduction was for referrals made by school/childcare personnel (RPC: 73.4 %, 73.8 %, respectively, p < 0.05). In NWT, patterns were similar. For both jurisdictions, the total number of referrals was not statistically different after schools re-opened in August–September 2020, compared with the same period in 2019.

Conclusion

The decrease in all referrals and referrals from school/childcare personnel in BC and NWT appears to correspond with pandemic-related school closures early in 2020.

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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.