State-level education policies: Opportunities for secondary prevention of child maltreatment

被引:5
作者
Rochford, Hannah I. [1 ,2 ]
Zeiger, Kalen D. [3 ,4 ,5 ,6 ]
Peek-Asa, Corinne [1 ,4 ]
机构
[1] Univ Iowa, Injury Prevent Res Ctr, 2190 Westlawn, Iowa City, IA 52242 USA
[2] Univ Iowa, Coll Publ Hlth, Dept Hlth Management & Policy, 145 N Riverside Dr,Room N273, Iowa City, IA 52242 USA
[3] Univ Iowa, Dept Psychol & Quantitat Fdn, Coll Educ, 361 Lindquist Ctr, Iowa City, IA 52242 USA
[4] Univ Iowa, Coll Publ Hlth, Dept Occupat & Environm Hlth, 145 N Riverside Dr,Room S143, Iowa City, IA 52242 USA
[5] Univ Iowa, LGBTQ Counseling Clin, Iowa City, IA 52242 USA
[6] LGBTQ Counseling Clin, Iowa City, IA USA
关键词
Child abuse; Child maltreatment; Public health; Public policy; SEXUAL-ABUSE; UNITED-STATES; ECONOMIC BURDEN; PROGRAMS; RISK; EXPERIENCES; QUALITY; ADULTS;
D O I
10.1016/j.chiabu.2022.106018
中图分类号
D669 [社会生活与社会问题]; C913 [社会生活与社会问题];
学科分类号
1204 ;
摘要
Background: Exposure to child maltreatment creates risk for adverse social, health, and economic outcomes across generations. The socioecological model posits the well-being of individuals, including children and youth, is shaped by the larger systems they exist in. Employing state-level policies to position school settings to effectively identify and intervene in instances of child maltreatment is an important secondary prevention opportunity.Objective: This study examines the relationship between state-level policies that call for school based trainings to promote the recognition of and response to child maltreatment, and states' annual rates of substantiated child maltreatment reports. Methods: Relevant policies were identified and abstracted to generate measures of policy presence and comprehensiveness. The National Child Abuse and Neglect Data System was used to derive rates of substantiated child maltreatment reports by state and year. Child maltreatment rates were the dependent variable and policy measures were the primary explanatory variables in a difference-in-differences (DD) model series with state-level clustering and year-fixed effects. Results: The DD model series suggest significant, positive relationships between the presence of policies calling for school-based recognition and response training and child abuse (IRR 1.140, p = 0.04) as well as child physical abuse outcomes (IRR 1.150, p = 0.05). Sensitivity analyses suggest the relationships between policy presence and abuse outcomes were stronger for children than for adolescents.Conclusion: These findings suggest that related policies may be effective secondary prevention tools for child maltreatment.
引用
收藏
页数:16
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