Unintentional child injury in child welfare placements

Jesse J Helton1, Nancy L Weaver1

  • 1College of Public Health and Social Justice, St. Louis University, St. Louis, MO, United States.

Child Abuse & Neglect
|November 15, 2019
PubMed

Insights

Children with behavioral problems face higher unintentional injury risks, but this risk decreases in foster care and kinship placements. Further research is needed to understand injury factors in child welfare.

Area of Science:

  • Pediatrics
  • Child Welfare
  • Public Health

Background:

  • Child welfare professionals protect children from intentional and unintentional injuries.
  • Little is known about unintentional injury prevalence and risk factors across different child welfare placement types.

Purpose of the Study:

  • To examine factors associated with unintentional child injury requiring medical attention.
  • Investigate the role of child welfare placement type, child behavioral problems, caregiver characteristics, and neighborhood factors in unintentional injuries.

Main Methods:

  • Utilized data from the National Survey of Child and Adolescent Well-Being (NSCAW II) waves 2 and 3.
  • Analyzed stable child welfare placements including biological, reunified, adopted, licensed/unlicensed kin, and foster homes.
  • Employed logistic regression to model injury risk, controlling for covariates and examining interaction effects with child behavior.

Main Results:

  • Children with more behavioral problems had higher odds of injury (OR=1.05, p<.01).
  • However, children with behavioral problems showed decreased injury odds in unlicensed kin (OR=.91, p<.05), licensed kin (OR=.92, p<.001), and foster care (OR=.92, p<.001) placements compared to biological homes.

Conclusions:

  • Absence of behavioral problems was linked to higher injury risk for children in foster care.
  • Further research is essential to elucidate injury types, prevalence, and specific risk factors within child welfare settings.
Abstract

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