Community disadvantage, family socioeconomic status, and racial/ethnic differences in maltreatment reporting risk

Emily Putnam-Hornstein1, John J Prindle2, Rebecca Rebbe2

  • 1School of Social Work, University of North Carolina at Chapel Hill, United States of America; Suzanne Dworak-Peck School of Social Work, University of Southern California, United States of America.

Child Abuse & Neglect
|February 11, 2022
PubMed

Insights

Racial disparities exist in child maltreatment reporting. Privately insured Black infants face higher reporting rates, while publicly insured Black and Hispanic infants do not, indicating complex socioeconomic and racial influences on child protection system involvement.

Area of Science:

  • Child welfare research
  • Public health
  • Sociology

Background:

  • Infant maltreatment reporting rates show persistent racial/ethnic disparities.
  • Child protection system (CPS) involvement during infancy is a significant public health concern.

Purpose of the Study:

  • To analyze how race/ethnicity and community disadvantage impact CPS reporting for infants.
  • To identify factors contributing to racial/ethnic disparities in child maltreatment investigations.

Main Methods:

  • Utilized a population-based dataset of over 1.2 million California births (2012-2014).
  • Linked birth records with CPS administrative data and community disadvantage measures (American Community Survey).
  • Employed modified Poisson regression to assess reporting likelihood by race/ethnicity across disadvantage levels, adjusting for covariates.

Main Results:

  • Infants in highly disadvantaged neighborhoods were reported at 7x the rate of those in advantaged areas.
  • Publicly insured Black and Hispanic infants had lower or equivalent reporting rates compared to White infants.
  • Privately insured Black infants showed higher reporting rates than White infants, irrespective of neighborhood disadvantage.

Conclusions:

  • Socioeconomic factors and race/ethnicity interact complexly in CPS reporting.
  • Disparities in reporting for privately insured Black infants warrant further investigation into potential disparate treatment.
  • Publicly insured infants did not exhibit similar reporting disparities, suggesting insurance status is a key differentiator.
Abstract

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