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The Association of Race, Ethnicity, and Poverty With Child Maltreatment Reporting

Rebecca Rebbe1, Kierra Mp Sattler2, Joseph A Mienko3

  • 1Suzanne Dworak-Peck School of Social Work, University of Southern California, Los Angeles, California.

Pediatrics
|July 17, 2022
PubMed

Insights

Race and poverty impact child protective services (CPS) reports for hospitalized children. Addressing implicit bias is crucial to ensure equitable intervention for child abuse and neglect cases.

Area of Science:

  • Pediatrics
  • Public Health
  • Social Work

Background:

  • Child abuse and neglect are significant public health concerns.
  • Disparities in reporting and diagnosis of child maltreatment exist.
  • Understanding socio-demographic factors influencing child protective services (CPS) involvement is critical.

Purpose of the Study:

  • To investigate the influence of race/ethnicity and poverty on CPS reporting and diagnostic coding for children under three hospitalized due to maltreatment.
  • To identify disparities in the child protective services (CPS) system for young children experiencing abuse and neglect.

Main Methods:

  • Utilized population-based linked administrative data (birth, hospitalization, CPS records).
  • Identified maltreatment-related hospitalizations using standardized diagnostic codes.
  • Employed regression models to analyze race/ethnicity and poverty's impact on CPS reporting and diagnostic codes.

Main Results:

  • Children with public health insurance had higher odds of CPS reporting compared to private insurance.
  • Asian/Pacific Islander mothers' children were less likely to be reported to CPS than White mothers' children.
  • Native American mothers' children and those with public insurance were more likely to receive specific maltreatment diagnostic codes.

Conclusions:

  • Race/ethnicity and poverty are significant factors in CPS reporting for hospitalized children.
  • Implicit bias may contribute to inequities in protective interventions for child abuse and neglect.
  • Policy and program development is needed to mitigate bias and ensure equitable child protection.
Abstract

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