Family-level social determinants of child and adolescent maltreatment
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View abstract on PubMed
Summary
This summary is machine-generated.Child maltreatment (CM) prevention requires addressing interconnected social risks. Poverty, homelessness, substance use, and externalizing behaviors predict official reports of CM, but not self-reports.
Area Of Science
- Child development and public health research.
- Social determinants of health.
- Child maltreatment (CM) and its prevention.
Background
- Child maltreatment (CM) is influenced by material, psychosocial, biologic, and behavioral risk factors, alongside healthcare access.
- Existing research has not fully explored the interplay of these social risks in relation to child and adolescent CM, hindering the development of effective prevention strategies.
Purpose Of The Study
- To apply the World Health Organization's intermediary social determinants of health (I-SDH) framework to create a comprehensive model of family-level risk and protective factors.
- To prospectively examine the relationship between these multidimensional family factors and the occurrence of CM in childhood and adolescence.
Main Methods
- Utilized data from the Longitudinal Studies for Child Abuse and Neglect (N=1354).
- Measured CM types (physical, supervisory neglect) during middle childhood (7-12 years) and adolescence (13-16 years) using Child Protective Services (CPS) reports and youth self-reports.
- Regressed CM occurrences on family-level I-SDH domains assessed during early (0-6 years) and middle childhood.
Main Results
- Unadjusted analyses showed all I-SDH domains related to CM.
- Post-False Discovery Rate (FDR) adjustment, poverty and homelessness/eviction were linked to CPS-reported physical and supervisory neglect in middle childhood.
- Child externalizing problems and household substance use were associated with CPS-reported CM in both middle childhood and adolescence.
- No significant associations were found between I-SDH and self-reported CM after FDR adjustment.
Conclusions
- Findings underscore the necessity for multifaceted interventions and policies targeting I-SDH to prevent involvement with Child Protective Services (CPS).
- The lack of association with self-reported CM raises questions about the broader impact of I-SDH-focused strategies and suggests potential biases in CPS reporting.
- Future research should differentiate between CM measures and their antecedents to better inform prevention efforts.
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