产前接触大麻和随后的虐待风险
Joseph P Ryan1, Lauren Oshman2, Christopher J Frank2
1University of Michigan School of Social Work, United States of America.
Child abuse & neglect
|December 12, 2024
概括
新生儿药物测试中的种族偏见是显而易见的,黑人和多种族的婴儿更有可能被测试. 在政策变化之后,产前大麻暴露并没有增加儿童虐待的风险.
科学领域:
- 围产期健康 围产期健康
- 儿童福利 儿童福利
- 公共卫生政策 公共卫生政策
背景情况:
- 父母吸毒是虐待儿童的已知风险因素.
- 在儿童保护服务调查中存在种族差异.
- 产前暴露于包括大麻在内的物质,引起了对婴儿安全的担忧.
研究的目的:
- 评估新生儿药物检测实践中的种族偏见.
- 检查产前四大麻 (THC) 暴露与随后的儿童虐待之间的关联.
- 评估政策变化对药物测试和虐待调查的影响.
主要方法:
- 追溯队列研究,将医院分娩与儿童虐待数据联系起来 (n=35,437).
- 通过阳性新生儿美药物测试来确定产前THC暴露.
- 分析了关于THC调查的2018年政策变化之前和之后的儿童保护服务 (CPS) 报告.
主要成果:
- 黑人和多种族新生儿在出生时更容易接受物质暴露测试.
- 只有THC阳性测试的新生儿在政策变化后的虐待风险并不高,相比于阴性或未测试的婴儿.
- 回归分析发现新生儿药物测试中的种族差异.
结论:
- 有证据支持结束对大麻暴露的常规CPS调查.
- 建议消除对新生儿进行种族偏见的药物测试实践.
- 政策变化可以减轻与物质暴露有关的儿童福利调查的差异.
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