产前物质暴露和儿童保护系统参与到12岁
Madeleine Powell1,2, Rhiannon Pilkington3, Alys Havard1,2
1National Drug and Alcohol Research Centre, University of New South Wales, Sydney, Australia.
Pediatrics
|November 23, 2025
概括
在出生前暴露于物质的儿童面临着高比例的儿童保护系统参与,其中75%的人在1岁时遇到报告,39%的人在12岁时接受家庭外照顾. 在产前护理的早期干预可以防止升级.
科学领域:
- 公共卫生 公共卫生
- 儿童福利 儿童福利
- 围产期健康 围产期健康
背景情况:
- 产前物质暴露显著增加了儿童参与儿童保护服务的风险.
- 了解这种参与的长期轨迹对于有效的干预至关重要.
研究的目的:
- 量化儿童保护系统参与的风险和时间,在有或没有产前物质暴露的儿童中,涉及到12岁以下的儿童.
- 识别儿童保护反应和虐待类型的模式.
主要方法:
- 利用来自澳大利亚新南威尔士州 (2007-2018) 的整个人口出生队列.
- 包括从各种健康和儿童保护记录中记录的产前物质暴露的儿童.
- 对选报告,调查,证据和户外护理 (OOHC) 的评估风险.
主要成果:
- 到1岁时,75%的暴露儿童有查报告,34%有证据,20%的儿童被安排到OOHC.
- 在12岁时,90%的学生有选报告,61%的学生有证据,39%的学生获得了OOHC安置.
- 在被暴露的儿童中,一半的孩子在12岁时被忽视;健康和社会经济劣势更为普遍.
结论:
- 产前暴露于物质的儿童经历了大量和早期的儿童保护系统参与.
- 产前护理和对怀孕期间物质使用的非耻辱化支持可以防止儿童保护干预的升级.
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