Abstract:
OBJECTIVE:This study examined health service access among children of different racial/ethnic groups in the child welfare system in an attempt to identify and explain disparities. METHODS:Data were from the National Survey of Child and Adolescent Well-Being (NSCAW). N for descriptive statistics=2,505. N for multiple regression model=537. Measures reflected child health services need, access, and enabling factors. Chi-square and t tests were used to compare across racial/ethnic groups. A logistic regression model further explored the greatest disparity identified, that between non-Latino/a Black and White children in caseworker-reported access to counseling. RESULTS:In general, caseworker reports of health care service receipt did not differ across racial/ethnic groups. However, Latino/a children had better reported access to vision services than non-Latino/a White children, and counseling access was lower for non-Latino/a Black children than non-Latino/a White children. Caseworkers' self-reported efforts to facilitate service access did not vary by race/ethnicity for any type of health care. In the multiple regression model, both private health insurance and a lack of insurance were negatively associated with counseling access, while a history of sexual abuse, adolescence, and greater caseworker effort to secure services were positively associated with access. Race was just barely nonsignificant after controlling for other factors expected to affect access. CONCLUSIONS:One possible reason why Black children are less likely to be identified as needing counseling is the fact that they are less likely than White children to have reports of sexual abuse, which strongly predicts counseling access. PRACTICE IMPLICATIONS:First, child welfare practice may be more equitable than many believe, with generally comparable health service access reported across children's racial/ethnic groups. Second, caseworkers may be under-identifying need for counseling services among Black children, although this might reflect less frequent reports of sexual abuse for Black children. Third, both privately insured and uninsured children were less likely to receive needed mental health counseling than those with public insurance. This suggests that policy makers should focus on increasing the numbers of children enrolled in public health insurance programs such as Medicaid and the State Children's Health Insurance Program (SCHIP).
journal_name
Child Abuse Negljournal_title
Child abuse & neglectauthors
Wells R,Hillemeier MM,Bai Y,Belue Rdoi
10.1016/j.chiabu.2008.11.003subject
Has Abstractpub_date
2009-05-01 00:00:00pages
282-92issue
5eissn
0145-2134issn
1873-7757pii
S0145-2134(09)00099-4journal_volume
33pub_type
杂志文章abstract::This study represents the first comprehensive assessment of the school performance of children placed in the care of a relative, an arrangement termed kinship care. The educational programs, academic achievement, and cognitive and language skills of the children were assessed with a teacher questionnaire and standardi...
journal_title:Child abuse & neglect
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doi:10.1016/0145-2134(94)90085-x
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abstract::Posterior rib fractures are highly indicative of non-accidental trauma (NAT) in infants. Since 2000, the "two-thumbs" technique for cardiopulmonary resuscitation (CPR) of newborns and infants has been recommended by the American Heart Association (AHA). This technique is similar to the grip on an infant's thorax while...
journal_title:Child abuse & neglect
pub_type: 杂志文章,多中心研究
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更新日期:2020-10-30 00:00:00
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journal_title:Child abuse & neglect
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更新日期:2010-09-01 00:00:00
abstract::Munchausen by proxy has been reported involving children who have been given various drugs or toxins. In addition, there is a body of adult literature regarding covert anticoagulant ingestion. This is a case of an 11-month-old female who appears to combine features of both of these syndromes. This child presented with...
journal_title:Child abuse & neglect
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更新日期:1985-01-01 00:00:00
abstract::Authoritarian ideology, including religious conservativism, endorses obedience to authority and physical punishment of children. Although this association has been studied at the level of the family, little research has been conducted on whether conservativism in the broader community context correlates with the mistr...
journal_title:Child abuse & neglect
pub_type: 杂志文章
doi:10.1016/j.chiabu.2014.11.019
更新日期:2015-03-01 00:00:00
abstract::Children's drawings have been used in clinical interviews to provide direction for recollection and memory of events. Drawings encourage the retrieval of experience in the motoric, visual, and auditory recall. The drawing itself gives an expression of motor sensory discharge; the objects in the drawing help with the p...
journal_title:Child abuse & neglect
pub_type: 杂志文章,评审
doi:10.1016/0145-2134(93)90015-w
更新日期:1993-01-01 00:00:00
abstract:PROBLEM:Many children in Albania and other countries of Eastern Europe are being trafficked as part of the global business of human trafficking. OBJECTIVES:The study sought to identify the patterns of child trafficking involving Albanian children, and especially children's views of the role of family issues and the na...
journal_title:Child abuse & neglect
pub_type: 杂志文章
doi:10.1016/j.chiabu.2007.09.015
更新日期:2008-10-01 00:00:00
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journal_title:Child abuse & neglect
pub_type: 杂志文章
doi:10.1016/j.chiabu.2014.08.010
更新日期:2015-02-01 00:00:00
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journal_title:Child abuse & neglect
pub_type: 杂志文章
doi:10.1016/j.chiabu.2002.12.002
更新日期:2004-01-01 00:00:00
abstract:OBJECTIVE:Two main questions were asked: (1) what abuse characteristics relate to PTSD, depressive, and dissociative severity in adult survivors of child sexual abuse (CSA); and (2) what abuse characteristics influence the severity of dissociation during CSA. METHOD:89 female CSA survivors' current symptoms of PTSD, d...
journal_title:Child abuse & neglect
pub_type: 杂志文章
doi:10.1016/s0145-2134(00)00225-8
更新日期:2001-01-01 00:00:00
abstract::This study first investigated the prevalence of emotional and physical maltreatment by teachers in South Korea and then identified factors that predict student maltreatment by teachers. Specific areas of interest were the associations between student demographic characteristics (gender and grade level), family (econom...
journal_title:Child abuse & neglect
pub_type: 杂志文章
doi:10.1016/j.chiabu.2015.03.009
更新日期:2015-08-01 00:00:00
abstract::Individual psychological factors have been shown to exacerbate risk for posttraumatic stress disorder (PTSD) symptoms in youth following maltreatment, but the novel contribution of the present study includes a focus on interactive relationships between these factors on specific PTSD symptom clusters. This study identi...
journal_title:Child abuse & neglect
pub_type: 杂志文章
doi:10.1016/j.chiabu.2017.04.028
更新日期:2017-07-01 00:00:00
abstract:BACKGROUND:To monitor stability of care, the proportion of children in England who have experienced three or more placements in the preceding 12-month period is published in government statistics. However, these annual snapshots cannot capture the complexity and heterogeneity of children's longitudinal care histories. ...
journal_title:Child abuse & neglect
pub_type: 杂志文章
doi:10.1016/j.chiabu.2020.104689
更新日期:2020-11-01 00:00:00
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journal_title:Child abuse & neglect
pub_type: 杂志文章
doi:10.1016/s0145-2134(03)00162-5
更新日期:2003-09-01 00:00:00
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journal_title:Child abuse & neglect
pub_type: 杂志文章
doi:10.1016/j.chiabu.2016.11.014
更新日期:2017-01-01 00:00:00
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journal_title:Child abuse & neglect
pub_type: 杂志文章
doi:10.1016/j.chiabu.2004.02.005
更新日期:2004-11-01 00:00:00
abstract:OBJECTIVES:Little is known about associations between different forms of discipline and children's literacy, social skills, and behavior in low- and middle-income countries. This study examined maternal use of physical discipline, harsh physical discipline, psychological aggression, and nonphysical discipline and their...
journal_title:Child abuse & neglect
pub_type: 杂志文章
doi:10.1016/j.chiabu.2020.104513
更新日期:2020-08-01 00:00:00
abstract::Mothers with mental retardation with or without a history of child abuse and/or neglect were compared on a number of demographic variables. The reasons why children were or were not removed also were examined. The demographic comparisons showed that while those mothers with such a history generally had higher IQs, the...
journal_title:Child abuse & neglect
pub_type: 杂志文章
doi:10.1016/0145-2134(90)90003-c
更新日期:1990-01-01 00:00:00
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journal_title:Child abuse & neglect
pub_type: 杂志文章
doi:10.1016/j.chiabu.2017.08.016
更新日期:2017-10-01 00:00:00
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journal_title:Child abuse & neglect
pub_type: 杂志文章
doi:10.1016/j.chiabu.2014.02.013
更新日期:2014-06-01 00:00:00
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journal_title:Child abuse & neglect
pub_type: 杂志文章,多中心研究
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更新日期:2018-10-01 00:00:00
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journal_title:Child abuse & neglect
pub_type: 杂志文章
doi:10.1016/j.chiabu.2003.11.018
更新日期:2004-03-01 00:00:00
abstract::This research tested the influence of two common sources of information on boys' perceptions of their risk for sexual abuse. In this sample exposure to prevention education programs was associated with a lower perceived likelihood of being sexually abused, and discussion of child sexual abuse with parents was associat...
journal_title:Child abuse & neglect
pub_type: 杂志文章
doi:10.1016/0145-2134(94)90082-5
更新日期:1994-07-01 00:00:00
abstract:BACKGROUND:Childhood maltreatment is associated with early childhood developmental vulnerabilities. However, the extent to which higher levels of child protection responses confer benefit to developmental competencies, and the impact of earlier timing of first reports in relation to early childhood vulnerability remain...
journal_title:Child abuse & neglect
pub_type: 杂志文章
doi:10.1016/j.chiabu.2019.04.007
更新日期:2019-07-01 00:00:00
abstract:OBJECTIVE:This study examined the relationship between child marriage and intimate partner violence (IPV) in Ghana, looking specifically for possible mechanisms driving the relationship. METHOD:Nationally representative cross-sectional data were collected from 2289 ever-married Ghanaian women and analysed using random...
journal_title:Child abuse & neglect
pub_type: 杂志文章
doi:10.1016/j.chiabu.2019.01.004
更新日期:2019-03-01 00:00:00
abstract:OBJECTIVE:The study's objective was to examine the relationship of polygraph findings to other indices of likelihood of sexual abuse and to case decisions by prosecutors, child protection workers, and professional evaluators. METHOD:This is an exploratory study of 42 cases with sexual abuse allegations and polygraph r...
journal_title:Child abuse & neglect
pub_type: 杂志文章
doi:10.1016/s0145-2134(97)00060-4
更新日期:1997-10-01 00:00:00
abstract::As there is no "gold standard" in determining whether a fracture is caused by accident or abuse, agreement among medical providers is paramount. Using abstracted medical record data from 551 children <36months of age presenting to a pediatric emergency department, we examined the extent of agreement between specialist...
journal_title:Child abuse & neglect
pub_type: 杂志文章
doi:10.1016/j.chiabu.2017.08.001
更新日期:2017-10-01 00:00:00
abstract::It is widely recognized that children in the child welfare system are particularly vulnerable to the adverse health and mental effects associated with exposure to abuse and neglect, making it imperative to have broad-based availability of evidence-based practices (EBPs) that can prevent child maltreatment and reduce t...
journal_title:Child abuse & neglect
pub_type: 杂志文章,评审
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更新日期:2016-03-01 00:00:00
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journal_title:Child abuse & neglect
pub_type: 杂志文章
doi:10.1016/j.chiabu.2019.02.003
更新日期:2019-04-01 00:00:00