TY - JOUR
T1 - Community home visiting services and child maltreatment report rates, Illinois zip codes, 2011–2018
AU - Kim, Hyunil
AU - Flowers, Nancy
AU - Song, Eun Jee
N1 - This work was supported by the U.S. Centers for Disease Control and Prevention (CDC) [K01CE003229]. The analyses presented in this publication were based on the administrative records of the Illinois Department of Children and Family Services (DCFS). These records were provided by the Children and Family Research Center (CFRC) and have been used with permission of the University of Illinois at Urbana-Champaign IRB (21212) and the DCFS IRB. The CDC, DCFS, CFRC, and the agents or employees of these institutions bear no responsibility for the analyses or interpretations presented here. The information and opinions expressed reflect solely the opinions of the authors.
This work was supported by the U.S. Centers for Disease Control and Prevention (CDC) [ K01CE003229 ]. The analyses presented in this publication were based on the administrative records of the Illinois Department of Children and Family Services (DCFS). These records were provided by the Children and Family Research Center (CFRC) and have been used with permission of the University of Illinois at Urbana-Champaign IRB (21212) and the DCFS IRB. The CDC, DCFS, CFRC, and the agents or employees of these institutions bear no responsibility for the analyses or interpretations presented here. The information and opinions expressed reflect solely the opinions of the authors.
PY - 2022/12
Y1 - 2022/12
N2 - Background: Research is sparse on the community-level impacts of home visiting programs on child maltreatment. Objective: To examine community-level associations between state-funded home visiting programs (i.e., IDHS-HV), federal-funded home visiting programs (i.e., MIECHV), and child maltreatment report (CMR) rates, overall and within subgroups of age, sex, and maltreatment type. Participants and setting: 3824 zip code-years during 2011–2018 in Illinois for IDHS-HV/CMR associations and 1896 zip code-years during 2015–2018 for MIECHV/CMR associations. Methods: We measured county-level IDHS-HV rates (per 1000 children aged 0–5) since data were only available at that level. MIECHV rates (per 1000 children aged 0–5), CMR rates (per 1000 children), and all controls were measured at the zip code level. We used spatial linear models to handle spatial autocorrelation. Results: Adjusted for controls, longitudinal increases of IDHS-HV rates were significantly associated with decreased overall CMR rates (coefficient: −0.28; 95 % CI: −0.45, −0.11), age 0–5 CMR rates (−0.52; −0.82, −0.22), age 6–11 CMR rates (−0.31; −0.55, −0.06), male CMR rates (−0.25; −0.45, −0.05), female CMR rates (−0.29; −0.49, −0.08), and neglect report rates (−0.13; −0.24, −0.02). In contrast, longitudinal increases of MIECHV rates were significantly associated with increased CMR rates within several subgroups. Conclusions: Our findings suggest that increasing state-funded home visiting services in communities may have benefits in lowering their CMR rates. Given the very low MIECHV service rates and the federal policy that requires MIECHV to target at-risk communities, the significant positive MIECHV/CMR associations we found might indicate MIECHV programs are typically in higher risk communities.
AB - Background: Research is sparse on the community-level impacts of home visiting programs on child maltreatment. Objective: To examine community-level associations between state-funded home visiting programs (i.e., IDHS-HV), federal-funded home visiting programs (i.e., MIECHV), and child maltreatment report (CMR) rates, overall and within subgroups of age, sex, and maltreatment type. Participants and setting: 3824 zip code-years during 2011–2018 in Illinois for IDHS-HV/CMR associations and 1896 zip code-years during 2015–2018 for MIECHV/CMR associations. Methods: We measured county-level IDHS-HV rates (per 1000 children aged 0–5) since data were only available at that level. MIECHV rates (per 1000 children aged 0–5), CMR rates (per 1000 children), and all controls were measured at the zip code level. We used spatial linear models to handle spatial autocorrelation. Results: Adjusted for controls, longitudinal increases of IDHS-HV rates were significantly associated with decreased overall CMR rates (coefficient: −0.28; 95 % CI: −0.45, −0.11), age 0–5 CMR rates (−0.52; −0.82, −0.22), age 6–11 CMR rates (−0.31; −0.55, −0.06), male CMR rates (−0.25; −0.45, −0.05), female CMR rates (−0.29; −0.49, −0.08), and neglect report rates (−0.13; −0.24, −0.02). In contrast, longitudinal increases of MIECHV rates were significantly associated with increased CMR rates within several subgroups. Conclusions: Our findings suggest that increasing state-funded home visiting services in communities may have benefits in lowering their CMR rates. Given the very low MIECHV service rates and the federal policy that requires MIECHV to target at-risk communities, the significant positive MIECHV/CMR associations we found might indicate MIECHV programs are typically in higher risk communities.
KW - Child maltreatment
KW - Child maltreatment report
KW - Home visiting
KW - Spatial analysis
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U2 - 10.1016/j.chiabu.2022.105884
DO - 10.1016/j.chiabu.2022.105884
M3 - Article
C2 - 36126420
AN - SCOPUS:85138091233
SN - 0145-2134
VL - 134
JO - Child Abuse and Neglect
JF - Child Abuse and Neglect
M1 - 105884
ER -