@article{d2ed64bed4634a1db06f54a47e827348,
title = "Evidence-Based Home Visiting Provisions and Child Maltreatment Report Rates: County-Level Analysis of US National Data From 2016 to 2018",
abstract = "This observational ecological study examined county-level associations between evidence-based home visiting (EHV) provisions and child maltreatment report (CMR) rates, using national county-level data from 2016–2018. We found that longitudinal changes of EHV provisions were significantly negatively associated with county CMR rates while controlling for potential confounders. Our model estimated that after EHV provisions were launched in counties, their CMR rates decreased (or after they were ceased, rates increased) by 2.21 per 1000 children overall, 2.88 per 1000 children aged 0–5, 2.59 per 1000 children aged 6–11, 2.13 per 1000 male children, and 2.24 per 1000 female children. When limiting attention to EHV provisions funded by the Maternal, Infant and Early Childhood Home Visiting (MIECHV) program, we found no significant association perhaps because MIECHV-funded EHV provisions were a small subset of all EHV provisions. These findings propose potential protective impacts of county EHV provisions on overall county CMR rates. Yet, the small effect sizes suggest that EHV provisions should be considered as a part of a complete response to child maltreatment rather than in isolation. Given that EHV is provided to a very small part of the population, nevertheless, our findings suggest that expanding coverage would increase effect sizes.",
keywords = "child abuse, child maltreatment, ecological models, home visiting, longitudinal research, multi-level models",
author = "Hyunil Kim and Song, {Eun Jee} and Liliane Windsor",
note = "The author(s) disclosed receipt of the following financial support for the research, authorship, and/or publication of this article: This work was funded by a grant from the Centers for Disease Control and Prevention (CDC), K01CE003229. The analyses presented in this publication were based on data from the National Child Abuse and Neglect Data System Child Files. These data were provided by the National Data Archive on Child Abuse and Neglect at Cornell University and have been used with permission. The data were originally collected under the auspices of the Children{\textquoteright}s Bureau (CB). Funding was provided by the CB. The data for MIECHV-funding EHV programs were provided by the Health Resources and Services Administration (HRSA). The data for all EHV programs were provided by the National Home Visiting Resource Center (NHVRC). CDC, CB, NDACAN, Cornell University, HRSA, NHVRC, the collector of the original data, and the agents or employees of these institutions bear no responsibility for the analyses or interpretation presented here. The information and opinions expressed reflect solely the opinions of the authors. The author(s) disclosed receipt of the following financial support for the research, authorship, and/or publication of this article: This work was funded by a grant from the Centers for Disease Control and Prevention (CDC), K01CE003229. The analyses presented in this publication were based on data from the National Child Abuse and Neglect Data System Child Files. These data were provided by the National Data Archive on Child Abuse and Neglect at Cornell University and have been used with permission. The data were originally collected under the auspices of the Children{\textquoteright}s Bureau (CB). Funding was provided by the CB. The data for MIECHV-funding EHV programs were provided by the Health Resources and Services Administration (HRSA). The data for all EHV programs were provided by the National Home Visiting Resource Center (NHVRC). CDC, CB, NDACAN, Cornell University, HRSA, NHVRC, the collector of the original data, and the agents or employees of these institutions bear no responsibility for the analyses or interpretation presented here. The information and opinions expressed reflect solely the opinions of the authors.",
year = "2024",
month = feb,
doi = "10.1177/10775595221107533",
language = "English (US)",
volume = "29",
pages = "176--189",
journal = "Child Maltreatment",
issn = "1077-5595",
publisher = "SAGE Publications Inc.",
number = "1",
}