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首页> 外文期刊>International Journal of Environmental Research and Public Health >Surveillance Bias in Child Maltreatment: A Tempest in a Teapot
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Surveillance Bias in Child Maltreatment: A Tempest in a Teapot

机译：儿童虐待中的监视偏见：茶壶中的暴风雨

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Background: Children are believed to be more likely to be reported for maltreatment while they are working with mental health or social service professionals. This “surveillance bias” has been claimed to inflate reporting by fifty percent or more, and has been used to explain why interventions such as home visiting fail to reduce official maltreatment reporting rates. Methods: We use national child abuse reporting data ( n = 825,763), supplemented by more detailed regional data from a multi-agency administrative data study ( n = 7185). We determine the percentage of all re-reports made uniquely by mental health and social service providers within and across generations, the report sources which could be subject to surveillance bias. Results: At three years after the initial Child protective services (CPS) report, the total percentage of national reports uniquely made by mental health or social service providers is less than 10%, making it impossible that surveillance bias could massively inflate CPS reporting in this sample. Analysis of national data find evidence of a very small (+4.54%) initial surveillance bias “bump” among served cases which decays to +1.84% within three years. Our analysis of regional data showed similar or weaker effects. Conclusions : Surveillance bias effects appear to exist, but are very small.
机译：背景：据信与精神卫生或社会服务专业人员合作时，儿童更有可能受到虐待。据称这种“监视偏差”使报告率上升了百分之五十或更多，并已被用来解释为什么诸如探亲之类的干预措施未能降低官方虐待报告率。方法：我们使用全国儿童虐待报告数据（n = 825,763），并辅以来自多机构行政数据研究（n = 7185）的更详细的区域数据。我们确定代代相传的精神卫生和社会服务提供者独特地做出的所有重新报告所占的百分比，这些报告来源可能会受到监视偏差的影响。结果：在最初的儿童保护服务（CPS）报告发布后的三年内，精神卫生或社会服务提供者独特地撰写的国家报告的总比例不到10％，因此，在这种情况下，监督偏差不可能使CPS报告大规模膨胀样品。对国家数据的分析发现，在所服务的案件中，初始监视偏差“突增”很小（+ 4.54％），并在三年内下降到+ 1.84％。我们对区域数据的分析显示出相似或较弱的影响。结论：监视偏差效应似乎存在，但很小。

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