227178 Community Planning to Reduce Child Abuse and Neglect in Colorado

Tuesday, November 9, 2010

Diane Fox, PhD , Center for Research Strategies, Denver, CO
Kaia Gallagher, PhD , Center for Research Strategies, Denver, CO
Scott Bates, MSW , The Colorado Children's Trust Fund, Colorado Department of Public Health and Environment, Denver, CO
The Colorado Children's Trust Fund (within the Colorado Department of Public Health and Environment) sought to identify county-level factors that help to explain variations in rates of confirmed child abuse and neglect. In response, the Center for Research Strategies (CRS) created a county-level data file incorporating demographic, socio-economic, human service related data and historic information about reported, investigated and confirmed rates of child abuse and neglect. Previous studies by Colorado's Department of Human Services have confirmed that counties in our state vary in how counties define child abuse, how they investigate suspected cases and the protocols by which cases of child abuse and neglect are subsequently confirmed. Correlation analysis confirmed that reporting variation is significantly related to variations in child abuse in rural counties. Other county factors significantly related to child abuse and neglect rates were higher rates for substance abuse and mental health treatment, lower school education, higher poverty and variations in ethnicity. A multiple linear regression analysis served to refine these results, demonstrating that the reporting variable accounted for 29.9 % of the variance in confirmed child abuse rates. By contrast, the risk variables accounted for an additional 17%, with all variables combined accounting for 47.2% of the child abuse rate variance. Working with county-based Advisory Groups, CRS worked to use these results to identify prevention options for reducing child abuse and neglect rates focusing on such strategies as parenting education for vulnerable populations, domestic violence interventions and increased access to substance abuse services.

Learning Areas:
Advocacy for health and health education
Conduct evaluation related to programs, research, and other areas of practice
Planning of health education strategies, interventions, and programs
Program planning
Public health or related research
Systems thinking models (conceptual and theoretical models), applications related to public health

Learning Objectives:
1. Evaluate factors associated with county-based variations in rates of child abuse and neglect 2. Identify child abuse and neglect prevention options by highlighting factors associated with variations in local child abuse and prevention rates

Keywords: Child Abuse, Prevention

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I conducted the analysis to be presented.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.