Trajectories of child protective services contact among Alaska Native/American Indian and non-Native children

dc.contributor.authorAustin, A. E., Gottfredson, N. C., Zolotor, A. J., Halpern, C. T., Marshall, S. W., Naumann, R. B., & Shanahan, M. E.
dc.date.accessioned2022-02-23T20:22:16Z
dc.date.available2022-02-23T20:22:16Z
dc.date.issued2019
dc.description.abstractBackground Contact with child protective services (CPS) functions as an independent marker of child vulnerability. Alaska children are an important population for understanding patterns of CPS contact given high rates of contact overall and among specific demographic groups. Objective We aimed to identify longitudinal trajectory classes of CPS contact among Alaska Native/American Indian (AN/AI) and non-Native children and examine preconception and prenatal risk factors associated with identified classes. Participants and setting We used data from the Alaska Longitudinal Child Abuse and Neglect Linkage (ALCANLink) project, a linkage of 2009–2011 Alaska Pregnancy Risk Assessment Monitoring System (PRAMS) births with administrative data including CPS records. Methods We conducted growth mixture modeling to identify trajectory classes of CPS contact from birth to age five years. We used Vermunt’s three-step approach to examine associations with preconception and prenatal risk factors. Results Among AN/AI children, we identified three classes: 1) no/low CPS contact (75.4%); 2) continuous CPS contact (19.6%), and 3) early, decreasing CPS contact (5.0%). Among non-Native children, we identified four classes: 1) no CPS contact (81.3%); 2) low, increasing CPS contact (9.5%); 3) early, rapid decline CPS contact (5.8%); and 4) high, decreasing CPS contact (3.3%). Maternal substance use had the largest impact on probabilities of class membership, increasing the probability of membership in classes characterized by CPS contact, among both AN/AI and non-Native children. Conclusions Results reveal heterogeneity in longitudinal patterns CPS contact across early childhood among Alaska children and identify maternal substance use as an important target for primary prevention.en_US
dc.identifier.citationAustin, A. E., Gottfredson, N. C., Zolotor, A. J., Halpern, C. T., Marshall, S. W., Naumann, R. B., & Shanahan, M. E. (2019). Trajectories of child protective services contact among Alaska Native/American Indian and non-Native children. Child abuse & neglect, 95, 104044.en_US
dc.identifier.urihttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC6667300/
dc.identifier.urihttp://hdl.handle.net/11212/5345
dc.language.isoen_USen_US
dc.publisherChild Abuse & Neglecten_US
dc.subjectchild protective servicesen_US
dc.subjectchild welfareen_US
dc.subjectracial disparitiesen_US
dc.subjectchild maltreatmenten_US
dc.titleTrajectories of child protective services contact among Alaska Native/American Indian and non-Native childrenen_US
dc.typeArticleen_US

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