PDF(Pubmed)
Abstract：
Mechanisms for reporting child maltreatment (CM) were affected by changes in service provision immediately following the onset of the COVID-19 pandemic.
To examine changes in counts and CPS reporting of CM medical encounters before and after the onset of COVID-19.
All emergency department and inpatient medical encounters with at least one CM diagnosis during the study period at Rady Children\'s Hospital San Diego, the largest pediatric hospital in California between 2016 and November 2021.
Using linked medical record and CPS administrative data, interrupted time series models tested for changes in monthly counts and percentages of CM medical encounters reported to CPS with the onset of COVID-19. Logistic regression tested for the likelihood of a CPS report being associated with a CM encounter.
CM medical encounters totaled 2528, including 793 after the onset of COVID-19. Interrupted time series models indicated with the onset of the pandemic, the counts of CM encounters increased 18 % (RR: 1.18, 95 % CI 1.03-1.34) and the percentages reported to CPS increased 10 % (RR: 1.10, 95 % CI: 1.05-1.17). CM encounters that occurred after the onset of the COVID-19 pandemic had increased odds of a CPS report (fully adjusted model: OR: 1.08; 95 % CI: 1.05-1.12).
This study found increases in monthly counts and a higher percentage of CM medical encounters with CPS reports after the pandemic onset.
To examine changes in counts and CPS reporting of CM medical encounters before and after the onset of COVID-19.
All emergency department and inpatient medical encounters with at least one CM diagnosis during the study period at Rady Children\'s Hospital San Diego, the largest pediatric hospital in California between 2016 and November 2021.
Using linked medical record and CPS administrative data, interrupted time series models tested for changes in monthly counts and percentages of CM medical encounters reported to CPS with the onset of COVID-19. Logistic regression tested for the likelihood of a CPS report being associated with a CM encounter.
CM medical encounters totaled 2528, including 793 after the onset of COVID-19. Interrupted time series models indicated with the onset of the pandemic, the counts of CM encounters increased 18 % (RR: 1.18, 95 % CI 1.03-1.34) and the percentages reported to CPS increased 10 % (RR: 1.10, 95 % CI: 1.05-1.17). CM encounters that occurred after the onset of the COVID-19 pandemic had increased odds of a CPS report (fully adjusted model: OR: 1.08; 95 % CI: 1.05-1.12).
This study found increases in monthly counts and a higher percentage of CM medical encounters with CPS reports after the pandemic onset.
摘要：
背景：报告儿童虐待（CM）的机制在COVID-19大流行爆发后立即受到服务提供变化的影响。
目的：检查COVID-19发病前后CM医疗遭遇的计数和CPS报告的变化。
方法：在圣地亚哥雷迪儿童医院的研究期间，所有急诊科和住院医疗遇到至少一个CM诊断，2016年至2021年11月期间，加州最大的儿科医院。
方法：使用链接的病历和CPS管理数据，中断的时间序列模型测试了随着COVID-19的发作向CPS报告的每月计数和CM医疗遭遇百分比的变化。Logistic回归测试CPS报告与CM相遇相关的可能性。
结果：在COVID-19发作后，CM医疗遭遇总计2528次，包括793次。随着大流行的开始，中断的时间序列模型表明，CM接触计数增加了18%(RR:1.18,95%CI1.03-1.34),报告给CPS的百分比增加了10%(RR:1.10,95%CI:1.05-1.17).在COVID-19大流行发作后发生的CM遭遇增加了CPS报告的几率(完全调整模型：OR：1.08；95%CI：1.05-1.12)。
结论：这项研究发现，大流行发作后，每月计数增加，与CPS报告的CM医疗接触百分比更高。
目的：检查COVID-19发病前后CM医疗遭遇的计数和CPS报告的变化。
方法：在圣地亚哥雷迪儿童医院的研究期间，所有急诊科和住院医疗遇到至少一个CM诊断，2016年至2021年11月期间，加州最大的儿科医院。
方法：使用链接的病历和CPS管理数据，中断的时间序列模型测试了随着COVID-19的发作向CPS报告的每月计数和CM医疗遭遇百分比的变化。Logistic回归测试CPS报告与CM相遇相关的可能性。
结果：在COVID-19发作后，CM医疗遭遇总计2528次，包括793次。随着大流行的开始，中断的时间序列模型表明，CM接触计数增加了18%(RR:1.18,95%CI1.03-1.34),报告给CPS的百分比增加了10%(RR:1.10,95%CI:1.05-1.17).在COVID-19大流行发作后发生的CM遭遇增加了CPS报告的几率(完全调整模型：OR：1.08；95%CI：1.05-1.12)。
结论：这项研究发现，大流行发作后，每月计数增加，与CPS报告的CM医疗接触百分比更高。
