TY - JOUR PY - 2023// TI - Poverty and health inequities in children investigated by child protective services JO - Clinical pediatrics A1 - Truschel, Larissa Lester A1 - Fong, Hiu-Fai A1 - Stoklosa, Hanni M. A1 - Monuteaux, Michael C. A1 - Lee, Lois SP - ePub EP - ePub VL - ePub IS - ePub N2 - The objective of our study was to examine the association between poverty and child health outcomes in school-age children referred to child protective services. We conducted a secondary analysis of children aged 5 to 9 years in the Second National Survey of Child and Adolescent Well-Being, a nationally representative longitudinal observational data set of children referred to protective services for maltreatment (2008-2012). We analyzed the association of poverty, defined as family income below the federal poverty level (FPL), with caregiver report of the child's overall health, primary care, and emergency department visits using Pearson's chi-squared test. Children below FPL compared with children above it had poorer overall health (29.8% vs 18.0%, P =.03). We also conducted a longitudinal multivariable logistic regression analysis and found poverty was associated with the child's poorer overall health at 36 months (odds ratios 2.78, 95% confidence interval 1.55-5.01). Future studies and interventions to improve health in this at-risk population should target poverty.

Language: en

LA - en SN - 0009-9228 UR - http://dx.doi.org/10.1177/00099228231161472 ID - ref1 ER -