CE23-003 - A multi-level examination of social safety net accessibility as a modifiable structural condition contributing to violence against children

CE23-003 - 对社会安全网的可及性进行多层次审查，将其作为导致暴力侵害儿童行为的可修改结构条件

• 批准号: 10759248
• 负责人: Rebecca Rebbe
• 金额: $ 15万
• 依托单位: UNIV OF NORTH CAROLINA CHAPEL HILL
• 依托单位国家: 美国
• 财政年份: 2023
• 资助国家: 美国
• 起止时间: 2023-09-30 至 2025-09-29
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10759248
• 关键词: CE23; 003; multi; level; examination

Project Summary/Abstract: Violence is a common, costly, and preventable cause of morbidity and mortality for children in the United States. Violence against children occurs more frequently for children who grow up in poverty. The primary method of addressing poverty in the U.S. is the provision of social services. Yet, these safety net services underserve the communities that are the most in need of them. This mismatch between safety net need and accessibility is a structural condition that may be a social determinant of health related to violence against children. Rigorous research, such as causal effects study designs, is needed to identify modifiable community- level factors for targeted prevention. The proposed Career Development Award (K01) research goal is to evaluate the relationship between the community safety net accessibility, the primary method of alleviating poverty, and violence against children. The proposed study leverages population-based, longitudinal data from multiple sources, including novel linked administrative data and detailed census-tract-level data on social service availability. The proposed research activities will address the following specific aims: 1) determine, at the community level, if neighborhood safety net accessibility is related to violence against children indicators (child protection reports, child protection placements, violence-related medical encounters, and violence- related deaths); and 2) quantify, at the child-level, the causal impact of community safety net accessibility on violence-related mortality through the duration of childhood. To pursue these aims, the PI will receive training in rigorous causal effects study design and cross-cutting violence prevention research under the mentorship of national leaders in these areas. The proposed research study addresses the important research priority for the CDC’s National Center for Injury Prevention and Control of the relationship between community conditions and violence against children using an innovative approach with a strong scientific premise. Completion of the training and research activities will allow the PI to become an independent researcher who produces high- impact research that can be used in the development of prevention programming and to better explain the structural conditions that contribute to violence against children.

项目摘要/摘要： 暴力是导致美国儿童发病和死亡的常见、代价高昂且可预防的原因 在贫困中长大的儿童更容易遭受暴力侵害。 美国解决贫困问题的方法是提供社会服务，但这些安全网服务。 安全网需求与最需要的社区的服务不匹配。 无障碍是一种结构性条件，可能是与暴力侵害行为相关的健康的社会决定因素 需要进行严格的研究，例如因果效应研究设计，以确定可改变的社区。 拟议的职业发展奖（K01）研究目标是 评估社区安全网可达性之间的关系，缓解的主要方法 拟议的研究利用了基于人口的纵向数据。 多个来源，包括新颖的关联行政数据和详细的人口普查区层面的社会数据 拟议的研究活动将解决以下具体目标： 1) 确定，在 社区层面，如果邻里安全网的可达性与暴力侵害儿童指标有关 （儿童保护报告、儿童保护安置、与暴力相关的医疗遭遇以及暴力- 相关死亡）；以及 2) 在儿童层面量化社区安全网可及性对 为了实现这些目标，PI 将接受培训。 在严格的因果效应研究设计和跨领域暴力预防研究的指导下 拟议的研究涉及这些领域的重要研究优先事项。 CDC 国家伤害预防和控制中心研究社区状况与伤害之间的关系 使用具有强有力的科学前提的创新方法来应对针对儿童的暴力行为。 培训和研究活动将使 PI 成为一名独立的研究员，产生高水平的成果 影响研究可用于制定预防规划并更好地解释 助长暴力侵害儿童行为的结构性条件。