Assessing the effects of the Sacramento Neighborhood Alcohol Prevention Project (SNAPP) on child abuse and neglect.
Alcohol environmental prevention intervention
Alcohol use
Bayesian space-time analysis
Child abuse and neglect
Evaluation
Journal
Child abuse & neglect
ISSN: 1873-7757
Titre abrégé: Child Abuse Negl
Pays: England
ID NLM: 7801702
Informations de publication
Date de publication:
01 2023
01 2023
Historique:
received:
30
07
2022
revised:
22
10
2022
accepted:
14
11
2022
pmc-release:
01
01
2024
pubmed:
29
11
2022
medline:
11
1
2023
entrez:
28
11
2022
Statut:
ppublish
Résumé
The role of alcohol use in the etiology of abusive and neglectful parenting is significant. We examined how the Sacramento Neighborhood Alcohol Prevention Project (SNAPP) may have reduced rates of substantiated child maltreatment, entries into foster care, and entries into foster care where alcohol use was a factor. The study sample is 326 Census block groups: 21 and 16 in the South and North intervention areas, respectively, and 289 in the At-Large comparison area in Sacramento, California. SNAPP used a quasi-experimental design to reduce alcohol supply and alcohol-related problems among 15-29 year olds in two economically, racially, and ethnically diverse neighborhoods. The dependent variables are substantiated child abuse and neglect; total foster care entries; and alcohol-related foster care entries. Substantiated child abuse and neglect was inconclusive for both intervention areas. In the North, total (RR = 0.822, 95 % CI [0.721, 0.933]) and alcohol-related (RR = 0.760, 95 % CI [0.634, 0.914]) foster care entries decreased by 17.8 % and 24.0 %, respectively. Intervention effects in the South were not well-supported for foster care entries (RR = 1.118, 95 % CI [0.988, 1.258]), but increased alcohol-related foster care entries (RR = 1.264, 95 % CI [1.075, 1.484]). Environmental intervention strategies may be effective at reducing child abuse and neglect. However, given the mixed findings from our work, we need to identify under what conditions these interventions work best and whether some components of these strategies (e.g. awareness vs. enforcement of underage sales) differentially affect child abuse and neglect.
Sections du résumé
BACKGROUND
The role of alcohol use in the etiology of abusive and neglectful parenting is significant. We examined how the Sacramento Neighborhood Alcohol Prevention Project (SNAPP) may have reduced rates of substantiated child maltreatment, entries into foster care, and entries into foster care where alcohol use was a factor.
PARTICIPANTS AND SETTING
The study sample is 326 Census block groups: 21 and 16 in the South and North intervention areas, respectively, and 289 in the At-Large comparison area in Sacramento, California.
METHODS
SNAPP used a quasi-experimental design to reduce alcohol supply and alcohol-related problems among 15-29 year olds in two economically, racially, and ethnically diverse neighborhoods. The dependent variables are substantiated child abuse and neglect; total foster care entries; and alcohol-related foster care entries.
RESULTS
Substantiated child abuse and neglect was inconclusive for both intervention areas. In the North, total (RR = 0.822, 95 % CI [0.721, 0.933]) and alcohol-related (RR = 0.760, 95 % CI [0.634, 0.914]) foster care entries decreased by 17.8 % and 24.0 %, respectively. Intervention effects in the South were not well-supported for foster care entries (RR = 1.118, 95 % CI [0.988, 1.258]), but increased alcohol-related foster care entries (RR = 1.264, 95 % CI [1.075, 1.484]).
CONCLUSIONS
Environmental intervention strategies may be effective at reducing child abuse and neglect. However, given the mixed findings from our work, we need to identify under what conditions these interventions work best and whether some components of these strategies (e.g. awareness vs. enforcement of underage sales) differentially affect child abuse and neglect.
Identifiants
pubmed: 36442418
pii: S0145-2134(22)00491-4
doi: 10.1016/j.chiabu.2022.105957
pmc: PMC9839649
mid: NIHMS1853139
pii:
doi:
Types de publication
Journal Article
Research Support, N.I.H., Extramural
Langues
eng
Sous-ensembles de citation
IM
Pagination
105957Subventions
Organisme : NIAAA NIH HHS
ID : R01 AA011968
Pays : United States
Organisme : NIAAA NIH HHS
ID : R01 AA026850
Pays : United States
Informations de copyright
Copyright © 2022 Elsevier Ltd. All rights reserved.
Déclaration de conflit d'intérêts
Conflict of interest None.
Références
Drug Alcohol Depend. 2019 Dec 1;205:107590
pubmed: 31600616
Am J Public Health. 2004 Nov;94(11):2010-5
pubmed: 15514245
Rev Econ Househ. 2014 Dec 1;12(4):589-612
pubmed: 25506296
Child Abuse Negl. 2014 May;38(5):952-61
pubmed: 24529493
Child Abuse Negl. 1995 Aug;19(8):921-32
pubmed: 7583751
PLoS Med. 2019 Nov 26;16(11):e1002954
pubmed: 31770389
J Urban Health. 2017 Apr;94(2):244-258
pubmed: 28130678
Soc Sci Med. 2011 Apr;72(8):1258-65
pubmed: 21454004
Future Child. 2009 Fall;19(2):147-68
pubmed: 19719026
Child Abuse Negl. 2018 Feb;76:44-55
pubmed: 29032186
Front Psychiatry. 2020 Dec 18;11:581113
pubmed: 33391048
J Interpers Violence. 2022 Jan;37(1-2):371-386
pubmed: 32207353
Child Abuse Negl. 2014 Jun;38(6):1106-19
pubmed: 24726583
Alcohol Clin Exp Res. 2013 Jun;37(6):993-1000
pubmed: 23316780
Child Youth Serv Rev. 2014 Aug 1;43:75-84
pubmed: 25061256
F1000Res. 2018 Jan 29;7:120
pubmed: 29862017
Child Welfare. 1998 May-Jun;77(3):291-310
pubmed: 9599422
Public Health Res Pract. 2016 Sep 30;26(4):
pubmed: 27714387
Child Maltreat. 2007 May;12(2):137-49
pubmed: 17446567
Fam Soc. 2015;96(3):219-228
pubmed: 26457048
Alcohol Res Health. 2011;34(2):163-6
pubmed: 22330214
Child Maltreat. 2007 May;12(2):114-24
pubmed: 17446565
Addiction. 2009 Jun;104(6):894-904
pubmed: 19392912
J Stud Alcohol. 2004 Sep;65(5):586-92
pubmed: 15536767
MMWR Suppl. 2020 Aug 21;69(1):38-46
pubmed: 32817608
Violence Vict. 2016 Dec 1;31(6):1080-1099
pubmed: 27642071
Addict Behav. 2006 Apr;31(4):606-21
pubmed: 15982827
Child Abuse Negl. 1997 Jun;21(6):557-73
pubmed: 9192144
Alcohol Alcohol. 2015 Sep;50(5):542-50
pubmed: 25810450
Child Youth Serv Rev. 2013 Dec;35(12):1933-1940
pubmed: 24436505
J Stud Alcohol Drugs. 2007 Mar;68(2):197-207
pubmed: 17286338
Addiction. 2012 Oct;107(10):1786-93
pubmed: 22507640
Subst Use Misuse. 2008;43(2):239-51
pubmed: 18205090
Child Abuse Negl. 1998 Apr;22(4):249-70
pubmed: 9589178
Subst Use Misuse. 2017 May 12;52(6):811-821
pubmed: 28145806