Poverty and Health Inequities in Children Investigated by Child Protective Services.

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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.





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Truschel, Larissa Lester, Hiu-Fai Fong, Hanni M Stoklosa, Michael C Monuteaux and Lois Lee (2023). Poverty and Health Inequities in Children Investigated by Child Protective Services. Clinical pediatrics. p. 99228231161472. 10.1177/00099228231161472 Retrieved from https://hdl.handle.net/10161/27522.

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Larissa Truschel

Assistant Professor of Pediatrics

I am a pediatric emergency medicine physician with a research interest in child health advocacy, health equity, and medical education. I chose pediatric emergency medicine because I enjoy taking care of children and supporting their families, whether the child has a minor or severe illness or injury.

My academic work focuses on health equity and social justice. I have worked with community organizations nationally and internationally in the areas of social screening, health outcome disparities, identification of human trafficking, and interventions that target child poverty. I am interested in enhancing the health equity and advocacy training provided to pediatrics residents and developing future leaders in Pediatrics who are prepared to address health disparities. 

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