Evidence map›Paper›PMID 30445334›Full record

ArticleChild abuse & neglect2019

Child protection reports and removals of infants diagnosed with prenatal substance exposure.

Rebecca Rebbe, Joseph A Mienko, Emily Brown, Ali Rowhani-Rahbar

Open access · greenAbstract read
In one paragraph

Article in Child abuse & neglect, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed
6.2field-weighted citation impact, top 4% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

27 citing papers in PubMed, 48 citations in OpenAlex.

  1. Article
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  5. Trends in Prenatal Polysubstance Exposure.Families in society : the journal of contemporary human services · 2025
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  12. Trends in prenatal prescription opioid use among Medicaid beneficiaries in Wisconsin, 2010-2019.Journal of perinatology : official journal of the California Perinatal Association · 2024
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 2 institutions in 1 country.

Rebecca RebbePartners for Our Children, University of Washington School of Social Work, Seattle, WA, United States. Electronic address: rebbe@uw.edu.
Joseph A MienkoPartners for Our Children, University of Washington School of Social Work, Seattle, WA, United States.
Emily BrownSeattle Children's Hospital, Seattle, WA, United States; University of Washington School of Medicine, Department of Pediatrics, Seattle, WA, United States.
Ali Rowhani-RahbarUniversity of Washington School of Medicine, Department of Pediatrics, Seattle, WA, United States; University of Washington School of Public Health, Department of Epidemiology, Seattle, WA, United States; Harborview Injury Prevention & Research Center, University of Washington, Seattle, WA, United States.
University of Washington · USSeattle Children's Hospital · US

Funding

Methods and Data CoreR24HD042828 · NICHD · UNIVERSITY OF WASHINGTON · PI CURRAN, SARA R. · 2002 to 2016
$9.3M
NRSA Training CoreTL1TR002318 · NCATS · UNIVERSITY OF WASHINGTON · PI Megan Moore · 2017 to 2026
$8.4M
Scientific/Technical CoreP2CHD042828 · NICHD · UNIVERSITY OF WASHINGTON · PI SARA R. CURRAN · 2017 to 2026
$6.3M
NCATS NIH HHS TL1 TR002318NICHD NIH HHS P2C HD042828NICHD NIH HHS R24 HD042828
6 · The paper itself

Abstract

backgroundA frequent response for prenatal substance exposure (PSE) is intervention by child protective services (CPS). Previous research has examined differences in reports to CPS regarding PSE by substance exposure and by maternal race. However, little is known regarding the frequency of immediate removals by CPS relating to PSE and maternal race.

methodsWe investigated hospital reports to CPS and CPS removals of PSE infants by using linked birth, hospital discharge, and CPS records for all children born in Washington State between 2006 and 2013 (N = 760,863). We identified PSE using diagnostic codes, calculated prevalence by substance type and maternal race, and tested for differences by interactions of race and substance using multinomial logistic regression.

resultsPrevalence of PSE births varied by race with 8.1% of Native American, 2.8% of black, 1.9% of white, and 0.8% of Hispanic births diagnosed with PSE. Opioids was the most common type of PSE diagnosis at 48.2%. The majority of PSE infants (86.7%) were not removed by CPS but variations by substance type were observed. Of the interactions in the multinomial logistic regression model, only black infants exposed to alcohol were more likely to result in reports to CPS without removal than the referent group of white infants exposed to opioids.

conclusionsFindings indicate that most infants diagnosed with PSE were not removed by CPS and minority PSE infants were not reported to CPS or removed by CPS more than white infants. Racial differences identified in the prevalence of PSE present opportunities for targeted prevention efforts.

Indexed as

AdolescentAdultChildChild AbuseChild, PreschoolChild Protective ServicesFemaleHumansInfantInfant, NewbornMalePregnancyPregnancy ComplicationsRacial GroupsRetrospective StudiesSubstance-Related DisordersChild maltreatment reportingChild protective servicesPrenatal substance exposure

Identifiers

PMID30445334
PMCPMC6333477
OpenAlexW2901298058

What OpenQuestion holds

Textmetadata
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.