Evidence map›Paper›PMID 40138126›Full record

ArticleMaternal and child health journal2025

Infants in the Child Welfare System: Exposure and Risks of Parental Alcohol and Drug Misuse.

Lindsey Palmer, Sarah Font, Julia Reddy, Rebecca Rebbe, Eunhye Ahn

Abstract read
PubMed Publisher
In one paragraph

Article in Maternal and child health journal, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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

1 citing paper in PubMed.

  1. Article
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

5 authors.

Lindsey PalmerCollege of Social Work, University of Utah, 395 1500 E, Salt Lake City, UT, USA. Lindsey.N.Palmer@utah.edu.ORCID http://orcid.org/0000-0001-5633-9976
Sarah FontDepartment of Sociology and Criminology, The Pennsylvania State University, University Park, USA.
Julia ReddySchool for International Public Health, University of North Carolina, Chapel Hill, USA.
Rebecca RebbeSchool of Social Work, University of North Carolina, Chapel Hill, USA.
Eunhye AhnWashington University, Brown School, St. Louis, USA.

Funding

Eunice Kennedy Shriver National Institute of Child Health and Human Development R01HD095946Eunice Kennedy Shriver National Institute of Child Health and Human Development T32HD101390NCIPC CDC HHS K01 CE003548
6 · The paper itself

Abstract

objectiveTo document the prevalence of parental alcohol and drug misuse (PADM) in infants' first and subsequent child welfare cases, and to assess the risk of subsequent injury for infants exposed to PADM.

methodsThis study used linked Medicaid and child welfare system (CWS) data in Pennsylvania to identify all children born between 2016 and 2018 who had a confirmed CWS case by age one (N = 20,998). The injury analyses focused on children whose initial case included PADM and who were covered by Medicaid at birth (N = 11,180). Survival analyses and Cox Proportional Hazard models were used to assess risk of any physical harm, severe harm and head injuries among infants who remained in home following PADM exposure.

resultsStudy documented that 64% of infants' first cases included PADM. Infants with a PADM case who remained at home (versus entered care) were at increased risk of experiencing subsequent physical harm, severe physical harm, and head injuries. Few differences in harm outcomes were observed between infants with and without medically diagnosed prenatal substance exposure.

conclusionsThe Child Abuse Prevention and Treatment Act instructs medical professionals to create 'plans of safe care' for infants affected by substances, however, limitations in PADM identification as well as an insufficient public health response has resulted in many families not receiving the support and services needed. Coordinated efforts are needed to prevent, detect, and treat substance use disorders.

Indexed as

Child of Impaired ParentsChild WelfareParentsSubstance-Related DisordersAdultChild AbuseFemaleHumansInfantInfant, NewbornMaleMedicaidPennsylvaniaPregnancyPrevalenceRisk FactorsChild abuse and neglectChild maltreatmentParental substance abusePhysical injuriesPrenatal substance exposure

Identifiers

PMID40138126

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.