Child Abuse and Neglect | Featured Research

Evaluating the impact of Low-Income Housing Tax Credits on child abuse and neglect, intimate partner violence, and opioid overdose

Child abuse and neglect, child exposure to intimate partner violence, and parental opioid overdose are critical public health issues that impact health and development across the life course, yet limited research has examined the impact of access to affordable housing on the prevalence of these adverse childhood experiences (ACEs). This project employs a rigorous analytic method, generalized linear mixed models, to assess the impact of the low-income housing tax credit program on these three specific ACEs. Results will indicate whether the Low-Income Housing Tax Credit program, the largest federal affordable housing program, is an effective primary prevention strategy to reduce child abuse and neglect, intimate partner violence, and opioid overdose. PI: Meghan E. Shanahan, PhD, MPH | Co-Is: Anna Austin, PhD, MPH; Christine Durrance, PhD; Sandy Martin, PhD; Carol Runyan, PhD; Des Runyan, MD, DrPH

Family Engagement in Evidence-Based Maternal and Child Health Home-Visiting

This pilot study aims to better understand parental engagement in home-visiting prevention programs and to assess the feasibility of a long-term study protocol to develop social marketing strategies to improve engagement in-home visiting. PI: Paul Lanier, PhD, MSW; Administrating School: School of Social Work

Implementation and Evaluation of Essentials for Childhood: Safe, Stable, and Nurturing Relationships and Environments

The purpose of Essentials for Childhood: Safe, Stable, and Nurturing Relationships and Environments is to develop and sustain a comprehensive infrastructure for coordinating child maltreatment prevention efforts in North Carolina.  Funding also supports an evaluation of North Carolina’s implementation of the Essentials for Childhood collective impact framework to create a coordinated system. PIs: Meghan E. Shanahan, PhD, MPH | Adam J. Zolotor, MD, DrPH

Latent Class Analysis of Risk and Protective Factors in Child Development: Identifying Clusters among Alaska Native and non-Native Children

The IPRC has a long-standing relationship with researchers in Alaska. The purpose of this study is to determine if there are clusters of risk and protective factors among Alaska children, assess maternal prenatal characteristics that may predict membership into these clusters, and determine if child well-being is differentially associated with the clusters. PIs: Meghan E. Shanahan, PhD, MPH | Anna E. Austin, MPH

This pilot randomized controlled trial evaluates the additive role of peer facilitation and support in a primary care-based parenting program in behavioral outcomes of the child. PI: Adam J. Zolotor, MD, DrPH; Administrating School: School of Medicine


Child Abuse and Neglect | Selected Prior Research

Implications of the opioid epidemic for child and family well-being

IPRC researchers conducted studies using data from the National Longitudinal Study of Adolescent to Adult Health (Add Health) to understand the overlap between two complex and pressing public health issues: child abuse and neglect and prescription opioid misuse.  Using Add Health data, studies examining the association of child abuse and neglect with prescription opioid misuse and estimating the prevalence of prescription opioid use among parents have been published in Addictive Behaviors (Austin et al., 2018), Children and Youth Services Review (Austin and Shanahan, 2018), and Pain Medicine (Austin and Shanahan, 2017).

Drug Use Trajectories and the Transition to Adulthood among Maltreated Youth

Drawing upon over 25 years of longitudinal data, the purpose of this project was to examine the drug use of young adults who experienced maltreatment during childhood. This project also included tracking and recruiting individuals from a northeastern state who participated in a 25-year longitudinal study of child maltreatment. PI: Howard Dubowitz, PhD| Meghan E. Shanahan, PhD, MPH; Administering Institution: University of Maryland

Preventing Child Maltreatment in Wake County, North Carolina

Multiple funding awards have supported child maltreatment surveillance and prevention activities in Wake County, North Carolina

The purpose of these projects was to engage with multiple partner agencies in Wake County to determine strategies for creating a comprehensive child maltreatment surveillance system and implementing a community child maltreatment prevention network. PIs: Scott K. Proescholdbell, PhD| Meghan E. Shanahan, PhD, MPH