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. 2021 Jun;111(6):1157–1163. doi: 10.2105/AJPH.2021.306214

TABLE 1—

Sociodemographic Characteristics and the Cumulative Percentage of Children With Different Levels of Involvement With the Child Protection System: California’s 1999 Birth Cohort

Investigated
Substantiated
Placed in Foster Care
TPR
Variable 1999 Birth Cohort, No. (%) Cumulative % RR (99% CI) Cumulative % RR (99% CI) Cumulative % RR (99% CI) Cumulative % RR (99% CI)
Total 519 248 (100.0) 26.3 . . . 10.5 . . . 4.3 . . . 1.1 . . .
Child sex
 Female 253 734 (48.9) 26.7 1.03 (1.02, 1.05) 10.8 1.05 (1.03, 1.08) 4.4 1.01 (0.98, 1.05) 1.1 1.06 (0.99, 1.14)
 Male 265 511 (51.1) 25.9 1 (Ref) 10.2 1 (Ref) 4.3 1 (Ref) 1.1 1 (Ref)
Maternal race/ethnicity
 Black 34 156 (6.6) 46.8 2.10 (2.06, 2.14) 21.8 2.28 (2.21, 2.36) 12.3 2.97 (2.83, 3.11) 3.2 2.46 (2.24, 2.70)
 Native American 2 532 (0.5) 50.2 2.25 (2.14, 2.38) 27.4 2.87 (2.63, 3.13) 14.4 3.49 (3.07, 3.97) 3.8 2.95 (2.27, 3.83)
 Latina/Hispanic 252 691 (48.7) 29.0 1.30 (1.28, 1.32) 10.8 1.14 (1.11, 1.16) 4.0 0.96 (0.92, 1.00) 0.8 0.65 (0.60, 0.70)
 Asian/Pacific Islander 57 087 (11.0) 13.2 0.59 (0.58, 0.61) 4.3 0.46 (0.43, 0.48) 1.3 0.32 (0.29, 0.35) 0.3 0.22 (0.18, 0.27)
 White 172 188 (33.2) 22.3 1 (Ref) 9.5 1 (Ref) 4.1 1 (Ref) 1.3 1 (Ref)
Maternal age at birth, y
 < 20 57 693 (11.1) 45.7 2.25 (2.21, 2.28) 20.4 2.69 (2.62, 2.76) 9.1 2.99 (2.87, 3.12) 2.1 2.52 (2.31, 2.75)
 20–24 120 519 (23.2) 33.8 1.66 (1.64, 1.68) 13.9 1.82 (1.78, 1.87) 5.7 1.86 (1.78, 1.93) 1.3 1.57 (1.45, 1.70)
 ≥ 25 341 036 (65.7) 20.4 1 (Ref) 7.6 1 (Ref) 3.0 1 (Ref) 0.8 1 (Ref)
Maternal education
 Less than high school 155 364 (29.9) 36.2 1.65 (1.63, 1.67) 15.8 1.94 (1.90, 1.98) 7.1 2.31 (2.23, 2.38) 1.9 2.60 (2.42, 2.78)
 High school diploma 356 358 (68.6) 21.9 1 (Ref) 8.1 1 (Ref) 3.1 1 (Ref) 0.7 1 (Ref)
Birth payment method
 Public 218 643 (42.1) 37.7 2.11 (2,08, 2.13) 16.7 2.82 (2.76, 2.89) 7.6 4.12 (3.69, 4.29) 2.1 6.13 (5.61, 6.70)
 Private 298 178 (57.4) 17.9 1 (Ref) 5.9 1 (Ref) 1.9 1 (Ref) 0.3 1 (Ref)
Paternity established
 Missing 37 513 (7.2) 48.9 1.99 (1.96, 2.02) 26.2 2.82 (2.76, 2.90) 15.6 4.53 (4.37, 4.70) 5.7 7.76 (7.24, 8.31)
 Established 481 735 (92.8) 24.5 1 (Ref) 9.3 1 (Ref) 3.4 1 (Ref) 0.7 1 (Ref)

Note. CI = confidence interval; RR = risk ratio; TPR = termination of Parental rights. Missing values: child sex = 3 (0.00%), maternal age = 62 (0.01%), maternal race/ethnicity = 2756 (0.53%), birth payment method = 1220 (0.23%), and maternal education = 7526 (1.45%).