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Income inequality and child welfare interventions in England and Wales
  1. Calum James Rablin Webb1,
  2. Paul Bywaters2,
  3. Martin Elliott3,
  4. Jonathan Scourfield3
  1. 1 Sociological Studies, The University of Sheffield, Sheffield, UK
  2. 2 Department of Behavioural and Social Sciences, University of Huddersfield, Huddersfield, UK
  3. 3 School of Social Sciences, Cardiff University, Cardiff, UK
  1. Correspondence to Calum James Rablin Webb, Department of Sociological Studies, The University of Sheffield, Sheffield S10 2TU UK; c.j.webb{at}sheffield.ac.uk

Abstract

Background Previous research has identified a relationship between income inequality and child abuse and neglect in the USA. This association has received limited exploration outside the USA.

Methods Administrative data on child protection (CP) in 172 English and Welsh local authorities between 2013 and 2018 were combined with data on deprivation, ethnic density and education from publicly available data sources. Commercial income data were used for Gini coefficient estimation. We tested whether similar evidence for three key findings from a US study could be found in England and Wales. These included whether there was evidence of a relationship between income inequality and child maltreatment, whether this relationship was non-linear and whether this relationship varied dependent on the level of poverty.

Results There was a significant non-linear relationship between income inequality and state care rates in England and Wales. Predicted state care rates were higher as income inequality increased, up until around average levels where the effect flattens. However, there was no significant relationship for models predicting CP plan/register rates. Income inequality, income deprivation, ethnic density and higher education were able to explain around 75% of the variance in English and Welsh state care rates.

Conclusions There is some evidence to support the claim of a relationship between income inequality and child maltreatment beyond the USA in England and Wales, and a case for further comparative research, but there are significant limitations in the comparability of data.

  • Child health
  • social inequalities
  • socio-economic
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Footnotes

  • Contributors CJRW collated administrative data, performed the statistical analysis and contributed to the writing and revisions of the manuscript. PB contributed to the conception of the study idea, developed the theory and contributed to the writing of the manuscript. ME contributed to the conception of the study idea, verified the analytical methods and contributed to the writing of revisions to the manuscript. JS led the conception of the study idea, identified available data sources, developed the theory and discussion and contributed to the writing of and revisions to the manuscript.

  • Funding This project received internal funding from the University of Sheffield and Cardiff University to cover the costs of commercial data used to estimate Gini coefficients. The authors wish to acknowledge the support of the Nuffield Foundation which funded the wider Child Welfare Inequalities Project (grant reference: KID 41935/03).

  • Competing interests None declared.

  • Patient consent for publication Not required.

  • Provenance and peer review Not commissioned; externally peer reviewed.

  • Data availability statement Data are available upon reasonable request.

  • Supplemental material This content has been supplied by the author(s). It has not been vetted by BMJ Publishing Group Limited (BMJ) and may not have been peer-reviewed. Any opinions or recommendations discussed are solely those of the author(s) and are not endorsed by BMJ. BMJ disclaims all liability and responsibility arising from any reliance placed on the content. Where the content includes any translated material, BMJ does not warrant the accuracy and reliability of the translations (including but not limited to local regulations, clinical guidelines, terminology, drug names and drug dosages), and is not responsible for any error and/or omissions arising from translation and adaptation or otherwise.

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