Estimating the alcohol-related burden of child maltreatment among Māori in Aotearoa, New Zealand

IF 3 3区医学 Q2 SUBSTANCE ABUSE

Drug and alcohol review Pub Date : 2024-07-21 DOI:10.1111/dar.13906

Taisia Huckle, Helen Moewaka Barnes, Jose S. Romeo

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引用次数: 0

Abstract

Introduction

To assesses the alcohol-related burden of child maltreatment among Māori in Aotearoa New Zealand. We compared the risk of child maltreatment among Māori (0–17 years) exposed to parents with alcohol-related hospitalisation or mental health/addiction service use. We also conducted a sensitivity analysis to estimate the number of cases of maltreatment that could be attributed to alcohol among Māori.

Methods

A cohort study of 16,617 Māori aged 0–17 and their parents from 2000 to 2017 was conducted using the Statistics New Zealand Integrated Data Infrastructure. A Bayesian piecewise exponential model estimated the risk of time to first child maltreatment event. This analysis used data from child protection, hospital, mortality and police records, and specifically focused on the risk associated with exposure to parents with an alcohol-attributable hospitalisation or mental health/addiction service use event. Potential confounders for both parents and Māori (0–17 years) were included. We calculated a population-attributable fraction to estimate the proportion of maltreatment cases that could be attributed to alcohol in 2017.

Results

Results showed a 65% increased risk for young Māori exposed to parents with heavy alcohol use. We estimated 17% of substantiated child maltreatment among Māori could be attributed to parental hazardous alcohol consumption.

Discussion and Conclusions

Severe or hazardous alcohol consumption among parents is a risk factor for child maltreatment among Māori. Māori alcohol consumption and harm are symptomatic of wider inequities related, among other things, to the ongoing effects of colonisation, as well as gaps in the regulation of alcohol sales.

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估算新西兰奥特亚罗瓦毛利人中与酒精有关的虐待儿童负担。

导言：目的：评估新西兰奥特亚罗瓦毛利人中与酒精有关的儿童虐待负担。我们比较了毛利人（0-17岁）因父母酗酒住院或使用精神健康/成瘾服务而遭受虐待的风险。我们还进行了一项敏感性分析，以估计毛利人中可归因于酒精的虐待案例数量：我们利用新西兰统计局综合数据基础设施（Statistics New Zealand Integrated Data Infrastructure）对2000年至2017年期间的16617名0-17岁毛利人及其父母进行了一项队列研究。贝叶斯片断指数模型估算了儿童首次遭受虐待的时间风险。该分析使用了来自儿童保护、医院、死亡率和警方记录的数据，并特别关注与父母因酗酒住院或使用精神健康/成瘾服务事件相关的风险。父母和毛利人（0-17 岁）的潜在混杂因素都包括在内。我们计算了人口可归因部分，以估计2017年可归因于酒精的虐待病例比例：结果显示，父母严重酗酒的毛利青少年遭受虐待的风险增加了65%。我们估计，在毛利人中，17%经证实的虐待儿童事件可归因于父母酗酒：讨论与结论：父母酗酒或严重酗酒是毛利人虐待儿童的一个危险因素。毛利人的酒精消费和伤害是更广泛的不平等的表现，除其他外，这与殖民化的持续影响以及酒精销售监管方面的差距有关。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Drug and alcohol review SUBSTANCE ABUSE-

CiteScore

4.80

自引率

10.50%

发文量

151

期刊介绍： Drug and Alcohol Review is an international meeting ground for the views, expertise and experience of all those involved in studying alcohol, tobacco and drug problems. Contributors to the Journal examine and report on alcohol and drug use from a wide range of clinical, biomedical, epidemiological, psychological and sociological perspectives. Drug and Alcohol Review particularly encourages the submission of papers which have a harm reduction perspective. However, all philosophies will find a place in the Journal: the principal criterion for publication of papers is their quality.