The association of parental or caregiver alcohol use with child maltreatment: A systematic review and meta-analysis of longitudinal studies.

IF 5.2 1区 医学 Q1 PSYCHIATRY
Addiction Pub Date : 2025-04-29 DOI:10.1111/add.70055
June Yue Yan Leung, Karl Parker, En-Yi Lin, Taisia Huckle
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引用次数: 0

Abstract

Background and aims: Caregiver alcohol use is a risk factor for child maltreatment, but a previous meta-analysis was limited to physical abuse only. We aimed to quantify the association of parental or caregiver alcohol use with child maltreatment and assess if this differs by incidence or recurrence of maltreatment and level of caregiver alcohol use.

Methods: We undertook a systematic review and meta-analysis of longitudinal studies according to a registered protocol on PROSPERO (CRD42020211585). We searched the databases MEDLINE, PubMed, Scopus, PsycINFO, CINAHL and the Cochrane Library in November 2024. We included studies that reported the association of interest. We excluded studies that only assessed prenatal alcohol use or caregiver substance use, and studies that did not adjust for socio-economic position. Two reviewers independently screened the retrieved articles for relevance, extracted data from the included studies and assessed the methodological quality of studies using criteria adapted from the Newcastle-Ottawa scale. We performed meta-analyses using inverse variance weighting and random effects models.

Results: We included seven studies on child maltreatment incidence and five on recurrence. All were cohort studies in high-income countries: three in Australia, one in Denmark, one in New Zealand, two in South Korea, one in the United Kingdom and four in the United States. The sample size ranged from 501 to 84 245 (median 4782). Caregiver alcohol-related diagnoses were associated with higher child maltreatment incidence [odds ratio (OR) = 2.32, 95% confidence interval (CI) = 1.10-4.89] and recurrence (OR = 1.92, 95% CI = 1.13-3.28) compared with caregivers without alcohol-related diagnoses. An association of any caregiver drinking with child maltreatment incidence could not be ruled out (OR = 1.22, 95% CI = 0.72-2.08). The review was limited by high heterogeneity and variable reporting of alcohol use and child maltreatment; however, we obtained similar results after sensitivity analysis and adjustment for reporting bias.

Conclusions: Caregiver alcohol use may be an important risk factor for child maltreatment, adding to the growing body of evidence on alcohol's harm to others and calling for stronger actions to reduce alcohol harm.

父母或照顾者饮酒与儿童虐待的关系:纵向研究的系统回顾和荟萃分析。
背景和目的:照顾者饮酒是儿童虐待的一个危险因素,但之前的荟萃分析仅限于身体虐待。我们的目的是量化父母或照顾者酒精使用与儿童虐待的关系,并评估这种关系是否因虐待的发生率或复发以及照顾者酒精使用水平而不同。方法:我们根据PROSPERO注册方案(CRD42020211585)对纵向研究进行了系统回顾和荟萃分析。我们于2024年11月检索了MEDLINE、PubMed、Scopus、PsycINFO、CINAHL和Cochrane Library数据库。我们纳入了报告了兴趣关联的研究。我们排除了仅评估产前酒精使用或护理人员药物使用的研究,以及未调整社会经济地位的研究。两位审稿人独立筛选检索到的文章的相关性,从纳入的研究中提取数据,并使用纽卡斯尔-渥太华量表改编的标准评估研究的方法学质量。我们使用逆方差加权和随机效应模型进行meta分析。结果:我们纳入了7项关于儿童虐待发生率的研究和5项关于儿童虐待复发的研究。所有研究都是在高收入国家进行的队列研究:澳大利亚3项,丹麦1项,新西兰1项,韩国2项,英国1项,美国4项。样本量范围为501 ~ 84245(中位数为4782)。与没有酒精相关诊断的照顾者相比,照顾者酒精相关诊断与更高的儿童虐待发生率相关[比值比(OR) = 2.32, 95%可信区间(CI) = 1.10-4.89]和复发率相关(OR = 1.92, 95% CI = 1.13-3.28)。不能排除任何照顾者饮酒与儿童虐待发生率的关联(OR = 1.22, 95% CI = 0.72-2.08)。由于酒精使用和儿童虐待的高度异质性和可变报告,该综述受到限制;然而,在敏感性分析和报告偏倚校正后,我们得到了类似的结果。结论:照顾者使用酒精可能是儿童虐待的一个重要风险因素,这增加了越来越多的证据表明酒精对他人有害,并呼吁采取更强有力的行动来减少酒精危害。
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
Addiction
Addiction 医学-精神病学
CiteScore
10.80
自引率
6.70%
发文量
319
审稿时长
3 months
期刊介绍: Addiction publishes peer-reviewed research reports on pharmacological and behavioural addictions, bringing together research conducted within many different disciplines. Its goal is to serve international and interdisciplinary scientific and clinical communication, to strengthen links between science and policy, and to stimulate and enhance the quality of debate. We seek submissions that are not only technically competent but are also original and contain information or ideas of fresh interest to our international readership. We seek to serve low- and middle-income (LAMI) countries as well as more economically developed countries. Addiction’s scope spans human experimental, epidemiological, social science, historical, clinical and policy research relating to addiction, primarily but not exclusively in the areas of psychoactive substance use and/or gambling. In addition to original research, the journal features editorials, commentaries, reviews, letters, and book reviews.
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