Reported Experience of Family Violence in the New Zealand SUDI Case-Control Study.

IF 2.4 4区医学 Q1 PEDIATRICS

Acta Paediatrica Pub Date : 2025-07-24 DOI:10.1111/apa.70239

Dawn E Elder, John M D Thompson, Jess Wilson, Edwin A Mitchell

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引用次数: 0

Abstract

Aim: This study aimed to investigate the prevalence of family violence (FV) in sudden Unexpected Death in Infancy (SUDI) cases in New Zealand.

Methods: A case-control study was implemented from March 2012 to February 2015. Cases comprised all SUDI deaths referred to the coroner. Controls were selected randomly, based on characteristics of previous SUDI deaths. The primary risk factor assessed was exposure to "family violence ever".

Results: Of 258 controls, 248 (96.1%) had FV data and 73 (29.4%) had ever experienced FV. Among 132 SUDI cases, 58 (43.9%) had FV data and 35 (60.3%) had ever experienced FV. Adjusted risk factors associated with FV in controls included being in a de facto relationship, being single, mother's current partner not being the baby's biological father, maternal depression during pregnancy, and the number of previous pregnancies. In the multivariable model, FV was significantly associated with an increased risk of SUDI (OR 2.57 (95% CI 1.14, 5.81)).

Conclusion: In this study, a history of FV was a significant risk factor for SUDI. Routine screening for FV exposure during perinatal and postnatal care is crucial, with appropriate support and referrals offered to affected families to potentially reduce SUDI risk.

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新西兰SUDI病例对照研究中报告的家庭暴力经历。

目的：本研究旨在调查新西兰婴儿猝死（SUDI）病例中家庭暴力（FV）的流行情况。方法：2012年3月- 2015年2月采用病例对照研究。所有SUDI死亡案件均提交验尸官处理。对照根据既往SUDI死亡的特征随机选择。评估的主要风险因素是“曾经遭受过家庭暴力”。结果：258例对照组中，248例（96.1%）有FV数据，73例（29.4%）有过FV。在132例SUDI病例中，58例（43.9%）有FV数据，35例（60.3%）曾经经历过FV。控制组中与FV相关的调整后的风险因素包括有实际关系、单身、母亲的现任伴侣不是婴儿的生父、母亲在怀孕期间抑郁以及以前怀孕的次数。在多变量模型中，FV与SUDI风险增加显著相关（OR 2.57 (95% CI 1.14, 5.81)）。结论：在本研究中，FV病史是SUDI的重要危险因素。围产期和产后护理期间的FV暴露常规筛查至关重要，并向受影响家庭提供适当的支持和转诊，以潜在地降低SUDI风险。

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

Acta Paediatrica 医学-小儿科

CiteScore

6.50

自引率

5.30%

发文量

384

审稿时长

2-4 weeks

期刊介绍： Acta Paediatrica is a peer-reviewed monthly journal at the forefront of international pediatric research. It covers both clinical and experimental research in all areas of pediatrics including: neonatal medicine developmental medicine adolescent medicine child health and environment psychosomatic pediatrics child health in developing countries