澳大利亚前瞻性纵向出生队列第二代中与虐待儿童相关的风险因素：MUSP 研究

IF 4.9 2区医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Social Science & Medicine Pub Date : 2024-10-09 DOI:10.1016/j.socscimed.2024.117402

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引用次数: 0

摘要

背景虐待和忽视影响着全球 17 亿多儿童。虽然人们对儿童虐待（CM）在整个生命过程中造成的后果有了充分的了解，但与儿童虐待相关的风险因素仍不明确。这项探索性研究考察了一系列社会人口学、产前和产后风险因素在多大程度上与澳大利亚出生队列中的儿童虐待通报相关。方法这是一项前瞻性纵向出生队列研究，使用的数据来自昆士兰母校-大学妊娠研究（MUSP），该研究始于1981年。儿童保护数据与 MUSP 记录相链接，确定了 16 岁以下机构报告的和经证实的 CM 通知（包括亚型）。对一系列社会人口学和围产期风险因素进行了研究。结果如果儿童的母亲没有受过高等教育、在年轻时怀孕以及产后与社会隔离，那么儿童发生任何机构报告的CM的几率会更高。类似的风险因素也与证实的儿童急诊有关。女性儿童遭受机构报告的性虐待和经证实的性虐待的几率都有所增加。出生在大家庭中的儿童遭受机构报告的忽视和经证实的忽视的几率增加。原住民身份与任何形式的儿童性虐待均无关联。值得注意的是，不同的 CM 亚型与不同的风险因素有关。这项研究强调了支持早期干预和预防儿童手足口病的关键可改变因素。

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Risk factors associated with child maltreatment in the second generation of a prospective longitudinal Australian birth cohort: A MUSP study

Background

Abuse and neglect affect over 1.7 billion children worldwide. While the consequences of child maltreatment (CM) across the life course are well understood, there remains ambiguity surrounding the risk factors associated with CM. This exploratory study examined the extent to which a wide range of sociodemographic, prenatal, and postpartum risk factors are associated with CM notifications in an Australian birth cohort.

Methods

This was a prospective longitudinal birth cohort study using data from the Mater-University of Queensland Study of Pregnancy (MUSP) which began in 1981. Child protection data were linked to MUSP records, identifying agency-reported and substantiated CM notifications (including subtypes) up to 16 years of age. A range of sociodemographic and perinatal risk factors were examined.

Results

Children experienced higher odds of any agency-reported CM if their mothers did not have a high school education, had pregnancies at a young age, and were socially isolated postpartum. Similar risk factors were associated with substantiated CM. Female children had increased odds of both agency-reported and substantiated sexual abuse. Children born into large families had increased odds of agency-reported and substantiated neglect. First Nations status was not associated with any form of CM.

Conclusions

Several individual, familial, and social risk factors were associated with CM in this cohort. Notably, different CM subtypes were associated with different risk factors. This research highlights key modifiable factors to support early intervention and prevention of CM.

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来源期刊

Social Science & Medicine PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-

CiteScore

9.10

自引率

5.60%

发文量

762

审稿时长

38 days

期刊介绍： Social Science & Medicine provides an international and interdisciplinary forum for the dissemination of social science research on health. We publish original research articles (both empirical and theoretical), reviews, position papers and commentaries on health issues, to inform current research, policy and practice in all areas of common interest to social scientists, health practitioners, and policy makers. The journal publishes material relevant to any aspect of health from a wide range of social science disciplines (anthropology, economics, epidemiology, geography, policy, psychology, and sociology), and material relevant to the social sciences from any of the professions concerned with physical and mental health, health care, clinical practice, and health policy and organization. We encourage material which is of general interest to an international readership.