在新西兰以人口为基础的出生队列中评估父母多次饮酒事件与儿童受虐待风险之间的关系

IF 5.2 1区 医学 Q1 PSYCHIATRY
Addiction Pub Date : 2024-12-04 DOI:10.1111/add.16727
Jose S Romeo, Taisia Huckle, Vinita Lesley, Nuttanan Wichitaksorn
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引用次数: 0

摘要

背景和目的:虐待儿童是酒精对他人造成伤害的一个重要组成部分。以前没有研究评估过多次父母酗酒事件与儿童虐待之间的关系。本研究旨在衡量父母酒精归因事件对新西兰儿童期和青春期儿童虐待事件发生率的影响。设计、设置和参与者:使用2000年新西兰所有活产婴儿(n = 58359)的出生队列数据进行纵向分析,使用1995年至2017年新西兰统计局综合数据基础设施(IDI)的关联数据跟踪队列直到17岁。测量方法:使用零膨胀负二项和计数回归模型来测量儿童虐待事件的数量[从公共资助的医院出院、精神健康数据整合方案(PRIMHD)、Oranga Tamariki、儿童行动计划(CAP)和警察数据集收集]与父母因酒精而住院或因精神健康/成瘾而使用服务的情况之间的关联。潜在的混杂因素包括父母和儿童。结果:在队列中的58359名儿童中,86%(50319名)没有经历过任何记录在案的虐待事件。在有被虐待风险的儿童中,如果儿童暴露于父母因酒精导致的住院治疗或心理健康成瘾事件的服务使用,则虐待发生率比增加35.2%(95%置信区间= 18.1-55.6%)。每增加一名因父母酗酒而住院或因心理健康或成瘾而接受服务的儿童,受到虐待的风险就增加12.8%。结论:在新西兰,父母危险饮酒似乎与儿童虐待以及其他因素有关,特别是父母受教育程度较低。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Assessing the association between multiple parental alcohol events and the risk of being maltreated children in a New Zealand population-based birth cohort.

Background and aims: Child maltreatment is an important component of alcohol's harm to others. No previous studies have assessed the association between multiple parental alcohol events and child maltreatment. This study aimed to measure the impact of parental alcohol-attributable events on the incidence rate of child maltreatment events over the span of childhood and adolescence in New Zealand.

Design, setting and participants: Longitudinal analysis using the birth cohort data of all live births (n = 58 359) in New Zealand in 2000, with the cohort followed until age 17 years using linked data from the Statistics New Zealand Integrated Data Infrastructure (IDI) from 1995 to 2017.

Measurements: Zero-inflated negative binomial and count regression models were used to measure the association between the number of child maltreatment events [collected from publicly funded hospital discharges, Programme for the Integration of Mental Health Data (PRIMHD), Oranga Tamariki, Children's Action Plan (CAP) and police data sets] and parental exposure to alcohol-attributable hospitalization or service use for mental health/addiction. Potential confounders were included for parents and children.

Findings: Of 58 359 children in the cohort, 86% (50 319) had not experienced any documented maltreatment events. Among those at risk of being maltreated children, the maltreatment incidence rate ratio increased by 35.2% (95% confidence interval = 18.1-55.6%) if a child was exposed to parental alcohol-attributable hospitalization or service use for mental health addiction events. For each additional parental alcohol-attributable hospitalization or service use for mental health or addiction, the risk of being maltreated children increased by 12.8%.

Conclusions: In New Zealand, hazardous alcohol consumption by parents appears to be associated with child maltreatment alongside other contributing factors, in particular parental lower educational attainment.

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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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