The University of Western Australia, School of Population and Global Health, M431, Perth, Western Australia, 6009, Australia; The University of Notre Dame Australia, School of Nursing and Midwifery, Fremantle, Western Australia, 6959, Australia.
The University of Western Australia, School of Population and Global Health, M431, Perth, Western Australia, 6009, Australia.
Child Abuse Negl. 2019 Sep;95:104014. doi: 10.1016/j.chiabu.2019.05.007. Epub 2019 Jul 17.
Previous research shows a co-occurrence between children's exposure to violence and child maltreatment.
This study examined the risk of maltreatment allegations in children whose mothers had been hospitalised due to an assault.
The study used a retrospective cohort of children born in Western Australia between 1990-2009 (N = 524,534) using de-identified linked-administrative data.
Multivariate Cox regression determined the adjusted and unadjusted hazard ratios for child maltreatment allegation in children with a mother hospitalised for assault. Models were adjusted for a range of sociodemographic characteristics.
One in five children had a maltreatment allegation following their mother's hospitalisation for assault. This increased to two in five children when the mother was assaulted in the prenatal period. Aboriginal children accounted for 57.6% of all allegations despite representing only 7.8% of the population. Children whose mother had a hospitalisation for assault were nine-times (HR = 9.20, 95%CI: 8.98-9.43) more likely to have a subsequent maltreatment allegation than children whose mother did not have a hospitalisation for assault. Following adjustment for confounding factors, both Aboriginal and non-Aboriginal children had an almost two-fold increased risk of maltreatment allegation (HR = 1.56, 95%CI: 1.43-1.70; HR = 1.93 95%CI:1.80-2.07).
Our study shows that child maltreatment allegation is common in children following a maternal hospitalisation for assault. Targeted early intervention is required for families with young children, and pregnant women experiencing violence. Importantly service staff need awareness of the impact of violence on families and the appropriate services to refer families to.
先前的研究表明，儿童接触暴力与儿童虐待之间存在共现关系。
本研究调查了因遭受袭击而住院的母亲所生子女遭受虐待指控的风险。
该研究使用了西澳大利亚州 1990-2009 年间出生的儿童的回顾性队列（N=524534），使用去识别的链接行政数据。
多变量 Cox 回归确定了母亲因袭击住院的儿童中虐待指控的调整和未调整的危险比。模型调整了一系列社会人口统计学特征。
母亲因袭击住院后，五分之一的儿童受到虐待指控。当母亲在产前受到袭击时，这一比例增加到五分之二。尽管占总人口的 7.8%，但原住民儿童占所有指控的 57.6%。与母亲没有因袭击住院的儿童相比，母亲因袭击住院的儿童随后受到虐待指控的可能性高九倍（HR=9.20，95%CI：8.98-9.43）。在调整混杂因素后，无论是原住民儿童还是非原住民儿童，遭受虐待指控的风险几乎增加了两倍（HR=1.56，95%CI：1.43-1.70；HR=1.93，95%CI：1.80-2.07）。
我们的研究表明，母亲因袭击住院后，儿童遭受虐待指控的情况很常见。需要对有年幼子女和遭受暴力的孕妇的家庭进行有针对性的早期干预。重要的是，服务人员需要意识到暴力对家庭的影响，以及适当的服务来转介家庭。
