Intergenerational Health Research Group, Murdoch Children's Research Institute, Melbourne, Victoria, Australia
Department of Paediatrics, The University of Melbourne, Melbourne, Victoria, Australia.
Arch Dis Child. 2021 Nov;106(11):1066-1074. doi: 10.1136/archdischild-2020-320321. Epub 2021 Apr 21.
Assess the mental health, physical health, cognitive and language development of 10-year old children in families where mothers have reported intimate partner violence (IPV) compared with children with no reported IPV exposure.
Prospective pregnancy cohort. Maternal report of IPV (Composite Abuse Scale) at 1, 4 and 10 years. Maternal and direct assessment of child mental health (probable psychiatric diagnosis, anxiety and emotional/behavioural difficulties), cognition (IQ and executive function), language (general, pragmatic and receptive) and physical health at 10 years.
A subsample of 615 mother-child dyads drawn from a pregnancy cohort of 1507 nulliparous women recruited from six public hospitals in Melbourne, Australia.
Any IPV exposure from infancy to age 10 was associated with poorer child outcomes at age 10. Specifically, twice the odds of a probable psychiatric diagnosis, emotional/behavioural difficulties, impaired language skills (general and pragmatic), and having consulted a health professional about asthma or sleep problems. IPV exposure at age 10 associated with two to three times higher odds of all mental health outcomes, elevated blood pressure and sleep problems. Early life exposure alone (at 1 and/or 4 years) associated with three times higher odds of a general language problem and asthma at age 10.
The high prevalence of IPV and increased risk of poorer health and development among children exposed highlights the burden of ill health carried by children in families experiencing IPV. Fewer difficulties where exposure was limited to the early years builds the case for better identification, understanding and resourcing of effective early intervention.
评估有报告亲密伴侣暴力（IPV）的母亲家庭中 10 岁儿童的心理健康、身体健康、认知和语言发展情况，并与没有报告 IPV 暴露的儿童进行比较。
前瞻性妊娠队列。母亲在 1 岁、4 岁和 10 岁时报告 IPV（综合虐待量表）。在 10 岁时，对母亲和儿童进行直接评估，评估儿童的心理健康（可能的精神科诊断、焦虑和情绪/行为问题）、认知（智商和执行功能）、语言（一般、语用和接受）和身体健康。
从澳大利亚墨尔本六家公立医院招募的 1507 名初产妇妊娠队列中抽取的 615 对母婴对子的子样本。
从婴儿期到 10 岁的任何 IPV 暴露都与 10 岁时儿童的不良结局相关。具体来说，可能的精神科诊断、情绪/行为问题、语言技能受损（一般和语用）以及因哮喘或睡眠问题咨询过健康专业人员的儿童，其发生的几率增加了一倍。10 岁时发生 IPV 暴露与所有心理健康结局、血压升高和睡眠问题的发生几率增加两到三倍相关。仅在生命早期（1 岁和/或 4 岁）发生暴露与 10 岁时一般语言问题和哮喘的发生几率增加三倍相关。
在经历 IPV 的家庭中，儿童的 IPV 流行率较高，且健康和发育较差的风险增加，这突出了儿童所承受的不良健康负担。如果暴露仅限于早年，那么儿童出现的问题就会减少，这为更好地识别、理解和提供有效的早期干预提供了依据。
