Rybi'nska-Campbell Anna, Goodman W Benjamin, Dodge Kenneth A
Population Health and Equity Research Institute, MetroHealth System, Cleveland, Ohio, USA.
Center for Child and Family Policy, Duke University, Durham, North Carolina, USA.
Child Abuse Rev. 2024 May-Jun;33(3). doi: 10.1002/car.2871. Epub 2024 Apr 30.
Existing literature documents connections between short birth spacing (birth-to-conception interval of under 18 months) and the risk of child maltreatment, but explanations for this relation are understudied. We hypothesize that short birth spacing predicts child maltreatment and it mediates the association between maternal history of childhood maltreatment and their child's risk of abuse and neglect. We use data for second and higher parity children from the Prospective Study of Infant Development (n= 335) and fit logistic regression models with relevant covariates to examine the association between maternal history of childhood maltreatment, her offspring's short birth spacing, and her offspring's child maltreatment (CM) as measured by Child Protective Services (CPS) assessments. Findings demonstrate that children of mothers who reported experiencing any abuse or neglect during childhood have a higher likelihood of being born shortly spaced and a higher likelihood of CM. Additionally, short birth spacing is associated with increased likelihood of CM. No evidence for mediation from maternal history of maltreatment to CM operating through short birth spacing was detected. We conclude that maternal history of childhood maltreatment and short birth spacing are independent, additive factors for CM risk.
现有文献记录了生育间隔短(受孕间隔时间不足18个月)与儿童遭受虐待风险之间的联系,但对这种关系的解释尚未得到充分研究。我们假设生育间隔短预示着儿童会遭受虐待,并且它介导了母亲童年受虐史与其子女遭受虐待和忽视风险之间的关联。我们使用了来自婴儿发展前瞻性研究的二胎及以上子女的数据(n = 335),并拟合了包含相关协变量的逻辑回归模型,以检验母亲童年受虐史、其子女的生育间隔短以及其子女遭受儿童保护服务(CPS)评估所衡量的儿童虐待(CM)之间的关联。研究结果表明,报告在童年时期遭受过任何虐待或忽视的母亲所生子女,其出生间隔短的可能性更高,遭受CM的可能性也更高。此外,生育间隔短与CM可能性增加有关。未发现有证据表明母亲的虐待史通过生育间隔短对CM产生中介作用。我们得出结论,母亲童年受虐史和生育间隔短是CM风险的独立、累加因素。