Herbert Annie, Barter Christine, Szilassy Eszter, Heron Jon, Fraser Abigail, Barnes Maria, Yakubovich Alexa R, Feder Gene, Howe Laura D
UK Medical Research Council Integrative Epidemiology Unit, University of Bristol, Bristol, UK.
Population Health Sciences, University of Bristol, Bristol, UK.
Lancet Reg Health Eur. 2025 May 1;53:101278. doi: 10.1016/j.lanepe.2025.101278. eCollection 2025 Jun.
There is uncertainty about the extent to which parental intimate partner violence and abuse (IPVA) increases risk of IPVA in the next generation. We aimed to provide estimates for the relationship between IPVA among mothers, and IPVA in their children's own relationships as young adults.
Using data from 3243 families from a UK birth cohort, we estimated risks of IPVA victimisation and perpetration among women and men aged 18-21 (a validated measure captured at age 21), according to mother's IPVA victimisation status by age 18 (overall and separately for physical and psychological subtypes; a non-validated measure: 2-13 questions asked at ages 2, 4, 5, 8, 9, 11, 12, 18).
Unadjusted relative risks (RR) for associations between maternal IPVA victimisation and subtypes of young adult IPVA ranged 0.91 to 1.54. There was a positive association between maternal psychological IPVA and subsequent victimisation among their children as young adult women (RR 1.23, 95% confidence interval [CI]: 1.07 to 1.41), attenuating to the null after adjustment for prenatal maternal IPVA and socio-economic factors. The strongest adjusted association was between maternal physical IPVA and perpetration among men (RR 1.45, 95% CI: 1.05 to 2.00). Maternal physical IPVA accounted for 10% of perpetration cases among men (CI: 2% to 16%). Most of this 10% was represented by young adults from families who experienced both maternal IPVA victimisation and child maltreatment.
Interventions supporting young boys exposed to maternal physical IPVA could reduce risks of them using violence or abuse in their relationships. Services supporting families experiencing IPVA should consider co-occurring wider family adversity, which carried higher risk for intergenerational continuity of IPVA.
UK Medical Research Council (MR/S002634/1).
父母的亲密伴侣暴力和虐待（IPVA）在多大程度上会增加下一代遭受IPVA的风险尚不确定。我们旨在估算母亲遭受IPVA与子女成年后在其自身恋爱关系中遭受IPVA之间的关联。
利用来自英国一个出生队列中3243个家庭的数据，我们根据母亲在18岁时的IPVA受害状况（总体情况以及身体和心理亚型分别统计；一种未经验证的测量方法：在2岁、4岁、5岁、8岁、9岁、11岁、12岁、18岁时询问2 - 13个问题），估算了18 - 21岁男女遭受IPVA侵害和实施IPVA的风险（在21岁时进行的一项经验证的测量）。
母亲遭受IPVA与成年子女IPVA亚型之间未经调整的相对风险（RR）范围为0.91至1.54。母亲遭受心理IPVA与她们的女儿成年后遭受侵害之间存在正相关（RR 1.23，95%置信区间[CI]：1.07至1.41），在对产前母亲的IPVA和社会经济因素进行调整后减弱至无关联。调整后最强的关联是母亲遭受身体IPVA与男性实施IPVA之间（RR 1.45，95% CI：1.05至2.00）。母亲遭受身体IPVA占男性实施IPVA案例的10%（CI：2%至16%）。这10%中的大部分由来自既经历母亲IPVA受害又经历儿童虐待的家庭的年轻人构成。
支持遭受母亲身体IPVA的年轻男孩的干预措施可能会降低他们在恋爱关系中使用暴力或虐待的风险。支持遭受IPVA的家庭的服务应考虑同时存在的更广泛的家庭困境，这会增加IPVA代际延续的风险。
英国医学研究理事会（MR/S002634/1）。
