Individual- and Population-Level Impacts of Traumatic Brain Injury and Maternal Characteristics on Subsequent Offending Behavior.
J Head Trauma Rehabil
; 33(3): 167-176, 2018.
Article
in En
| MEDLINE
| ID: mdl-28731869
ABSTRACT
OBJECTIVE:
To evaluate the individual- and population-level impact of a combination of factors, including traumatic brain injury (TBI) and certain maternal characteristics, on subsequent criminal conviction. DESIGN ANDPARTICIPANTS:
A retrospective record linkage study involving a cohort of 30 599 individuals born between 1980 and 1985, with ratio of 1 (with TBI) 3 (no TBI), matched by sex and the year of birth. METHODS AND PROCEDURES Cox proportional hazard regression models and population attributable risk percentages (PAR%) were used to assess the contribution of TBI and other risk factors on subsequent criminal convictions. MAIN OUTCOMES ANDRESULTS:
Overall, individuals born to the teenaged mothers (<20 years) have significantly higher proportion of TBI than those born to older mothers (35% vs 22%; P < .001). In the gender-specific analyses, a history of TBI was associated with increased risk for criminal convictions (adjusted hazard ratio [aHR] 1.48, 95% confidence interval [CI] 1.36-1.60, and aHR 1.45, 95% CI 1.22-1.73, for men and women, respectively). Maternal characteristics (maternal age, single parent, multiparity) were identified as the greater contributor to the criminal convictions (PAR% 57% and 67% for men and women, respectively). The combined impact of mental illness, maternal factors, and TBI was estimated to be 67% and 74% (for men and women, respectively); with nonoverlapping 95% CIs for PAR%, these factors were estimated to have had a higher impact among females than among males.CONCLUSION:
More than half of the criminal convictions were associated with a relatively small number of risk factors, including poor mental health, low socioeconomic status, and TBI as well as certain maternal characteristics.
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Pregnancy in Adolescence
/
Criminal Behavior
/
Brain Injuries, Traumatic
/
Maternal Behavior
/
Mental Disorders
Type of study:
Diagnostic_studies
/
Etiology_studies
/
Incidence_studies
/
Observational_studies
/
Prognostic_studies
/
Risk_factors_studies
Limits:
Adolescent
/
Adult
/
Female
/
Humans
/
Male
/
Middle aged
/
Pregnancy
Country/Region as subject:
Oceania
Language:
En
Journal:
J Head Trauma Rehabil
Journal subject:
REABILITACAO
/
TRAUMATOLOGIA
Year:
2018
Document type:
Article