Antenatal risk factors for child maltreatment: Linkage of data from a birth cohort study to child welfare records.
Child Abuse Negl
; 107: 104605, 2020 09.
Article
en En
| MEDLINE
| ID: mdl-32590228
ABSTRACT
BACKGROUND:
Understanding the risk factors for child maltreatment is critical to efforts to reduce its prevalence.OBJECTIVE:
This study investigated the association between characteristics and circumstances of mothers during pregnancy and the subsequent identification of concerns about child maltreatment. PARTICIPANTS ANDSETTING:
The study drew on two data sets (i) data from questionnaires administered to the expectant mothers of 11,332 children born in a deprived multi-ethnic local authority in England between 2007 and 2011, for a birth cohort study, and (ii) administrative data on children referred to child welfare services.METHODS:
The linkage of these two pre-existing data sets enabled the prospective study of risk factors for child maltreatment.RESULTS:
A range of factors captured during the antenatal period were associated with an increased likelihood of subsequent recorded child maltreatment concerns, including younger maternal age (HR=0.96; pâ¯<â¯.001), lower maternal education level (HR=1.36; pâ¯<â¯.001), maternal mental illness (HR=1.17; pâ¯=â¯.001), maternal smoking in pregnancy (HR=1.69; pâ¯<â¯.001), single motherhood (HR=1.41; pâ¯=â¯.022), larger family size (HR=1.13; pâ¯<â¯.001), multiple deprivation (HR=1.01; pâ¯=â¯.011), social housing (HR=1.72; pâ¯<â¯.001), paternal unemployment (HR=1.79; pâ¯<â¯.001), and the receipt of means-tested welfare benefits (HR=1.43; pâ¯<â¯.001). A greater total number of risk factors during pregnancy also increased the risk of subsequent maltreatment concerns (HR=1.45; pâ¯<â¯.001).CONCLUSIONS:
The identification of multiple risk factors in this study supports claims that single targeted interventions are unlikely to be successful in preventing or reducing child maltreatment due to its multifactorial nature, and that multidimensional interventions are required.Palabras clave
Texto completo:
1
Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Embarazo
/
Maltrato a los Niños
/
Recolección de Datos
/
Madres
Tipo de estudio:
Etiology_studies
/
Incidence_studies
/
Observational_studies
/
Prevalence_studies
/
Prognostic_studies
/
Risk_factors_studies
Aspecto:
Equity_inequality
Límite:
Adult
/
Child
/
Child, preschool
/
Female
/
Humans
/
Male
País/Región como asunto:
Europa
Idioma:
En
Revista:
Child Abuse Negl
Año:
2020
Tipo del documento:
Article