The burden of child maltreatment in the East Asia and Pacific region

Fang, Xiangming, Fry, Deborah A., Brown, Derek S., Mercy, James A., Dunne, Michael P., Butchart, Alexander, Corso, Phaedra S., Maynzyuk, Kateryna, Dzhygyr, Yuriy, Chen, Yu, McCoy, Amalee, & Swales, Diane M. (2015) The burden of child maltreatment in the East Asia and Pacific region. Child Abuse and Neglect, 42, pp. 146-162.

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Abstract

This study estimated the health and economic burden of child maltreatment in the East Asia and Pacific region, addressing a significant gap in the current evidence base. Systematic reviews and meta-analyses were conducted to estimate the prevalence of child physical abuse, sexual abuse, emotional abuse, neglect, and witnessing parental violence. Population Attributable Fractions were calculated and Disability-Adjusted Life Years (DALYs) lost from physical and mental health outcomes and health risk behaviors attributable to child maltreatment were estimated using the most recent comparable Global Burden of Disease data. DALY losses were converted into monetary value by assuming that one DALY is equal to the sub-region’s per capita GDP. The estimated economic value of DALYs lost to violence against children as a percentage of GDP ranged from 1.24% to 3.46% across sub-regions defined by the World Health Organization. The estimated economic value of DALYs (in constant 2000 US$) lost to child maltreatment in the EAP region totaled US $151 billion, accounting for 1.88% of the region’s GDP. Updated to 2012 dollars, the estimated economic burden totaled US $194 billion. In sensitivity analysis, the aggregate costs as a percentage of GDP range from 1.36% to 2.52%. The economic burden of child maltreatment in the East Asia and Pacific region is substantial, indicating the importance of preventing and responding to child maltreatment in this region. More comprehensive research into the impact of multiple types of childhood adversity on a wider range of putative health outcomes is needed to guide policy and programs for child protection in the region, and globally.

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ID Code: 89148
Item Type: Journal Article
Refereed: Yes
Keywords: Burden, child maltreatment, East Asia and Pacific region
DOI: 10.1016/j.chiabu.2015.02.012
ISSN: 0145-2134
Subjects: Australian and New Zealand Standard Research Classification > MEDICAL AND HEALTH SCIENCES (110000) > PUBLIC HEALTH AND HEALTH SERVICES (111700)
Divisions: Current > Research Centres > Children & Youth Research Centre
Current > QUT Faculties and Divisions > Faculty of Health
Current > Institutes > Institute of Health and Biomedical Innovation
Current > Schools > School of Public Health & Social Work
Copyright Owner: Copyright 2015 Elsevier
Deposited On: 18 Oct 2015 23:49
Last Modified: 19 Oct 2015 22:02

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