The association between child maltreatment and health risk behaviours and conditions throughout life in the Australian Child Maltreatment Study
Open access copy at publisher website
Description
Objective: To estimate associations between all five types of child maltreatment (emotional abuse, neglect, physical abuse, sexual abuse, and exposure to domestic violence) and health risk behaviours and conditions. Design, setting, participants: Nationally representative survey of Australian residents aged 16 years and older conducted by computer-assisted telephone interviewing. Main outcome measures: Associations between child maltreatment and the following health risk behaviours and conditions: current smoker, binge drinking (at least weekly in past 12 months), cannabis dependence (according to the Cannabis Severity of Dependence Scale), obesity (based on body mass index), self-harm in past 12 months, and suicide attempt in past 12 months. Results: A total of 8503 participants completed the survey. All five types of child maltreatment were associated with increased rates of all of the health risk behaviours and conditions that we considered. The strongest associations were in the youngest age group (16–24-year-olds). Sexual abuse and emotional abuse were associated with the highest odds of health risk behaviours and conditions. Cannabis dependence, self-harm and suicide attempts were most strongly associated with child maltreatment. Experiencing more than one type of child maltreatment was associated with higher rates of health risk behaviours and conditions than experiencing one type of child maltreatment. Conclusions: Child maltreatment is associated with substantially increased rates of health risk behaviours and conditions. Prevention and intervention efforts should be informed by trauma histories, and holistic psychosocial care should be incorporated into programs focusing on behaviour change.
Impact and interest:
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| ID Code: | 239191 | ||||||
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| Item Type: | Contribution to Journal (Journal Article) | ||||||
| Refereed: | Yes | ||||||
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| Additional Information: | Funding Information: The ACMS is supported by a National Health and Medical Research Council Project Grant (APP1158750). The ACMS receives additional funding and contributions from the Australian Government Department of the Prime Minister and Cabinet, the Australian Government Department of Social Services, and the Australian Institute of Criminology. Franziska Meinck was supported by the European Research Council under the European Union's Horizon 2020 research and innovation funding program [grant agreement number 852787] and the UK Research and Innovation Global Challenges Research Fund [ES/S008101/1]. Holly Erskine is supported by an NHMRC Early Career Fellowship (APP1137969). Hannah Thomas is funded by the Queensland Centre for Mental Health Research, which receives its funding from the Queensland Government Department of Health. We are deeply grateful to all the survey participants, and to the members of the public (including victim-survivors) who participated in piloting the questionnaire. We thank the ACMS Technical Expert Panel members who advised on the survey design. We also thank the Social Research Centre interviewers and managerial staff, especially Nikki Honey and Diana Nguyen, for recruiting and interviewing the study participants. Open access publishing facilitated by Curtin University, as part of the Wiley - Curtin University agreement via the Council of Australian University Librarians. | ||||||
| Measurements or Duration: | 6 pages | ||||||
| Keywords: | Child abuse, Child welfare, Health status indicators, Healthcare disparities | ||||||
| DOI: | 10.5694/mja2.51877 | ||||||
| ISSN: | 0025-729X | ||||||
| Pure ID: | 130117514 | ||||||
| Divisions: | Current > QUT Faculties and Divisions > Faculty of Business & Law Current > Schools > School of Law |
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| Funding Information: | The ACMS is supported by a National Health and Medical Research Council Project Grant (APP1158750). The ACMS receives additional funding and contributions from the Australian Government Department of the Prime Minister and Cabinet, the Australian Government Department of Social Services, and the Australian Institute of Criminology. Franziska Meinck was supported by the European Research Council under the European Union's Horizon 2020 research and innovation funding program [grant agreement number 852787] and the UK Research and Innovation Global Challenges Research Fund [ES/S008101/1]. Holly Erskine is supported by an NHMRC Early Career Fellowship (APP1137969). Hannah Thomas is funded by the Queensland Centre for Mental Health Research, which receives its funding from the Queensland Government Department of Health. The ACMS is supported by a National Health and Medical Research Council Project Grant (APP1158750). The ACMS receives additional funding and contributions from the Australian Government Department of the Prime Minister and Cabinet, the Australian Government Department of Social Services, and the Australian Institute of Criminology. Franziska Meinck was supported by the European Research Council under the European Union's Horizon 2020 research and innovation funding program [grant agreement number 852787] and the UK Research and Innovation Global Challenges Research Fund [ES/S008101/1]. Holly Erskine is supported by an NHMRC Early Career Fellowship (APP1137969). Hannah Thomas is funded by the Queensland Centre for Mental Health Research, which receives its funding from the Queensland Government Department of Health. We are deeply grateful to all the survey participants, and to the members of the public (including victim-survivors) who participated in piloting the questionnaire. We thank the ACMS Technical Expert Panel members who advised on the survey design. We also thank the Social Research Centre interviewers and managerial staff, especially Nikki Honey and Diana Nguyen, for recruiting and interviewing the study participants. | ||||||
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| Copyright Owner: | 2023 The Authors | ||||||
| Copyright Statement: | This work is covered by copyright. Unless the document is being made available under a Creative Commons Licence, you must assume that re-use is limited to personal use and that permission from the copyright owner must be obtained for all other uses. If the document is available under a Creative Commons License (or other specified license) then refer to the Licence for details of permitted re-use. It is a condition of access that users recognise and abide by the legal requirements associated with these rights. If you believe that this work infringes copyright please provide details by email to qut.copyright@qut.edu.au | ||||||
| Deposited On: | 18 Apr 2023 03:00 | ||||||
| Last Modified: | 24 Jul 2024 04:13 |
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