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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
Burden attributable to child maltreatment in Australia
Child Abuse and Neglect, Volume 48, Year 2015
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Description
Child maltreatment is a complex phenomenon, with four main types (childhood sexual abuse, physical abuse, emotional abuse, and neglect) highly interrelated. All types of maltreatment have been linked to adverse health consequences and exposure to multiple forms of maltreatment increases risk. In Australia to date, only burden attributable to childhood sexual abuse has been estimated. This study synthesized the national evidence and quantified the burden attributable to the four main types of child maltreatment. Meta-analyses, based on quality-effects models, generated pooled prevalence estimates for each maltreatment type. Exposure to child maltreatment was examined as a risk factor for depressive disorders, anxiety disorders and intentional self-harm using counterfactual estimation and comparative risk assessment methods. Adjustments were made for co-occurrence of multiple forms of child maltreatment. Overall, an estimated 23.5% of self-harm, 20.9% of anxiety disorders and 15.7% of depressive disorders burden in males; and 33.0% of self-harm, 30.6% of anxiety disorders and 22.8% of depressive disorders burden in females was attributable to child maltreatment. Child maltreatment was estimated to cause 1.4% (95% uncertainty interval 0.4-2.3%) of all disability-adjusted life years (DALYs) in males, and 2.4% (0.7-4.1%) of all DALYs in females in Australia in 2010. Child maltreatment contributes to a substantial proportion of burden from depressive and anxiety disorders and intentional self-harm in Australia. This study demonstrates the importance of including all forms of child maltreatment as risk factors in future burden of disease studies. © 2015 Elsevier Ltd.
Authors & Co-Authors
Scott, James Graham
Australia, Brisbane
Royal Brisbane and Women's Hospital
Australia, Brisbane
Uq Centre for Clinical Research
Ferrari, Alize J.
Australia, Brisbane
The University of Queensland
United States, Seattle
Institute for Health Metrics and Evaluation
Dunne, Michael P.
Australia, Brisbane
Queensland University of Technology
Erskine, Holly E.
Australia, Brisbane
The University of Queensland
United States, Seattle
Institute for Health Metrics and Evaluation
Devries, Karen M.
United Kingdom, London
London School of Hygiene & Tropical Medicine
Degenhardt, Louisa
United States, Seattle
Institute for Health Metrics and Evaluation
Australia, Sydney
Unsw Sydney
Australia, Melbourne
University of Melbourne
Vos, Theo
United States, Seattle
Institute for Health Metrics and Evaluation
Whiteford, Harvey A.
Australia, Brisbane
The University of Queensland
United States, Seattle
Institute for Health Metrics and Evaluation
Pacella, Rosana
Australia, Brisbane
Queensland University of Technology
Statistics
Citations: 110
Authors: 9
Affiliations: 10
Identifiers
Doi:
10.1016/j.chiabu.2015.05.006
ISSN:
01452134
Research Areas
Disability
Maternal And Child Health
Mental Health
Sexual And Reproductive Health
Violence And Injury
Study Design
Cross Sectional Study
Participants Gender
Female