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[The impact of domestic violence on children's health]
Estela Arcos1, Myrna Uarac, Irma Molina
1Instituto Enfermería Materna, Facultad de Medicina, Universidad Austral de Chile, Casilla 567, Valdivia-Chile. earcos@uach.cl
Insights
Maltreatment during pregnancy increases children's risk of respiratory illnesses like bronchopneumonia and reduces healthcare visits. Early detection and prevention of child abuse are crucial for better health outcomes.
Area of Science:
- Pediatric Health
- Public Health
- Child Development
Context:
- Maternal maltreatment during pregnancy is linked to adverse child outcomes.
- Domestic violence impacts child health and healthcare utilization.
- Understanding these associations is vital for intervention.
Purpose:
- To compare the anthropometric growth and healthcare service use of children exposed to maternal maltreatment with those from non-violent homes.
- To investigate the health consequences of prenatal maltreatment on postnatal child development and healthcare access.
Summary:
- Children of mothers experiencing maltreatment showed a 2.8-fold increased risk of bronchopneumonia postnatally.
- These children also exhibited poorer attendance at routine healthcare check-ups.
- Respiratory diseases were the leading cause for consultations and hospital admissions, with four cases of cerebral contusion noted.
Impact:
- Domestic violence significantly elevates the risk of pediatric respiratory diseases and hospitalizations.
- Findings underscore the need for novel strategies to identify and prevent child abuse and neglect.
- Improved child health outcomes depend on addressing the cycle of violence and maltreatment.
Background:
There is close association between maltreatment during pregnancy and child abuse after birth.
Aim:
To compare anthropometric growth and use of health services of children whose mothers suffered maltreatment with children coming from families without domestic violence.
Subjects And Methods:
A longitudinal study of two cohorts. An index groups formed by 76 children whose mothers experienced maltreatment and control group of 46 children coming from families without domestic violence. Data was obtained from patient files in private health centers.
Results:
Respiratory diseases were the most prevalent cause of consultation and hospital admission. Children in the index group had a 2.8 times higher risk of bronchopneumonia in the post natal period and a poor attendance to health care controls. In four children, cerebral contusion was registered as the cause of hospital admission.
Conclusions:
Domestic violence is associated with a higher risk of respiratory diseases and hospital admissions in children. New strategies are necessary to detect and prevent child abuse and neglect.
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