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Childhood Maltreatment, Public Service System Contact, and Preventable Death in Young Adulthood

Melissa Jonson-Reid, Brett Drake, Patricia L Kohl

    Violence and Victims
    |February 25, 2017
    PubMed

    Insights

    Child maltreatment history increases the risk of injury-related death in young adulthood. Early emergency room treatment for intentional injury and juvenile offenses also elevate mortality risk, particularly firearm deaths among Black youth.

    Area of Science:

    • Public Health
    • Epidemiology
    • Child Welfare

    Background:

    • Child maltreatment is a significant public health concern with long-term consequences.
    • Understanding risk factors for injury-related mortality in young adults is crucial for prevention.

    Purpose of the Study:

    • To examine the association between child maltreatment history and injury-related death in young adulthood.
    • To identify specific risk factors and potential systems for preventive interventions.

    Main Methods:

    • Longitudinal cohort study comparing low-income children reported for maltreatment with matched nonreported peers.
    • Survival analysis using hazard ratios (HR) to assess risk over time.

    Main Results:

    • Maltreatment reports were linked to a 9% increased risk of injury-related death (HR = 1.09).
    • History of status/delinquent offenses (HR = 2.24) and prior ER treatment for intentional injury (HR = 3.95) significantly increased death risk.
    • Firearm-related deaths accounted for over 50% of all deaths, predominantly among Black youth.

    Conclusions:

    • Child maltreatment history is a significant predictor of young adult injury-related mortality.
    • Early intervention for juvenile offenses and intentional injuries may mitigate risks.
    • Targeted prevention strategies are needed for high-risk populations, especially concerning firearm violence in Black youth.

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