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Published on: January 12, 2018
Intimate partner violence and child outcomes at age 10: a pregnancy cohort
Deirdre Gartland1,2, Laura J Conway3,2, Rebecca Giallo3,2,4
1Intergenerational Health Research Group, Murdoch Children's Research Institute, Melbourne, Victoria, Australia deirdre.gartland@mcri.edu.au.
Insights
Children exposed to intimate partner violence (IPV) show increased risks in mental health, language, and physical health. Early intervention is crucial, as limited exposure in early years may lead to fewer difficulties.
Area of Science:
- Child development
- Public health
- Mental health research
Background:
- Intimate partner violence (IPV) is a significant public health issue with potential long-term consequences for children's well-being.
- Understanding the developmental impact of IPV exposure across childhood is crucial for effective intervention strategies.
Purpose of the Study:
- To assess the mental, physical, cognitive, and language development of 10-year-old children exposed to maternal intimate partner violence (IPV) compared to unexposed children.
- To identify specific developmental domains affected by IPV exposure from infancy to age 10.
Main Methods:
- Prospective pregnancy cohort study involving 615 mother-child dyads from Melbourne, Australia.
- Maternal report of IPV using the Composite Abuse Scale at 1, 4, and 10 years.
- Direct child assessments at age 10 for mental health, cognition, language, and physical health.
Main Results:
- Any IPV exposure by age 10 was linked to double the odds of probable psychiatric diagnosis, emotional/behavioral difficulties, and impaired language skills.
- IPV exposure at age 10 correlated with 2-3 times higher odds of mental health issues, elevated blood pressure, and sleep problems.
- Early life IPV exposure (1-4 years) alone was associated with triple the odds of general language problems and asthma.
Conclusions:
- Children exposed to IPV face a substantial burden of poorer health and developmental outcomes.
- The findings underscore the need for early identification and intervention for families experiencing IPV to mitigate long-term child health impacts.
Objective:
Assess the mental health, physical health, cognitive and language development of 10-year old children in families where mothers have reported intimate partner violence (IPV) compared with children with no reported IPV exposure.
Design:
Prospective pregnancy cohort. Maternal report of IPV (Composite Abuse Scale) at 1, 4 and 10 years. Maternal and direct assessment of child mental health (probable psychiatric diagnosis, anxiety and emotional/behavioural difficulties), cognition (IQ and executive function), language (general, pragmatic and receptive) and physical health at 10 years.
Setting:
A subsample of 615 mother-child dyads drawn from a pregnancy cohort of 1507 nulliparous women recruited from six public hospitals in Melbourne, Australia.
Results:
Any IPV exposure from infancy to age 10 was associated with poorer child outcomes at age 10. Specifically, twice the odds of a probable psychiatric diagnosis, emotional/behavioural difficulties, impaired language skills (general and pragmatic), and having consulted a health professional about asthma or sleep problems. IPV exposure at age 10 associated with two to three times higher odds of all mental health outcomes, elevated blood pressure and sleep problems. Early life exposure alone (at 1 and/or 4 years) associated with three times higher odds of a general language problem and asthma at age 10.
Conclusion:
The high prevalence of IPV and increased risk of poorer health and development among children exposed highlights the burden of ill health carried by children in families experiencing IPV. Fewer difficulties where exposure was limited to the early years builds the case for better identification, understanding and resourcing of effective early intervention.
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