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  11. Impact Of Child Maltreatment On The Costs Of Health Service Use And Productivity Loss: Findings From The Australian Child Maltreatment Study

Impact of child maltreatment on the costs of health service use and productivity loss: Findings from the Australian child maltreatment study

Dai Quy Le1, Long Khanh-Dao Le1, Marie Bee Hui Yap2

  • 1Health Economics Group, School of Public Health and Preventive Medicine, Monash University, Melbourne, Victoria, Australia.

Child Abuse & Neglect
|November 27, 2025

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View abstract on PubMed

Summary
This summary is machine-generated.

Child maltreatment (CM) significantly increases healthcare costs and productivity losses in Australia. Addressing CM through targeted prevention is crucial to mitigate these substantial economic burdens.

Area of Science:

  • Public Health
  • Health Economics
  • Social Epidemiology

Background:

  • Child maltreatment (CM) presents a significant public health challenge.
  • The economic impact of CM, including healthcare costs and productivity loss in Australia, is not well-understood.

Purpose of the Study:

  • To quantify the economic burden of child maltreatment in Australia.
  • Estimating costs associated with health service utilization and lost productivity due to CM.

Main Methods:

  • Analysis of cross-sectional data from the Australian Child Maltreatment Study (N=8503).
  • Hurdle models (logistic regression and generalized linear models) were employed to assess differences in health service use and costs.
  • Productivity losses were calculated using the human capital approach.
Keywords:
AustraliaChild maltreatmentCost-of-illnessHealthcare cost

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Main Results:

  • Individuals with CM incurred A$1670 higher annual healthcare costs.
  • Annual productivity losses averaged A$2750 per labor force participant with CM.
  • Population-level estimates indicate A$21.6 billion in annual health service costs and A$24.1 billion in productivity losses linked to CM.

Conclusions:

  • Child maltreatment imposes substantial economic costs on Australia's healthcare system and workforce.
  • Investment in evidence-based prevention strategies for CM is essential to reduce these societal costs.
Productivity loss