母亲虐待儿童之间的关联预测了孩子使用医疗服务的情况? 来自I-CALM研究的结果
M Trott1, S Kisely2, J Najman3
1Metro South Addiction and Mental Health Services, Brisbane, Australia; Princess Alexandra Hospital Southside Clinical Unit, Greater Brisbane Clinical School, Medical School, Faculty of Health, Medicine, and Behavioural Sciences, University of Queensland, Brisbane, Australia; Queensland Centre for Mental Health Research, Wacol, Australia.
母亲虐待儿童 (CM) 的历史显著增加了后代.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 儿童发展 儿童发展
背景情况:
- 虐待儿童 (CM) 有终身的不利影响.
- 人们对CM的代际后果的理解较少.
- 医疗服务利用率提供了病率的客观衡量标准.
研究的目的:
- 调查母亲的CM病史是否预测后代使用医疗服务.
- 利用一代际数据集进行全面分析.
主要方法:
- 多代回顾性队列研究 (I-CALM).
- 在澳大利亚昆士兰州对1696名母亲和3296名儿童的分析.
- 根据政府记录定义的母体CM;来自链接健康记录的后代结果.
- 对共变量调整后的逻辑和负二项式回归.
主要成果:
- 母亲的CM与更高的后代有关,因为自我伤害而访问急诊室 (ED) (OR 2.69-2.57).
- 孕产妇的CM与子女因外伤入院的几率增加有关 (OR 1.45-1.64).
- 在母体CM和增加的ED总呈现之间发现了显著的关联.
结论:
- 孕产妇的CM与后代医院和ED使用密切相关,特别是在伤害和自我伤害方面.
- 这突显了重要的代际健康风险.
- 常规识别和支持受CM影响的家庭可以减轻这些风险,减少医疗负担.
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