Risk factors for child maltreatment in an Australian population-based birth cohort

Journal article

Doidge, James C., Higgins, Daryl J., Delfabbro, Paul and Segal, Leonie. (2017). Risk factors for child maltreatment in an Australian population-based birth cohort. Child Abuse and Neglect. 64, pp. 47 - 60. https://doi.org/10.1016/j.chiabu.2016.12.002
AuthorsDoidge, James C., Higgins, Daryl J., Delfabbro, Paul and Segal, Leonie
Abstract

Child maltreatment and other adverse childhood experiences adversely influence population health and socioeconomic outcomes. Knowledge of the risk factors for child maltreatment can be used to identify children at risk and may represent opportunities for prevention. We examined a range of possible child, parent and family risk factors for child maltreatment in a prospective 27-year population-based birth cohort of 2443 Australians. Physical abuse, sexual abuse, emotional abuse, neglect and witnessing of domestic violence were recorded retrospectively in early adulthood. Potential risk factors were collected prospectively during childhood or reported retrospectively. Associations were estimated using bivariate and multivariate logistic regressions and combined into cumulative risk scores. Higher levels of economic disadvantage, poor parental mental health and substance use, and social instability were strongly associated with increased risk of child maltreatment. Indicators of child health displayed mixed associations and infant temperament was uncorrelated to maltreatment. Some differences were observed across types of maltreatment but risk profiles were generally similar. In multivariate analyses, nine independent risk factors were identified, including some that are potentially modifiable: economic disadvantage and parental substance use problems. Risk of maltreatment increased exponentially with the number of risk factors experienced, with prevalence of maltreatment in the highest risk groups exceeding 80%. A cumulative risk score based on the independent risk factors allowed identification of individuals at very high risk of maltreatment, while a score that incorporated all significant risk and protective factors provided better identification of low-risk individuals.

Keywordschild abuse and neglect; child maltreatment; risk factors; cohort studies; prevention
Year2017
JournalChild Abuse and Neglect
Journal citation64, pp. 47 - 60
PublisherElsevier Ltd
ISSN0145-2134
Digital Object Identifier (DOI)https://doi.org/10.1016/j.chiabu.2016.12.002
Scopus EID2-s2.0-85007268669
Page range47 - 60
Research GroupInstitute of Child Protection Studies
Publisher's version
File Access Level
Controlled
Place of publicationUnited Kingdom
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Scott, Debbie, Lonne, Bob and Higgins, Daryl. (2016). Public health models for preventing child maltreatment: Applications from the field of injury prevention. Trauma, Violence, and Abuse. 17(4), pp. 408 - 419. https://doi.org/10.1177/1524838016658877
How can child welfare and youth-serving organisations keep children safe?
Higgins, Daryl J., Kaufman, Keith and Erooga, Marcus. (2016). How can child welfare and youth-serving organisations keep children safe? Developing Practice.
Conceptualising the prevention of child sexual abuse
Quadara, Antonia, Nagy, Vicky, Higgins, Daryl and Siegel, Natalie. (2015). Conceptualising the prevention of child sexual abuse Australia: Australian Institute of Family Studies, Australian Government.
A public health approach to enhancing safe and supportive family environments for children
Higgins, Daryl J.. (2015). A public health approach to enhancing safe and supportive family environments for children. Family Matters. 96, pp. 39 - 52.
The Stronger Families in Australia (SFIA) study: Phase 2
Edwards, Ben, Mullan, Killian, Katz, Lian and Higgins, Daryl. (2014). The Stronger Families in Australia (SFIA) study: Phase 2 Australia: Australian Institute of Family Studies, Australian Government.
Complex family issues: Collective awareness, common narratives and coordinated approaches to promoting resilience
Hayes, Alan and Higgins, Daryl. (2014). Complex family issues: Collective awareness, common narratives and coordinated approaches to promoting resilience. In In A. Hayes and D. Higgins (Ed.). Families, policy and the law: Selected essays on contemporary issues for Australia pp. 299 - 303 Australian Institute of Family Studies, Australian Government.
Weaving a common narrative: An introduction to essays on families, policy and the law in Australia
Hayes, Alan and Higgins, Daryl. (2014). Weaving a common narrative: An introduction to essays on families, policy and the law in Australia. In Families, policy and the law: Selected essays on contemporary issues for Australia pp. 1 - 4 Australian Institute of Family Studies, Australian Government.
Past adoption practices: Implications for current interventions
Higgins, Daryl. (2014). Past adoption practices: Implications for current interventions. 36(4), pp. 8 - 11.
Contemporary issues in child protection intake, referral and family support
Bromfield, Leah, Arney, Fiona and Higgins, Daryl. (2014). Contemporary issues in child protection intake, referral and family support. In In A. Hayes and D. Higgins (Ed.). Families, policy and the law: Selected essays on contemporary issues for Australia pp. 121 - 129 Australian Institute of Family Studies, Australian Government.
Reform, (r)evolution and lingering Effects: Family policies in Australia
Higgins, Daryl J.. (2014). Reform, (r)evolution and lingering Effects: Family policies in Australia. In In M. Robila (Ed.). Handbook of family policies across the globe pp. 335 - 353 Springer. https://doi.org/10.1007/978-1-4614-6771-7_22
Past adoption practices: Key messages for service delivery responses and current policies
Kenny, Pauline and Higgins, Daryl. (2014). Past adoption practices: Key messages for service delivery responses and current policies. In In A. Hayes and D. Higgins (Ed.). Families, policy and the law: Selected essays on contemporary issues for Australia pp. 29 - 38 Australian Institute of Family Studies, Australian Government.
Multi-type maltreatment and polyvictimisation: A comparison of two research frameworks
Price-Robertson, Rhys, Higgins, Daryl J. and Vassallo, Suzanne. (2013). Multi-type maltreatment and polyvictimisation: A comparison of two research frameworks. Family Matters. 93, pp. 84 - 98.
Past adoption experiences: Impacts, insights and implications for policy and practice
Kenny, Pauline, Higgins, Daryl, Sweid, Reem and Soloff, Carol. (2013). Past adoption experiences: Impacts, insights and implications for policy and practice. Children and Families Australia. 7(1), pp. 35 - 46.
Past adoption experiences: Impacts, insights and implications for policy and practice
Kenny, Pauline, Higgins, Daryl, Sweid, Reem and Soloff, Carol. (2013). Past adoption experiences: Impacts, insights and implications for policy and practice. Communities, Children and Families. 7(1), pp. 35 - 46.
Families make all the difference: Helping kids to grow and learn
Baxter, Jennifer, Higgins, Daryl J. and Hayes, Alan. (2012). Families make all the difference: Helping kids to grow and learn. Family Matters. 90, pp. 98 - 105.
Child abuse and neglect in Australia's Northern Territory: The Northern Territory Emergency Response
Higgins, Daryl and Scott, Debbie. (2012). Child abuse and neglect in Australia's Northern Territory: The Northern Territory Emergency Response. In In H. Dubowitz (Ed.). World perspectives on child abuse pp. 69 - 75 International Society for the Prevention of Child Abuse and Neglect.
Contemporary militant extremism: A linguistic approach to scale development
Stankov, Lazar, Higgins, D., Saucier, Gerard and Knezevic, Goran. (2012). Contemporary militant extremism: A linguistic approach to scale development. In In G. J. Boyle, Donald H. Saklofske and G. Matthews (Ed.). Psychological Assessment pp. 41 - 67 SAGE Publications Inc..
Protecting children: Evolving systems
Higgins, Daryl. (2011). Protecting children: Evolving systems. Family Matters.
Unfit mothers... Unjust practices?: Key issues from Australian research on the impact of past adoption practices
Higgins, Daryl J.. (2011). Unfit mothers... Unjust practices?: Key issues from Australian research on the impact of past adoption practices. Family Matters. 87(1), pp. 56 - 67.
Contemporary militant extremism: A linguistic approach to scale development
Stankov, Lazar, Higgins, D., Saucier, G. and Kneszevic, G. (2010). Contemporary militant extremism: A linguistic approach to scale development. Psychological Assessment. 22(2), pp. 246 - 258. https://doi.org/10.1037/a0017372