The association between child maltreatment and health risk behaviours and conditions throughout life in the Australian Child Maltreatment Study

Journal article

Lawrence, David M., Hunt, Anna, Mathews, Ben, Haslam, Divna M., Malacova, Eva, Dunne, Michael P., Erskine, Holly E., Higgins, Daryl J., Finkelhor, David, Pacella, Rosana, Meinck, Franziska, Thomas, Hannah J. and Scott, James G.. (2023). The association between child maltreatment and health risk behaviours and conditions throughout life in the Australian Child Maltreatment Study. Medical Journal of Australia. 218(S6), pp. S34-S39. https://doi.org/10.5694/mja2.51877

Publication dates
Authors	Lawrence, David M., Hunt, Anna, Mathews, Ben, Haslam, Divna M., Malacova, Eva, Dunne, Michael P., Erskine, Holly E., Higgins, Daryl J., Finkelhor, David, Pacella, Rosana, Meinck, Franziska, Thomas, Hannah J. and Scott, James G.
Abstract	Objective To estimate associations between all five types of child maltreatment (emotional abuse, neglect, physical abuse, sexual abuse, and exposure to domestic violence) and health risk behaviours and conditions. Design, setting, participants Nationally representative survey of Australian residents aged 16 years and older conducted by computer-assisted telephone interviewing. Main outcome measures Associations between child maltreatment and the following health risk behaviours and conditions: current smoker, binge drinking (at least weekly in past 12 months), cannabis dependence (according to the Cannabis Severity of Dependence Scale), obesity (based on body mass index), self-harm in past 12 months, and suicide attempt in past 12 months. Results A total of 8503 participants completed the survey. All five types of child maltreatment were associated with increased rates of all of the health risk behaviours and conditions that we considered. The strongest associations were in the youngest age group (16–24-year-olds). Sexual abuse and emotional abuse were associated with the highest odds of health risk behaviours and conditions. Cannabis dependence, self-harm and suicide attempts were most strongly associated with child maltreatment. Experiencing more than one type of child maltreatment was associated with higher rates of health risk behaviours and conditions than experiencing one type of child maltreatment. Conclusions Child maltreatment is associated with substantially increased rates of health risk behaviours and conditions. Prevention and intervention efforts should be informed by trauma histories, and holistic psychosocial care should be incorporated into programs focusing on behaviour change.
Keywords	healthcare disparities; health status indicators; child abuse; child welfare
Year	2023
Journal	Medical Journal of Australia
Journal citation	218 (S6), pp. S34-S39
Publisher	John Wiley & Sons Australia, Ltd
ISSN	0025-729X
Digital Object Identifier (DOI)	https://doi.org/10.5694/mja2.51877
PubMed ID	37004181
Scopus EID	2-s2.0-85151349932
Open access	Published as ‘gold’ (paid) open access
Page range	S34-S39
Funder	National Health and Medical Research Council (NHMRC)
	Department of the Prime Minister and Cabinet, Australian Government
	Department of Social Services, Australian Government
	Australian Institute of Criminology
	European Research Council (ERC)
	UK Research and Innovation Global Challenges Research Fund
	Department of Health, Queensland Government
Publisher's version	Lawrence_2023_The_association_between_child_maltreatment_and.pdf License CC BY 4.0 File Access Level Open
Output status	Published
Online	02 Apr 2023
Publication process dates
Accepted	23 Jan 2023
Deposited	18 Jul 2023
Grant ID	1158750
	852787
	ES/S008101/1
	1137969

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Doidge, James C., Edwards, Ben, Higgins, Daryl and Segal, Leonie. (2017). Adverse childhood experiences, non-response and loss to follow-up: Findings from a prospective birth cohort and recommendations for addressing missing data. Longitudinal and Life Course Studies. 8(4), pp. 382 - 400. https://doi.org/10.14301/llcs.v8i4.414

Economic predictors of child maltreatment in an Australian population-based birth cohort

Doidge, James C., Higgins, Daryl J., Delfabbro, Paul, Edwards, Ben, Vassallo, Suzanne, Toumbourou, John W. and Segal, Leonie. (2017). Economic predictors of child maltreatment in an Australian population-based birth cohort. Children and Youth Services Review. 72, pp. 14 - 25. https://doi.org/10.1016/j.childyouth.2016.10.012

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

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

Public health models for preventing child maltreatment: Applications from the field of injury prevention

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..