Burden attributable to child maltreatment in Australia

Moore, Sophie E., Scott, James G., Ferrari, Alize J., Mills, Ryan, Dunne, Michael P., Erskine, Holly E., Devries, Karen M., Degenhardt, Louisa, Vos, Theo, Whiteford, Harvey A., McCarthy, Molly and Norman, Rosana E. (2015) Burden attributable to child maltreatment in Australia. Child Abuse and Neglect, 48 208-220. doi:10.1016/j.chiabu.2015.05.006

Author Moore, Sophie E.
Scott, James G.
Ferrari, Alize J.
Mills, Ryan
Dunne, Michael P.
Erskine, Holly E.
Devries, Karen M.
Degenhardt, Louisa
Vos, Theo
Whiteford, Harvey A.
McCarthy, Molly
Norman, Rosana E.
Title Burden attributable to child maltreatment in Australia
Journal name Child Abuse and Neglect   Check publisher's open access policy
ISSN 0145-2134
Publication date 2015-02-05
Year available 2015
Sub-type Article (original research)
DOI 10.1016/j.chiabu.2015.05.006
Volume 48
Start page 208
End page 220
Total pages 13
Place of publication Bromley, United Kingdom
Publisher Elsevier
Language eng
Formatted abstract
Child maltreatment is a complex phenomenon, with four main types (childhood sexual abuse, physical abuse, emotional abuse, and neglect) highly interrelated. All types of maltreatment have been linked to adverse health consequences and exposure to multiple forms of maltreatment increases risk. In Australia to date, only burden attributable to childhood sexual abuse has been estimated. This study synthesized the national evidence and quantified the burden attributable to the four main types of child maltreatment. Meta-analyses, based on quality-effects models, generated pooled prevalence estimates for each maltreatment type. Exposure to child maltreatment was examined as a risk factor for depressive disorders, anxiety disorders and intentional self-harm using counterfactual estimation and comparative risk assessment methods. Adjustments were made for co-occurrence of multiple forms of child maltreatment. Overall, an estimated 23.5% of self-harm, 20.9% of anxiety disorders and 15.7% of depressive disorders burden in males; and 33.0% of self-harm, 30.6% of anxiety disorders and 22.8% of depressive disorders burden in females was attributable to child maltreatment. Child maltreatment was estimated to cause 1.4% (95% uncertainty interval 0.4–2.3%) of all disability-adjusted life years (DALYs) in males, and 2.4% (0.7–4.1%) of all DALYs in females in Australia in 2010. Child maltreatment contributes to a substantial proportion of burden from depressive and anxiety disorders and intentional self-harm in Australia. This study demonstrates the importance of including all forms of child maltreatment as risk factors in future burden of disease studies.
Keyword Anxiety disorders
Child emotional abuse
Child maltreatment
Child neglect
Child physical abuse
Child sexual abuse
Depressive disorders
Intentional self-harm
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status UQ
Additional Notes In Press

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