Dataset Information

Early predictors for maltreatment-related injuries in infancy and long-term mortality: a population-based study.

ABSTRACT:

Introduction

Incidence, health consequences, and social burden associated with child maltreatment appeared to be borne disproportionately by very young children. We conducted a population-based data linkage study to explore child- and family-level factors that affect receiving different diagnoses of maltreatment injuries and investigate excessive mortality throughout toddlerhood.

Methods

We conducted a retrospective cohort study comprising 2.2 million infants born in 2004-2014 in Taiwan. Incident cases of child maltreatment were defined by hospitalization or emergency department visits for three heterogeneous diagnostic groups of maltreatment-related injuries (i.e., maltreatment syndrome, assaults, and undetermined causes) within 12 months after birth. The generalized linear model and landmark survival analyses were used to evaluate risk factors.

Results

An estimated 2.9‰ of infants experienced at least one maltreatment-related injury, with a three-year mortality rate of 1.3%. Low birthweight was associated with increased risk of receiving the diagnosis of three maltreatment injuries, particularly maltreatment syndrome (adjusted Incidence Rate Ratio [aIRR] = 4.08, 95% confidence interval [CI]: 2.93-5.68). Socially advantaged family condition was inversely linked with receiving the diagnosis of maltreatment syndrome and assaults (e.g., high income: aIRR = 0.55 and 0.47), yet positively linked with undetermined cause (aIRR = 2.05, 95% CI: 1.89-2.23). For infants exposed to maltreatment, low birth weight and non-attendance of postnatal care were highly predictive of fatality; low birthweight served as a vital predictor for premature death during toddlerhood (aIRR = 6.17, 95% CI: 2.36-15.4).

Conclusions

Raising awareness of maltreatment-related injuries in infancy and predictors should be a priority for appropriate follow-up assessment and timely intervention.

SUBMITTER: Chen HH

PROVIDER: S-EPMC10641954 | biostudies-literature | 2023 Nov

REPOSITORIES: biostudies-literature

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Publications

Early predictors for maltreatment-related injuries in infancy and long-term mortality: a population-based study.

Chen Hsin-Hung HH Wang I-An IA Hsieh Tan-Wen TW Tsay Jen-Huoy JH Chen Chuan-Yu CY

BMC public health 20231113 1

<h4>Introduction</h4>Incidence, health consequences, and social burden associated with child maltreatment appeared to be borne disproportionately by very young children. We conducted a population-based data linkage study to explore child- and family-level factors that affect receiving different diagnoses of maltreatment injuries and investigate excessive mortality throughout toddlerhood.<h4>Methods</h4>We conducted a retrospective cohort study comprising 2.2 million infants born in 2004-2014 in ...[more]

PMID: 37957616

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Dataset Information

Early predictors for maltreatment-related injuries in infancy and long-term mortality: a population-based study.

Introduction

Methods

Results

Conclusions

Publications

Early predictors for maltreatment-related injuries in infancy and long-term mortality: a population-based study.

Similar Datasets

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