Multiple Factors Associated With Child Abuse Perpetration: A Nationwide Population-Based Retrospective Study

doi:10.1177/0886260518805100

中山醫學大學機構典藏 CSMUIR > 中山醫學大學研究成果 > 期刊論文 > Item 310902500/24113

Please use this identifier to cite or link to this item: https://ir.csmu.edu.tw:8080/ir/handle/310902500/24113

Title:	Multiple Factors Associated With Child Abuse Perpetration: A Nationwide Population-Based Retrospective Study
Authors:	Chang, CC;Hsieh, MH;Chiou, JY;Huang, HH;Ju, PC;Wang, JY
Keywords:	mental health and violence;substance use disorders;morbidity;child abuse;physical abuse
Date:	2021
Issue Date:	2022-08-05T09:48:02Z (UTC)
Publisher:	SAGE PUBLICATIONS INC
ISSN:	0886-2605
Abstract:	Differences in child abuse perpetration between individuals with and without mental disorders remain obscure. This study compared the risk difference and further investigated the association between the category of mental disorders and child abuse perpetration. A total of 681,970 adults from the 2002 to 2013 Taiwan National Health Insurance Research Database were analyzed, including 340,985 patients with psychiatric disorders (International Classification of Diseases, Ninth Revision, Clinical Modification [ICD-9-CM] codes 290.x-319.x) and 340,985 sex- and age-matched individuals without psychiatric disorders. Child abuse perpetration (ICD-9-CM N-codes 995.5x and E-code E967) was the outcome variable. Matched analyses indicated that the risk of child abuse among patients with psychiatric disorders (0.25%) was significantly higher than that among those without psychiatric disorders (0.16%; odds ratio [OR] = 1.464, p < .0001). Among the six categories of mental disorders, the prevalence rates of committing child abuse were significantly higher for personality disorders, substance use, and affective disorders (0.56%, 0.45%, and 0.40%, respectively; p < .0001). Compared with anxiety disorders, substance use disorders were significantly associated with higher odds of child abuse perpetration (OR = 2.032, p < .05), especially physical abuse (OR = 2.018, p < .0001). Psychiatric morbidity was associated with higher odds of child abuse, with substance use determined as the major risk category. Screening high-risk families by using the associated factors is crucial.
URI:	http://dx.doi.org/10.1177/0886260518805100 https://www.webofscience.com/wos/woscc/full-record/WOS:000660076900021 https://ir.csmu.edu.tw:8080/handle/310902500/24113
Relation:	JOURNAL OF INTERPERSONAL VIOLENCE ,2021,v36,issue 11-12, P5360-5382
Appears in Collections:	[中山醫學大學研究成果] 期刊論文

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