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

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 200...

Full description

Saved in:  
Bibliographic Details
Main Author: Chang, Cheng-Chen (Author)
Contributors: Hsieh, Ming-Hong ; Chiou, Jeng-Yuan ; Huang, Hsiang-Hsiung ; Ju, -Chung ; Wang, Jong-Yi
Format: Electronic Article
Language:English
Published: 2021
In: Journal of interpersonal violence
Year: 2021, Volume: 36, Issue: 11/12, Pages: 5360-5382
Online Access: Volltext (lizenzpflichtig)
Journals Online & Print:
Drawer...
Check availability: HBZ Gateway
Keywords:
Physical Abuse
Child Abuse
morbidity
Substance use disorders
mental health and violence
Description
Summary: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.
ISSN:1552-6518
DOI:10.1177/0886260518805100