| Title: |
Family adversity and health characteristics associated with intimate partner violence in children and parents presenting to health care: a population-based birth cohort study in England |
| Authors: |
Syed, S; Gilbert, R; Feder, G; Howe, LD; Powell, C; Howarth, E; Deighton, J; Lacey, RE |
| Publisher Information: |
Elsevier BV |
| Publication Year: |
2023 |
| Collection: |
St George's University of London: Repository |
| Description: |
Background Little is known about the clinical characteristics of children and parents affected by intimate partner violence (IPV) presenting in health-care settings. We examined the associations between family adversities, health characteristics, and IPV in children and parents using linked electronic health records (EHRs) from primary and secondary care between 1 year before and 2 years after birth (the first 1000 days). We compared parental health problems in in children and parents with and without recorded IPV. Methods We developed a population-based birth cohort of children and parents (aged 14–60 years) in England, comprising linked EHRs from mother–child pairs (with no identified father) and mother–father–child triads. We followed the cohort across general practices (Clinical Practice Research Datalink GOLD), emergency departments, outpatient visits, hospital admissions, and mortality records. Family adversities included 33 clinical indicators of parental mental health problems, parental substance misuse, adverse family environments, and high-risk child maltreatment-related presentations. Parental health problems included 12 common comorbidities, ranging from diabetes and cardiovascular diseases to chronic pain or digestive diseases. We used adjusted and weighted logistic-regression models to estimate the probability of IPV (per 100 children and parents) associated with each adversity, and period prevalences of parental health problems associated with IPV. Findings We included 129 948 children and parents, comprising 95 290 (73·3%) mother–father–child triads and 34 658 (26·7%) mother–child pairs only between April 1, 2007, and Jan 29, 2020. An estimated 2689 (2·1%) of 129 948 children and parents (95% CI 2·0–2·3) had recorded IPV and 54 758 (41·2%; 41·5–42·2) had any family adversity between 1 year before and 2 years after birth. All family adversities were significantly associated with IPV. Most parents and children with IPV had recorded adversities (1612 [60·0%] of 2689) before their first IPV ... |
| Document Type: |
article in journal/newspaper |
| File Description: |
application/pdf |
| Language: |
English |
| ISSN: |
2468-2667 |
| Relation: |
https://openaccess.sgul.ac.uk/id/eprint/115505/1/1-s2.0-S2468266723001196-main.pdf; https://openaccess.sgul.ac.uk/id/eprint/115505/6/1-s2.0-S2468266723001196-mmc1.pdf; Syed, S; Gilbert, R; Feder, G; Howe, LD; Powell, C; Howarth, E; Deighton, J; Lacey, RE (2023) Family adversity and health characteristics associated with intimate partner violence in children and parents presenting to health care: a population-based birth cohort study in England. The Lancet Public Health, 8 (7). e520-e534. ISSN 2468-2667 https://doi.org/10.1016/s2468-2667(23)00119-6 SGUL Authors: Lacey, Rebecca Emily |
| DOI: |
10.1016/S2468-2667(23)00119-6 |
| Availability: |
https://openaccess.sgul.ac.uk/id/eprint/115505/; https://doi.org/10.1016/S2468-2667(23)00119-6 |
| Rights: |
cc_by_4 |
| Accession Number: |
edsbas.9C5BEF35 |
| Database: |
BASE |