Parental offending and children’s emergency department presentations in New South Wales, Australia

Datos Bibliográficos

ID11174176
AutoresTyson Whitten (0000-0001-8391-1990, UNSW Sydney), Melissa J Green (0000-0002-9361-4874, UNSW Sydney), Kristin R Laurens (0000-0002-3987-6486, UNSW Sydney), Stacy Tzoumaki (0000-0001-6480-1710, UNSW Sydney), Stacy Tzoumakis (UNSW Sydney), Felicity Harrs (UNSW Sydney), Vaughan J Carr (0000-0002-8907-5804, UNSW Sydney), Vaughan Carr (UNSW Sydney), Kimberlie Dean (0000-0003-3510-5892, UNSW Sydney, autor de correspondencia)
Año2019
Volumen73
Número9
Páginas832-838
Fecha de publicación2019-09-01
Peer ReviewedSí
Open AccessNo
TipoARTICLE
RevistaJournal of Epidemiology and Community Health (JOURNAL)
Identificadores de la revistaISSN: 0143-005X • E-ISSN: 1470-2738
EditorialBMJ (PUBLISHER • GB)
DOI10.1136/jech-2019-212392
PMID31152075
OpenAlexW2946897083
IdiomaEN
Citas recibidas4
Referencias citadas39

Objectives Children whose parents have a history of criminal offending may be at risk of higher rates of emergency department (ED) presentation, along with other adverse health outcomes. We used data from a large, population-based record linkage project to examine the association between maternal and paternal criminal offending and the incidence of ED presentations among child offspring. Methods Data for 72 772 children with linked parental records were drawn from the New South Wales Child Development Study. Information on parental criminal offending (spanning 1994–2016) and child ED presentations (spanning 2005–2016; approximately ages 2–12 years) was obtained from linked administrative records. Cox proportional hazards regression analyses were conducted to examine the association between parental offending and the incidence of children’s ED presentations for any reason and for physical injury, while accounting for important covariates. Results Child rates of ED presentation, particularly for physical injury, were higher among those with parental history of criminal offending, after adjusting for covariates. The magnitude of the association was higher for paternal criminal offending ( ED presentation for any reason : HR=1.44 (95% CI 1.41 to 1.48); physical injury : HR=1.70 (95% CI 1.65 to 1.75)) than maternal criminal offending ( any reason : HR=0.99 (95% CI 0.95 to 1.03); physical injury : HR=1.05 (95% CI 1.00 to 1.10)). Conclusion Children of parents, particularly of fathers, with a history of criminal offending have an increased incidence of ED presentation, including for potentially avoidable physical injury. These findings require replication and further research to understand the mechanisms underlying these associations

Emergency department · Medical emergency · Psychiatry · Child Abuse and Related Trauma · Child Abuse and Trauma · Homicide, Infanticide, and Child Abuse · Medicine · Psychology