TY - SER AU - Cant, Rosemary L. AU - O'Donnell, Melissa AU - Sims, Scott AU - Harries, Maria TI - Overcrowded housing : : one of a constellation of vulnerabilities for child sexual abuse PY - 2019/// PB - Elsevier, KW - CHILD SEXUAL ABUSE KW - HOUSING KW - RISK FACTORS KW - SOCIOECONOMIC FACTORS KW - AUSTRALIA KW - WESTERN AUSTRALIA N1 - Child Abuse & Neglect, 2019, 93: 239-248 N2 - Background: Effective prevention of child abuse depends on an understanding of factors asso-ciated with the abuse. Increased risk of child sexual abuse has been associated with parental substance use and adverse socio-economic factors such as living in poverty and parental unemployment. This study investigated overcrowding as a potential socio-economic risk factor in child sexual abuse taking into account other socio-economic, child and parental factors. Method: This study used de-identified linked data from health and child protection data collections for the cohort of children born in Western Australia from 1990 to 2009 (n = 524,478). Cox regression was used to estimate adjusted and unadjusted hazard ratios and 95% confidence intervals for time to first sexual abuse allegation and first substantiated allegation, relative to thelevel of overcrowding and controlling for other risk factors.Results:Higher levels of household overcrowding were associated with a 23%–46% increase inthe risk of child sexual abuse allegations. Only the highest level of overcrowding was associatedwith a 40% increased risk of substantiated sexual abuse. Conclusion: The findings suggest that overcrowded living conditions are associated with an in-creased risk of sexual abuse for some children. This factor needs to be considered alongside other risk factors when assessing and improving child safety. (Authors' abstract). Record #6289 UR - https://doi.org/10.1016/j.chiabu.2019.05.010 ER -