000			03647nab a22002777a 4500
999			_c8071 _d8071
005			20250625151633.0
008			230403s2022 -nz|| |||| 00| 0 eng d
040			_aAFVC
100			_aHuckle, Taisia _911754
245			_aEstimating child maltreatment cases that could be alcohol-attributable in New Zealand _cTaisia Huckle and Jose S. Romeo
260			_bWiley, _c2022
500			_aAddiction, 2022, First published online, 16 December 2022
520			_aAims: Children are an important group harmed by others' alcohol consumption. This study (1) compared the risk of occurrence of child maltreatment among children exposed versus not exposed to parents with an alcohol-attributable hospitalization or service use for mental health/addiction and (2) conducted sensitivity analyses to estimate the cases of child maltreatment that could be attributable to alcohol under two different conditions in New Zealand. Design: A cohort study conducted among children 0−17 years and their parents (years 2000–2017) using the Statistics New Zealand Integrated Data Infrastructure. The New Zealand Health Survey 2017 was also used. Setting: New Zealand. Participants 58 359 children aged 0–17 years and their parents. Measurements: Survival analysis based on a Bayesian piecewise exponential model was used to estimate the risk of time to first substantiated child maltreatment event (identified from social service, hospital, mortality and police data) related to exposure to parents with an alcohol-attributable hospitalization or who used a mental health/addiction service (versus no exposure). Potential confounders were included for parents and children. The sensitivity analyses (i) estimated an alcohol-attributable admissions/service use fraction for maltreatment in 2017 and (ii) calculated a population-attributable fraction using the relative risk from the cohort and prevalence of hazardous drinking (AUDIT 8+) among parents in 2017. Findings: There was a 65.1% [1.65; 95% confidence interval (CI) = 1.46−1.86] increased risk of child maltreatment if a child was exposed to parents who had an alcohol-attributable hospitalized or mental health/addictions service use. The sensitivity analyses estimated that in 2017 14.6% (CI = 14.0−15.3%) and 11.4% (95% CI = 8.4−14.3%) of the documented cases of child maltreatment in New Zealand could be attributable to parents with severe or hazardous consumption. Conclusions: In New Zealand, exposure to parents with an alcohol-attributable hospitalization or service use is a risk factor for substantiated child maltreatment. (Authors' abstract). Record #8071
650		0	_94672 _aALCOHOL-RELATED HARM
650			_aCHILD ABUSE _9103
650			_aHEALTH _9283
650			_aPARENTS _9430
650			_aPREVALENCE _9457
651		4	_aNEW ZEALAND _92588
700			_aRomeo, Jose S. _911753
773	0		_tAddiction, 2022, First published online, 16 December 2022
830			_aAddiction _94637
856			_uhttps://doi.org/10.1111/add.16111 _zDOI: 10.1111/add.16111 (Open access)
856			_uhttps://theconversation.com/study-reveals-at-least-11-of-child-maltreatment-in-nz-could-be-due-to-heavy-drinking-by-caregivers-204113?utm_medium=email&utm_campaign=The%20Weekend%20Conversation%20-%202614826316&utm_content=The%20Weekend%20Conversation%20-%202614826316+CID_271f295589d72361cf9202d185cb34e8&utm_source=campaign_monitor&utm_term=Study%20reveals%20at%20least%2011%20of%20child%20maltreatment%20in%20NZ%20could%20be%20due%20to%20heavy%20drinking%20by%20caregivers _yRead in The Conversation, 28/4/2023
942			_2ddc _cARTICLE _hnews119