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Exposure of Child Maltreatment Leads to a Risk of Mental Illness and Poor Prognosis in Taiwan: A Nationwide Cohort Study from 2000 to 2015

Author

Listed:
  • Shi-Hao Huang

    (Department of Medical Research, Tri-Service General Hospital, Taipei 11490, Taiwan)

  • Iau-Jin Lin

    (Department of Medical Research, Tri-Service General Hospital, Taipei 11490, Taiwan)

  • Pi-Ching Yu

    (Graduate Institute of Medicine, National Defense Medical Center, Taipei 11490, Taiwan
    Cardiovascular Intensive Care Unit, Department of Critical Care Medicine, Far-Eastern Memorial Hospital, New Taipei City 10602, Taiwan)

  • Bing-Long Wang

    (School of Public Health, National Defense Medical Center, Taipei 11490, Taiwan)

  • Chi-Hsiang Chung

    (Department of Medical Research, Tri-Service General Hospital, Taipei 11490, Taiwan
    School of Public Health, National Defense Medical Center, Taipei 11490, Taiwan
    Taiwanese Injury Prevention and Safety Promotion Association (TIPSPA), Taipei 11490, Taiwan)

  • Yao-Ching Huang

    (Department of Medical Research, Tri-Service General Hospital, Taipei 11490, Taiwan
    Department of Chemical Engineering and Biotechnology, National Taipei University of Technology (Taipei Tech), Taipei 10608, Taiwan)

  • Wu-Chien Chien

    (Department of Medical Research, Tri-Service General Hospital, Taipei 11490, Taiwan
    School of Public Health, National Defense Medical Center, Taipei 11490, Taiwan
    Taiwanese Injury Prevention and Safety Promotion Association (TIPSPA), Taipei 11490, Taiwan
    Graduate Institute of Life Sciences, National Defense Medical Center, Taipei 11490, Taiwan)

  • Chien-An Sun

    (Department of Public Health, College of Medicine, Fu-Jen Catholic University, New Taipei City 24206, Taiwan
    Big Data Center, College of Medicine, Fu-Jen Catholic University, New Taipei City 24206, Taiwan)

  • Gwo-Jang Wu

    (Department of Medical Research, Tri-Service General Hospital, Taipei 11490, Taiwan
    Graduate Institute of Medicine, National Defense Medical Center, Taipei 11490, Taiwan
    Department of Obstetrics and Gynecology, Tri-Service General Hospital, Taipei 11490, Taiwan)

Abstract

Objective: To investigate whether children with maltreatment exposure were associated with the risk of psychiatric disorders, suicide, and death. Methods: A retrospective cohort study was conducted, with 1592 child maltreatment cases and 6368 comparison cohort (1:4) matched for gender, age, and index year, from the Longitudinal Generation Tracking Database (LGTD2000) sampled from Taiwan National Health Insurance Research Database (NHIRD) in 2000, backtracking between 2000–2015 in Taiwan. The stratified Cox regression model was used to compare the risk of developing a mental illness and poor prognosis during the 15 years of follow-up. Results: There were 473 in the cohort with child maltreatment (675.10 cases per 100,000 person years) and 1289 in the comparison cohort (453.82 cases per 100,000 person years) that developed mental illness and poor prognosis. The stratified Cox regression model revealed that the adjusted hazard ratio (HR) was 1.91 to 11.76 ( p < 0.05) after adjusting for monthly income level, occupation, and CCI after violence. Conclusion: Exposure to child maltreatment is associated with the risk of psychiatric disorders, but not suicide or death. This finding could be a reminder for clinicians about the mental health problems in patients with child maltreatment.

Suggested Citation

  • Shi-Hao Huang & Iau-Jin Lin & Pi-Ching Yu & Bing-Long Wang & Chi-Hsiang Chung & Yao-Ching Huang & Wu-Chien Chien & Chien-An Sun & Gwo-Jang Wu, 2022. "Exposure of Child Maltreatment Leads to a Risk of Mental Illness and Poor Prognosis in Taiwan: A Nationwide Cohort Study from 2000 to 2015," IJERPH, MDPI, vol. 19(8), pages 1-12, April.
    • Handle: RePEc:gam:jijerp:v:19:y:2022:i:8:p:4803-:d:794552
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    References listed on IDEAS

    as
    1. Lin, Yen-Ju & Tian, Wei-Hua & Chen, Chun-Chih, 2011. "Urbanization and the utilization of outpatient services under National Health Insurance in Taiwan," Health Policy, Elsevier, vol. 103(2), pages 236-243.
    2. Yang, Mi-Youn & Font, Sarah A. & Ketchum, McKenzie & Kim, Youn Kyoung, 2018. "Intergenerational transmission of child abuse and neglect: Effects of maltreatment type and depressive symptoms," Children and Youth Services Review, Elsevier, vol. 91(C), pages 364-371.
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