Reproductive and sexual health of Australian adolescents exposed to family and domestic violence.

IF 3.4 3区 医学 Q1 FAMILY STUDIES BMJ Sexual & Reproductive Health Pub Date : 2023-10-01 Epub Date: 2023-03-08 DOI:10.1136/bmjsrh-2022-201684
Carol Orr, Erin Kelty, Melissa O'Donnell, Colleen M Fisher, Rebecca Glauert, David B Preen
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Abstract

Background: There is a dearth of research investigating sexually transmitted infections (STIs) in children exposed to family and domestic violence (FDV). Further, there is no research on terminations of pregnancy in children exposed to FDV.

Methods: This retrospective cohort study used linked administrative data from Western Australia to investigate whether exposure to FDV is associated with a risk of hospitalisations for STIs and terminations of pregnancy in adolescents. This study involved children born from 1987 to 2010 whose mother was a victim of FDV. Identification of family and domestic violence was from two sources: police and hospital records. This approach provided an exposed cohort of 16 356 and a non-exposed cohort of 41 996. Dependant variables were hospitalisations for pregnancy terminations and STIs in children aged from 13 up to 18 years of age. The primary explanatory variable was exposure to FDV. Multivariable Cox regression was used to investigate the association of FDV exposure and the outcomes.

Results: Following adjustment for sociodemographic and clinical factors, children exposed to FDV had an increased risk of hospitalisations for STIs (HR 1.49, 95% CI 1.15 to 1.92) and terminations of pregnancy (HR 1.34, 95% CI 1.09 to 1.63) as an adolescent than non-exposed peers.

Conclusion: Children exposed to FDV are at an increased risk of hospitalisation for STI and termination of pregnancy as an adolescent. Effective interventions are needed to support children exposed to FDV.

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遭受家庭暴力和家庭暴力的澳大利亚青少年的生殖和性健康。
背景:缺乏调查暴露于家庭暴力和家庭暴力的儿童性传播感染的研究。此外,还没有关于接触FDV的儿童终止妊娠的研究。方法:这项回顾性队列研究使用了西澳大利亚州的相关管理数据,调查接触FDV是否与青少年性传播感染住院和终止妊娠的风险相关。这项研究涉及1987年至2010年出生的儿童,他们的母亲是FDV的受害者。家庭暴力和家庭暴力的鉴定有两个来源:警察和医院记录。这种方法提供了一个16人的暴露队列 356人和41人的非暴露队列 因变量为13至18岁儿童因终止妊娠和性传播感染住院的情况。主要的解释变量是暴露于FDV。多变量Cox回归用于研究FDV暴露与结果的相关性。结果:在对社会人口统计学和临床因素进行调整后,接触FDV的儿童因性传播感染住院的风险增加(HR 1.49,95% CI 1.15至1.92)和终止妊娠(HR 1.34,95% CI 1.09至1.63)。结论:接触FDV的儿童在青少年时期因STI住院和终止妊娠的风险增加。需要有效的干预措施来支持接触FDV的儿童。
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来源期刊
BMJ Sexual & Reproductive Health
BMJ Sexual & Reproductive Health Medicine-Reproductive Medicine
CiteScore
5.10
自引率
6.10%
发文量
38
期刊介绍: BMJ Sexual & Reproductive Health is a multiprofessional journal that promotes sexual and reproductive health and wellbeing, and best contraceptive practice, worldwide. It publishes research, debate and comment to inform policy and practice, and recognises the importance of professional-patient partnership.
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