Skip to main content
Key Specialties
Cardiology Diabetology Endocrinology Gastroenterology Geriatrics and Gerontology Gynecology and Obstetrics Hematology Infectious Disease Internal Medicine Nephrology Neurology Oncology Pediatrics Respiratory Medicine Rheumatology Surgery
Congress Coverage
2024 ACC Congress 2023 ESMO Congress 2023 EASD Congress 2023 ERS Congress 2023 ESC Congress
Clinical Collections
Advances in Alzheimer’s

At a glance: The ONWARDS insulin icodec trials

A round-up of the ONWARDS phase 3 clinical trials evaluating the novel weekly insulin icodec in people with diabetes.
ADVANCED SEARCH
Log in
Top
Environmental Health and Preventive Medicine
Published in: Environmental Health and Preventive Medicine 1/2018

Open Access 01-12-2018 | Research article

Cumulative risk effect of household dysfunction for child maltreatment after intensive intervention of the child protection system in Japan: a longitudinal analysis

Authors: Hirotsuna Ohashi, Ichiro Wada, Yui Yamaoka, Ryoko Nakajima-Yamaguchi, Yasukazu Ogai, Nobuaki Morita

Published in: Environmental Health and Preventive Medicine | Issue 1/2018

Login to get access

Abstract

Background

Building an effective casework system for child maltreatment is a global issue. We estimated the effect of household dysfunction (i.e., interparental violence, caregiver mental health problems, and caregiver substance abuse) on child maltreatment to understand how to advance the current framework of child welfare.

Methods

The sample comprised 759 children (1- to 17-year-old; mean age was 10.6; 404 boys and 355 girls) placed in temporary custody units (one of the strongest intervention of the Japanese child protection system). Caseworkers from 180 units across 43 prefectures completed questionnaires on children and their family and were asked whether a child maltreatment report had been made after cancelation of custody in a 15-month follow-up period. The relations of household dysfunction and maltreatment reports were assessed using the Cox proportional hazard model.

Results

About half (48.4%) of the children had been placed in the unit because of maltreatment, and 88.3% had a history of victimization. Seventy-six cases had maltreatment reports after cancelation. We entered household dysfunction variables individually into the model, and each had a significant relationship with maltreatment reports (hazard ratios for interparental violence, caregiver mental health problem, and substance abuse were 1.69, 1.69, and 2.19, respectively) after covariate adjustment. When treating these three variables as cumulative risk score model of household dysfunction, the hazard ratio increased with increasing number of score (1.96 for score two; 2.35 for score three; score 0 as reference).

Conclusions

Greater household dysfunction score is a risk of maltreatment after intensive intervention. It is imperative to construct systems facilitating cooperation between child and adult service sectors and to deliver seamless services to children and families. Our findings provide child protect services with risk-stratified interventions for children at victimization risk and promote adult-focused services to be proactive in prevention or intervention for adults with perpetration risk.
Appendix
Available only for authorised users
Literature
1.
2.
3.
Fuller TL. Child safety at reunification: a case-control study of maltreatment recurrence following return home from substitute care. Child Youth Serv Rev. 2005;27:1293–306.CrossRef
4.
Wolock I, Magura S. Parental substance abuse as a predictor of child maltreatment re-reports. Child Abuse Negl. 1996;20:1183–93.CrossRefPubMed
5.
Palusci VJ, Ondersma SJ. Services and recurrence after psychological maltreatment confirmed by child protective services. Child Maltreat. 2012;17:153–63.CrossRefPubMed
6.
Bae H-O, Solomon PL, Gelles RJ. Multiple child maltreatment recurrence relative to single recurrence and no recurrence. Child Youth Serv Rev. 2009;31:617–24.CrossRef
7.
Fuller T, Nieto M. Child welfare services and risk of child maltreatment rereports: do services ameliorate initial risk? Child Youth Serv Rev. 2014;47:46–54.CrossRef
8.
DePanfilis D, Zuravin SJ. The effect of services on the recurrence of child maltreatment. Child Abuse Negl. 2002;26:187–205.CrossRefPubMed
9.
Hélie S, Laurier C, Pineau-Villeneuve C, Royer M-N. A developmental approach to the risk of a first recurrence in child protective services. Child Abuse Negl. 2013;37:1132–41.CrossRefPubMed
10.
Li D, Chu CM, Ng WC, Leong W. Predictors of re-entry into the child protection system in Singapore: a cumulative ecological-transactional risk model. Child Abuse Negl. 2014;38:1801–12.CrossRefPubMed
11.
12.
Wu SS, Ma C-X, Carter RL, Ariet M, Feaver EA, Resnick MB, et al. Risk factors for infant maltreatment: a population-based study. Child Abuse Negl. 2004;28:1253–64.CrossRefPubMed
13.
Sidebotham P, Heron J, Team AS. Child maltreatment in the children of the nineties: a cohort study of risk factors. Child Abuse Negl. 2006;30:497–522.CrossRefPubMed
14.
Putnam-Hornstein E, Needell B. Predictors of child protective service contact between birth and age five: an examination of California’s 2002 birth cohort. Child Youth Serv Rev. 2011;33:1337–44.CrossRef
15.
Fluke JD, Yuan Y-YT, Edwards M. Recurrence of maltreatment: an application of the National Child Abuse and Neglect Data System (NCANDS). Child Abuse Negl. 1999;23:633–50.CrossRefPubMed
16.
Dorsey S, Mustillo SA, Farmer EMZ, Elbogen E. Caseworker assessments of risk for recurrent maltreatment: association with case-specific risk factors and re-reports. Child Abuse Negl. 2008;32:377–91.CrossRefPubMedPubMedCentral
17.
Bae H-O, Solomon PL, Gelles RJ, White T. Effect of child protective services system factors on child maltreatment rereporting. Child Welfare. 2010;89:33–55.PubMed
18.
Spaccarelli S, Sandler IN, Roosa M. History of spouse violence against mother: correlated risks and unique effects in child mental health. J Fam Viol. 1994;9:79–98.CrossRef
19.
Lamers-Winkelman F, Willemen AM, Visser M. Adverse childhood experiences of referred children exposed to intimate partner violence: consequences for their wellbeing. Child Abuse Negl. 2012;36:166–79.CrossRefPubMed
20.
Sameroff AJ, Seifer R, McDonough SC. Contextual contributors to the assessment of infant mental health. In: DelCarmen-Wiggins R, Carter AS, editors. Handbook of infant, toddler, and preschool mental health assessment. New York: Oxford University Press; 2004. p. 61–76.
21.
Begle AM, Dumas JE, Hanson RF. Predicting child abuse potential: an empirical investigation of two theoretical frameworks. J Clin Child Adolesc Psychol. 2010;39:208–19.CrossRefPubMedPubMedCentral
22.
Felitti VJ, Anda RF, Nordenberg D, Williamson DF, Spitz AM, Edwards V, et al. Relationship of childhood abuse and household dysfunction to many of the leading causes of death in adults. Am J Prev Med. 1998;14:245–58.CrossRefPubMed
23.
Dube SR, Felitti VJ, Dong M, Chapman DP, Giles WH, Anda RF. Childhood abuse, neglect, and household dysfunction and the risk of illicit drug use: the adverse childhood experiences study. Pediatrics. 2003;111:564–72.CrossRefPubMed
24.
Anda RF, Croft JB, Felitti VJ, Nordenberg D. Adverse childhood experiences and smoking during adolescence and adulthood. JAMA. 1999;282:1652–8.CrossRefPubMed
25.
Hillis SD, Anda RF, Felitti VJ, Nordenberg D, Marchbanks PA. Adverse childhood experiences and sexually transmitted diseases in men and women: a retrospective study. Pediatrics. 2000;106:e11.CrossRefPubMed
26.
Hillis SD, Anda RF, Felitti VJ, Marchbanks PA. Adverse childhood experiences and sexual risk behaviors in women: a retrospective cohort study. Fam Plan Perspect. 2001;33:206.CrossRef
27.
Dube SR, Anda RF, Felitti VJ, Chapman DP, Williamson DF, Giles WH. Childhood abuse, household dysfunction, and the risk of attempted suicide throughout the life span: findings from the adverse childhood experiences study. JAMA. 2001;286:3089–96.CrossRefPubMed
28.
Hillis SD, Anda RF, Dube SR, Felitti VJ, Marchbanks PA, Marks JS. The association between adverse childhood experiences and adolescent pregnancy, long-term psychosocial consequences, and fetal death. Pediatrics. 2004;113:320–7.CrossRefPubMed
29.
Kelly-Irving M, Lepage B, Dedieu D, Bartley M, Blane D, Grosclaude P, et al. Adverse childhood experiences and premature all-cause mortality. Eur J Epidemiol. 2013;28:721–34.CrossRefPubMedPubMedCentral
30.
Bellis MA, Hughes K, Leckenby N, Jones L, Baban A, Kachaeva M, et al. Adverse childhood experiences and associations with health-harming behaviours in young adults: surveys in eight eastern European countries. Bull World Health Organ. 2014;92:641–55.CrossRefPubMedPubMedCentral
31.
Higgins DJ, McCabe MP. Relationships between different types of maltreatment during childhood and adjustment in adulthood. Child Maltreat. 2000;5:261–72.CrossRefPubMed
32.
Herrenkohl TI, Herrenkohl RC. Examining the overlap and prediction of multiple forms of child maltreatment, stressors, and socioeconomic status: a longitudinal analysis of youth outcomes. J Fam Viol. 2007;22:553–62.CrossRef
33.
Vranceanu A-M, Hobfoll SE, Johnson RJ. Child multi-type maltreatment and associated depression and PTSD symptoms: the role of social support and stress. Child Abuse Negl. 2007;31:71–84.CrossRefPubMedPubMedCentral
34.
Mangion M, Buttigieg SC. Multi-type childhood maltreatment: associations with health risk behaviours and mental health problems in adolescence. J Child Serv. 2014;9:191–206.CrossRef
35.
Sesar K, Šimić N, Barišić M. Multi-type childhood abuse, strategies of coping, and psychological adaptations in young adults. Croat Med J. 2010;51:406–16.CrossRefPubMedPubMedCentral
36.
Arata CM, Langhinrichsen-Rohling J, Bowers D, O’Brien N. Differential correlates of multi-type maltreatment among urban youth. Child Abuse Negl. 2007;31:393–415.CrossRefPubMed
37.
Wanklyn SG, Day DM, Hart TA, Girard TA. Cumulative childhood maltreatment and depression among incarcerated youth: impulsivity and hopelessness as potential intervening variables. Child Maltreat. 2012;17:306–17.CrossRefPubMed
38.
Witt A, Münzer A, Ganser HG, Fegert JM, Goldbeck L, Plener PL. Experience by children and adolescents of more than one type of maltreatment: association of different classes of maltreatment profiles with clinical outcome variables. Child Abuse Negl. 2016;57:1–11.CrossRefPubMed
39.
Wekerle C, Wall A-M, Leung E, Trocmé N. Cumulative stress and substantiated maltreatment: the importance of caregiver vulnerability and adult partner violence. Child Abuse Negl. 2007;31:427–43.CrossRefPubMed
40.
Horikawa H, Suguimoto SP, Musumari PM, Techasrivichien T, Ono-Kihara M, Kihara M. Development of a prediction model for child maltreatment recurrence in Japan: a historical cohort study using data from a child guidance center. Child Abuse Negl. 2016;59:55–65.CrossRefPubMed
41.
Palusci VJ. Risk factors and services for child maltreatment among infants and young children. Child Youth Serv Rev. 2011;33:1374–82.CrossRef
42.
43.
44.
45.
Hosmer DW, Lemeshow S, May S. Applied survival analysis. New Jersey: Wiley; 2011.
46.
Little RJA, Rubin DB. Statistical analysis with missing data. 2nd ed. New Jersey: Wiley; 2002.CrossRef
47.
van Buuren S. Flexible imputation of missing data. Boca Raton: CRC Press; 2012.CrossRef
48.
Bellis MA, Hughes K, Leckenby N, Hardcastle KA, Perkins C, Lowey H. Measuring mortality and the burden of adult disease associated with adverse childhood experiences in England: a national survey. J Public Health (Oxf). 2015;37:445–54.CrossRef
49.
Bae H-O, Solomon PL, Gelles RJ. Abuse type and substantiation status varying by recurrence. Child Youth Serv Rev. 2007;29:856–69.CrossRef
50.
McKelvey LM, Whiteside-Mansell L, Conners-Burrow NA, Swindle T, Fitzgerald S. Assessing adverse experiences from infancy through early childhood in home visiting programs. Child Abuse Negl. 2015;51:295–302.CrossRefPubMed
51.
Hélie S, Poirier M-A, Turcotte D. Risk of maltreatment recurrence after exiting substitute care: impact of placement characteristics. Child Youth Serv Rev. 2014;46:257–64.CrossRef
52.
53.
Casillas KL, Fauchier A, Derkash BT, Garrido EF. Implementation of evidence-based home visiting programs aimed at reducing child maltreatment: a meta-analytic review. Child Abuse Negl. 2016;53:64–80.CrossRefPubMed
54.
Campbell KA, Thomas AM, Cook LJ, Keenan HT. Resolution of intimate partner violence and child behavior problems after investigation for suspected child maltreatment. JAMA Pediatr. 2013;167:236–42.CrossRefPubMedPubMedCentral
55.
Jenney A, Mishna F, Alaggia R, Scott K. Doing the right thing? (Re) considering risk assessment and safety planning in child protection work with domestic violence cases. Child Youth Serv Rev. 2014;47:92–101.CrossRef
56.
Zannettino L, McLaren H. Domestic violence and child protection: towards a collaborative approach across the two service sectors. Child Fam Soc Work. 2014;19:421–31.CrossRef
57.
Lussier K, Laventure M, Bertrand K. Parenting and maternal substance addiction: factors affecting utilization of child protective services. Subst Use Misuse. 2010;45:1572–88.CrossRefPubMed
58.
Levendosky AA, Graham-Bermann SA. Parenting in battered women: the effects of domestic violence on women and their children. J Fam Viol. 2001;16:171–92.CrossRef
59.
Hussain N, Sprague S, Madden K, et al. A comparison of the types of screening tool administration methods used for the detection of intimate partner violence: a systematic review and meta-analysis. Trauma Violence Abuse. 2015;16:60–9.CrossRefPubMed
Metadata
Title
Cumulative risk effect of household dysfunction for child maltreatment after intensive intervention of the child protection system in Japan: a longitudinal analysis
Authors
Hirotsuna Ohashi
Ichiro Wada
Yui Yamaoka
Ryoko Nakajima-Yamaguchi
Yasukazu Ogai
Nobuaki Morita
Publication date
01-12-2018
Publisher
BioMed Central
Published in
Environmental Health and Preventive Medicine / Issue 1/2018
Print ISSN: 1342-078X
Electronic ISSN: 1347-4715
DOI
https://doi.org/10.1186/s12199-018-0703-6

Other articles of this Issue 1/2018

Environmental Health and Preventive Medicine 1/2018 Go to the issue

Research article

Association of hemoglobin concentration with handgrip strength in relation to hepatocyte growth factor levels among elderly Japanese men aged 60–69 years: a cross-sectional study

Research article

Oxidized human serum albumin as a possible correlation factor for atherosclerosis in a rural Japanese population: the results of the Yakumo Study

Research article

Trends of reported human brucellosis cases in mainland China from 2007 to 2017: an exponential smoothing time series analysis

Research article

Prenatal exposure to bisphenol A and phthalates and behavioral problems in children at preschool age: the Hokkaido Study on Environment and Children’s Health

Research article

Association between tongue pressure and subclinical carotid atherosclerosis in relation to platelet levels in hypertensive elderly men: a cross-sectional study

Research article

Sasa veitchii extract protects against carbon tetrachloride-induced hepatic fibrosis in mice