Chronic conditions in children increase the risk for physical abuse – but vary with socio-economic circumstances
Article first published online: 13 OCT 2010
© 2010 The Author(s)/Acta Pædiatrica © 2010 Foundation Acta Pædiatrica
Volume 100, Issue 3, pages 407–412, March 2011
How to Cite
Svensson, B., Bornehag, C.-G. and Janson, S. (2011), Chronic conditions in children increase the risk for physical abuse – but vary with socio-economic circumstances. Acta Paediatrica, 100: 407–412. doi: 10.1111/j.1651-2227.2010.02029.x
- Issue published online: 1 FEB 2011
- Article first published online: 13 OCT 2010
- Accepted manuscript online: 27 SEP 2010 01:30PM EST
- Received 14 June 2010; revised 15 September 2010; accepted 17 September 2010.
- Child physical abuse;
- Chronic health conditions;
- Parental intimate-partner violence;
Aim: To explore whether children (age 10, 12 and 15 years) with self-reported chronic conditions are at higher risk of physical abuse and/or exposure to intimate-partner violence than other children, while considering the importance of demographic factors.
Methods: A national cross-sectional study of 2771 pupils in grades 4, 6 and 9 from 44 schools in Sweden (91% response rate). Conflict Tactic Scales were used to measure physical abuse and separate questions measured exposure to intimate-partner violence. A list of 13 diagnoses was used to estimate chronic conditions.
Results: Children with chronic conditions had an increased risk for physical abuse (CPA) only (OR 1.67) as well as in combination with exposure to intimate-partner violence (IPV) (OR 2.54), but not to IPV only, compared to children without chronic conditions. Furthermore, when chronic conditions were combined with country of birth other than Sweden and living in low-income areas, the risk for CPA increased even more, indicating interactive effects.
Conclusions: A wide range of chronic health conditions in children increased the risk for physical abuse. This indicates that certain factors unite this group of children, irrespective of the type of disability or degree of severity, but where a combination with socio-economic circumstances is of importance.