Linking Healthcare and Social Service Databases to Study the Epidemiology of Child Maltreatment and Associated Health Problems: Hong Kong's Experience

Lo, K.W.; Ho, Frederick Ka Wing; Chan, Ko Ling; Wong, Wilfred Hing Sang; Wong, Rosa S.; Chow, Chun Bong; Tsang, Albert; Tso, Winnie W. Y.; Ip, Patrick

doi:10.1016/j.jpeds.2018.06.033

Cited by 15 publications

(21 citation statements)

References 37 publications

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“…The interaction effect was not found for other types of child maltreatment, including neglect and physical abuse. One possible reason for this observation is that these two types of maltreatment are more likely to be associated with parents’ emotional and psychological problems [2,37]. In addition, this study found that child gender moderated the association between parenting style and child maltreatment, particularly for psychological abuse.…”

Section: Discussionmentioning

confidence: 78%

“…The relationship between parents and daughters therefore tend to be more closely tied. In addition, girls are less likely to experience physical abuse compared to boys [2]. These reasons together may explain why child gender moderated the association between parenting style and psychological abuse.…”

Section: Discussionmentioning

confidence: 99%

“…A meta-analysis of 244 self-reported studies from different countries estimated the lifetime prevalence of physical abuse, emotional abuse, physical neglect, and emotional neglect were 22.6%, 36.3%, 16.3%, and 18.4%, respectively [1]. While relatively stable or decreasing trends in child maltreatment have been observed in many Western countries, during the study period between 2003 and 2010, increasing trends were found in Hong Kong, one of the most developed cities in China [2,3]. A previous self-reported study of adolescents aged 12 to 17 years found the preceding year prevalence of psychological abuse, physical abuse, severe physical abuse, and neglect were 57.6%, 14.1%, 4.1%, and 27.4%, respectively [4].…”

Section: Introductionmentioning

confidence: 99%

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Prevalence of Child Maltreatment and Its Association with Parenting Style: A Population Study in Hong Kong

Wong

et al. 2019

IJERPH

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Previous studies point to a link between parenting style and child maltreatment, but evidence from a Chinese context is lacking. We investigated the association between parenting style and child maltreatment in Hong Kong, and examined whether family socio-economic status and child gender moderate this relationship. Using stratified random sampling, 7585 children in Grade 1 to Grade 3 of 51 schools in Hong Kong were recruited and their parents were invited to complete the questionnaire. The past year weighted prevalence for minor physical abuse, severe/very severe physical abuse, psychological abuse, and neglect were 63.9%, 23.4%, 84.1%, and 23.2%, respectively. Authoritarian parenting was associated with all types of child maltreatment (prevalence ratio (PR) range: 1.10–1.53; p < 0.001), whereas authoritative parenting was associated with a lower risk of all types of child maltreatment (PR range: 0.89–0.97; p < 0.001). Child maltreatment is prevalent in Hong Kong and is strongly associated with parenting style. The association was significantly stronger among girls and those with higher family socioeconomic status. Education to empower parenting skills may alleviate the burden of child maltreatment.

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Section: Discussionmentioning

confidence: 78%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Prevalence of Child Maltreatment and Its Association with Parenting Style: A Population Study in Hong Kong

Wong

et al. 2019

IJERPH

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“…The authors also detected a higher prevalence of injury, mental health problems, and suicide attempts among children who had experienced abuse. ( Lo et al., 2018 ).…”

Section: Child Abuse and Suicide In Hong Kongmentioning

confidence: 99%

“…The sample size would be much larger than the power needed to address the research question. Mental and behavioral problems, as well as injuries and accidents, are associated with child abuse ( Lo et al., 2018 ). Therefore, the study selected a common disease as a comparable group.…”

Section: Child Abuse and Suicide In Hong Kongmentioning

confidence: 99%

The Association Between Child Abuse and Attempted Suicide

Wong

Kuo

Sobolewski

et al. 2020

Crisis

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Abstract. Background: Child abuse and suicide among the young population is a serious and prevalent problem. Many studies have demonstrated that people with adverse childhood experiences, such as child abuse, are likely to develop suicidal behavior. This study evaluates the connection between child abuse and suicidal behavior in the Hong Kong community where incidents of child abuse have been on the rise over the past decade. Aims: To determine the association between child abuse and attempted suicide in the child population of Hong Kong using hospital electronic medical records system. Method: From January 1, 1995 to July 31, 2016, patients with admission age < 18 years with the diagnosis of child abuse or influenza infection (comparison group) were included in this study ( n = 54,256). In secondary data analysis, an association was found between children who had experienced child abuse and the outcome measure of hospital admission for attempted suicide compared with influenza infection. Results: The adjusted hazard ratio of attempting suicide in children who experienced sexual abuse and physical abuse compared with the influenza-infected group was 6.48 (95% CI [4.56, 9.19]) and 4.83 (95% CI [3.67, 6.34]). The age at onset of adverse incidents was negatively associated with the attempted suicide timing. Female patients had a 1.64 higher risk of repeating attempted suicide. In addition, nearly 5% of children who had experienced child abuse attempted suicide in the 10 years after their admission, and more than 36% of patients had a record of repeated suicide attempt in the 20 years after the initial admission. Limitations: The accuracy of the diagnosis, selection bias, insufficiency of study period, Berkson's bias, incomplete socioeconomic status, as well as the absence of psychiatric diagnosis are the limitations. Conclusion: Our results indicate that there is a significant association between child abuse and suicide attempts in Hong Kong. If confirmed, the study (a) demonstrates that hospital admission records are a critical source for identifying children with a high risk for suicidal behavior; (b) may inform policy makers that additional and long-term intervention programs should be provided to children so as to reduce subsequent suicide attempts.

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Home‐visiting mental health professionals' differentiations between acceptable and unacceptable parent discipline behaviours in Hong Kong: A q‐study

Lam

Bressington

2022

Child Abuse Review

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Home-visiting mental health professionals (HMHPs) have an important role in identifying suspected child maltreatment in the community. However, it is unclear how professionals in Hong Kong differentiate acceptable discipline behaviours from reportable forms of abuse, and how their characteristics may influence their view. This study examined HMHPs' views on acceptable versus unacceptable parent discipline behaviours. Using Q-methodology, 50 HMHPs in Hong Kong sorted 52 statements on parent discipline behaviours along a continuum ranging from 'Most Unacceptable' to 'Most Acceptable'. Byperson factor analysis was conducted to uncover prevailing views based on their sorts. Three unique viewpoints in differentiating discipline behaviours from abuse were uncovered, which varied based on how HMHPs prioritised children's physical safety, mental wellness and parental intention. Different views were supported by professionals with different characteristics and occupational backgrounds. K E Y W O R D S child abuse, discipline behaviour, parenting, corporal punishment, Q-methodology Key Practitioner Messages • Three unique viewpoints on differentiating parent discipline behaviours and child abuse were uncovered among 50 HMHPs. • These viewpoints were associated with different professional backgrounds and demographic characteristics. • Views on discipline versus abuse differed by the perceived risk of harm and intent of parent discipline behaviours.

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Linking Healthcare and Social Service Databases to Study the Epidemiology of Child Maltreatment and Associated Health Problems: Hong Kong's Experience

Cited by 15 publications

References 37 publications

Prevalence of Child Maltreatment and Its Association with Parenting Style: A Population Study in Hong Kong

Prevalence of Child Maltreatment and Its Association with Parenting Style: A Population Study in Hong Kong

The Association Between Child Abuse and Attempted Suicide

Home‐visiting mental health professionals' differentiations between acceptable and unacceptable parent discipline behaviours in Hong Kong: A q‐study

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