%0 Journal Article
%T Childhood abuse, intimate partner violence in young adulthood, and welfare receipt by midlife
%J Pediatrics
%D 2023
%A Domond, Pascale
%A Orri, Massimiliano
%A Vergunst, Francis
%A Bouchard, Samantha
%A Findlay, Leanne
%A Kohen, Dafna
%A Hébert, Martine
%A Vitaro, Frank
%A Tremblay, Richard E.
%A Geoffroy, Marie-Claude
%A Côté, Sylvana
%V ePub
%N ePub
%P ePub-ePub
%X OBJECTIVE: To investigate prospective associations between type of child abuse (physical, sexual, both), timing (childhood, young adulthood, both), and welfare receipt into middle-age. <br><br>METHODS: Database linkage study using the Quebec Longitudinal Study of Kindergarten Children cohort born in 1980 and government administrative databases (N = 3020). We assessed parental tax returns, family and personal background characteristics (1982-1987). At age 22 years, participants answered retrospective questionnaires on experienced childhood abuse (physical, sexual abuse < age 18 years) and intimate partner violence (IPV) (ages 18-22). Main outcome was years on social assistance, on the basis of participant tax returns (ages 23-37 years). Analysis included weights for population representativeness. <br><br>RESULTS: Of 1690 participants (54.4% females) with available data, 22.4% reported childhood abuse only, 14.5% IPV only, and 18.5% both. Prevalence of childhood physical, sexual, and both was 20.4%, 12.2%, and 8.3%, respectively. Adjusting for socioeconomic background and individual characteristics, we found that childhood physical abuse alone and physical or sexual abuse combined were associated with a two-fold risk of welfare receipt, as compared to never-abused (adjusted incidence risk ratio 2.43, 95% confidence interval [CI], 1.65-3.58; and adjusted incidence risk ratio 2.04, 95% CI, 1.29-3.23, respectively). Repeated abuse (childhood abuse combined with adult IPV) had a three-fold risk (adjusted incidence ratio 3.59, 95% CI, 2.39-5.37). <br><br>CONCLUSIONS: Abuse across several developmental periods (childhood and young adulthood) is associated with increased risks of long-term welfare receipt, independently of socioeconomic background. <br><br>RESULTS indicate a dose-response association. Early prevention and targeted identification are crucial to preventing economic adversity that may potentially lead to intergenerational poverty.<p /> <p>Language: en</p>
%G en
%I American Academy of Pediatrics
%@ 0031-4005
%U http://dx.doi.org/10.1542/peds.2022-057379