Intelligence in offspring born to women exposed to intimate partner violence: a population-based cohort study.

Intelligence in offspring born to women exposed to intimate partner violence: a population-based cohort study.
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DOI:
10.12688/wellcomeopenres.15270.1
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发表时间:
2019-01-01
影响因子:
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通讯作者:
Emsley, Richard
Emsley, Richard
中科院分区:
其他
文献类型:
--
作者:
Abel, Kathryn M;Heuvelman, Hein;Emsley, Richard

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背景:亲密伴侣暴力(IPV)是后代发育问题的危险因素。尽管英国和其他地方的IPV患病率很高,但对接触IPV的母亲所生后代的长期结果仍然研究不足。方法:以人群为基础的队列研究。我们评估了IPV的流行类型和时间为3,153母子对在我们的研究人群中的完整数据,并检查了IPV和后代智商之间的关联。我们使用多重插补来评估由于排除了缺失协变量数据的观察结果而导致的偏倚。结果如下:在研究期间,近五分之一的母亲报告了IPV,其中17.6%报告了情感暴力,6.8%报告了身体暴力。考虑到潜在的混杂因素,遭受身体暴力的母亲所生的孩子的智商分数仍然低于未遭受身体暴力的母亲所生的孩子(全量表智商= -2.8分[95%CI -4.9至-0.7],言语智商= -2.2 [95%CI -4.4至-0.1],表现智商= -2.7 [95%CI -5.0 to -0.5])和低于平均智力(IQ
Background: Intimate partner violence (IPV) is a risk factor for developmental problems in offspring. Despite a high prevalence of IPV in the UK and elsewhere, the longer-term outcomes of offspring born to exposed mothers remain under-researched. Methods: Population-based cohort study. We assessed IPV prevalence by type and timing for 3,153 mother-child pairs with complete data within our study population and examined associations between IPV and offspring IQ. We used multiple-imputation to evaluate bias due to our exclusion of observations with missing covariate data. Results: Nearly one in five mothers reported IPV during the study period, with 17.6% reporting emotional violence and 6.8% reporting physical violence. Taking into account potential confounders, the IQ scores of children born to mothers exposed to physical violence remained lower than those of maternally unexposed children (full-scale IQ = -2.8 points [95%CI -4.9 to -0.7], verbal IQ = -2.2 [95%CI -4.4 to -0.1], performance IQ = -2.7 [95%CI -5.0 to -0.5]) and odds of below-average intelligence (IQ