TY  - JOUR
PY  - 2021//
TI  - Multimorbidity and polyvictimization in children - an analysis on the association of children's disabilities and long-term illnesses with mental violence and physical violence
JO  - Child abuse and neglect
A1  - Seppälä, Piia
A1  - Vornanen, Riitta
A1  - Toikko, Timo
SP  - e105350
EP  - e105350
VL  - 122
IS  - 
N2  - BACKGROUND: Children's disabilities and long-term illnesses (DLTIs) are a significant risk factor in the development of maltreatment. <br><br>OBJECTIVE: The study is focused on the association of children's DLTIs with child maltreatment and poly-victimization perpetrated by parents. PARTICIPANTS AND SETTING: The study is based on a 2013 Child Victim Survey (N = 11,364), which is a cross-sectional survey. This nationally representative survey focused on the life situation of Finnish children aged 12-17 years, as well as on experiences of violence, crime, and bullying. <br><br>METHODS: Multinomial logistic regression analysis was used to examine the association of children's DLTIs and child maltreatment. <br><br>RESULTS: Poly-victimization played a significant role in child maltreatment. Children's hearing impairment (OR 5.68, 95% Cl 2.25-14.35), physical disability (OR 3.32, 95% Cl 1.61-6.88), and mental health problems (OR 4.37, 95% Cl 1.63-11.72) increased the odds of poly-victimization more than other forms of abuse. The situation was similar with both somatic diseases (OR 1.59, 95% Cl 1.14-2.21) and psychiatric illnesses (OR 2.12, 95% Cl 1.36-2.47) in children. Further, somatic and psychiatric multimorbidity in children increased the odds of poly-victimization (OR 4.17, 95% Cl 2.25-7.75) slightly more than risk of physical abuse (OR 3.57, 95% 1.11-11.49). As control variables, child's gender and age, the family financial situation, and the parent's intimate partner violence were adjusted in all of the analyses. <br><br>CONCLUSION: Clinical professionals should consider children's multimorbidity as a potential risk factor of maltreatment. The results of the study can be used to support families and children with DLTIs.<p />  <p>Language: en</p>
LA  - en
SN  - 0145-2134
UR  - http://dx.doi.org/10.1016/j.chiabu.2021.105350
ID  - ref1
ER  -