Exposure to family and domestic violence in the prenatal period is associated with an increased risk of hospitalization for bronchiolitis in children under 2 years.

Autor:	Orr C; School of Population and Global Health, The University of Western Australia, Perth, Western Australia 6009, Australia., Kelty E; School of Population and Global Health, The University of Western Australia, Perth, Western Australia 6009, Australia., Belinelo P; The School of Medicine, University of Notre Dame, Fremantle, Western Australia 6160, Australia., Fisher C; School of Population and Global Health, The University of Western Australia, Perth, Western Australia 6009, Australia., Glauert AR; School of Population and Global Health, The University of Western Australia, Perth, Western Australia 6009, Australia., O'Donnell M; Australian Centre for Child Protection, The University of South Australia, Adelaide, South Australia 5000, Australia., Preen DB; School of Population and Global Health, The University of Western Australia, Perth, Western Australia 6009, Australia.
Jazyk:	angličtina
Zdroj:	Journal of public health (Oxford, England) [J Public Health (Oxf)] 2024 Aug 25; Vol. 46 (3), pp. e448-e457.
DOI:	10.1093/pubmed/fdae120
Abstrakt:	Background: Existing research has acknowledged a correlation between stress in pregnancy and poorer respiratory health in offspring. However, research focusing on stress caused by family and domestic violence in the prenatal period is missing. Methods: A retrospective cohort study included children born 1987-2010 who were identified as being exposed to FDV in the prenatal period (n = 1477) from two sources: WA Police Information Management System and WA Hospital Morbidity Data Collection (HMDC) and a non-exposed comparison group (n = 41 996). Hospitalization for bronchiolitis was identified in HMDC. Cox regression was used to estimate the adjusted and unadjusted hazard ratio and 95% confidence interval for bronchiolitis hospitalizations contact. Results: Children exposed to FDV had a 70% (HR 1.70, 95% CI: 1.49-1.94) increased risk of hospitalization for bronchiolitis than non-exposed counterparts by age two. Children exposed to FDV had a longer average hospital stay for bronchiolitis than non-exposed children (4.0 days vs. 3.8 days, P < 0.001). Conclusions: Prenatal exposure to FDV is associated with bronchiolitis hospitalization in children <2 years. Along with other risk factors, clinicians should give consideration to maternal stress factors, including experiencing FDV as a potential contributor to bronchiolitis. (© The Author(s) 2024. Published by Oxford University Press on behalf of Faculty of Public Health.)
Databáze:	MEDLINE
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