Risk of maltreatment allegation associated with mother's perinatal mental health contact and diagnostic groups
Characteristic | Bivariate HR (95% CI) | Multivariable HR (95% CI) |
---|---|---|
Gender | ||
Male | reference group | reference group |
Female | 1.12 (1.08 to 1.15) | 1.13 (1.08 to 1.17) |
Marital status | ||
Married | reference group | reference group |
Never married | 4.59 (4.41 to 4.77) | 1.76 (1.65 to 1.88) |
Divorced/separated | 4.46 (4.04 to 4.93) | 2.97 (2.61 to 3.37) |
Aboriginality | ||
Non-Aboriginal | reference group | reference group |
Aboriginal | 5.43 (5.16 to 5.71) | 1.71 (1.57 to 1.87) |
Maternal age at birth, years | ||
<20 | 7.66 (7.21 to 8.14) | 2.68 (2.41 to 2.99) |
20–29 | 2.36 (2.25 to 2.47) | 1.63 (1.52 to 1.74) |
30–39 | reference group | reference group |
>39 | 1.25 (1.07 to 1.45) | 1.11 (0.93 to 1.33) |
Paternal age at birth, years | ||
<20 | 7.54 (6.91 to 8.23) | 1.40 (1.24 to 1.59) |
20–29 | 2.42 (2.31 to 2.54) | 1.31 (1.23 to 1.39) |
30–39 | reference group | reference group |
>39 | 1.34 (1.23 to 1.46) | 1.48 (1.35 to 1.63) |
Socioeconomic disadvantage | ||
1—low | reference group | reference group |
2 | 1.66 (1.42 to 1.94) | 1.41 (1.20 to 1.66) |
3 | 2.40 (2.08 to 2.77) | 1.77 (1.52 to 2.07) |
4 | 4.02 (3.50 to 4.63) | 2.56 (2.20 to 2.97) |
5 | 6.22 (5.40 to 7.16) | 3.24 (2.78 to 3.77) |
6—high | 11.80 (10.25 to 13.59) | 4.64 (3.97 to 5.42) |
Child disability | ||
No | reference group | reference group |
Yes | 1.73 (1.64 to 1.83) | 1.65 (1.54 to 1.77) |
Mother assault admission | ||
No | reference group | reference group |
Yes | 7.20 (6.75 to 7.67) | 2.32 (2.08 to 2.57) |
Housing codes | ||
No | reference group | reference group |
Yes | 4.10 (3.67 to 4.59) | 1.31 (1.12 to 1.55) |
Mental health contact | ||
No | reference group | reference group |
Yes | 5.05 (4.82 to 5.29) | 3.16 (2.97 to 3.36) |
Diagnostic groups* | ||
Organic disorders | ||
No | reference group | reference group |
Yes | 4.94 (3.09 to 7.89) | 4.11 (2.26 to 7.48) |
Substance-related disorders | ||
No | reference group | reference group |
Yes | 12.74 (11.10 to 14.64) | 2.08 (1.63 to 2.65) |
Schizophrenia, affective and non-affective psychoses | ||
No | reference group | reference group |
Yes | 4.63 (4.16 to 5.15) | 3.26 (2.83 to 3.75) |
Depression not elsewhere classified and neurotic disorders | ||
No | reference group | reference group |
Yes | 2.86 (2.61 to 3.13) | 1.99 (1.76 to 2.24) |
Adjustment and stress-related disorders | ||
No | reference group | reference group |
Yes | 3.37 (3.05 to 3.73) | 1.89 (1.63 to 2.18) |
Disorders of childhood/psychological development | ||
No | reference group | reference group |
Yes | 9.53 (6.17 to 14.72) | 4.71 (2.47 to 9.00) |
Personality disorders | ||
No | reference group | reference group |
Yes | 11.63 (9.77 to 13.85) | 3.76 (2.86 to 4.95) |
Intellectual disability | ||
No | reference group | reference group |
Yes | 18.16 (13.17 to 25.04) | 11.77 (6.74 to 20.55) |
Other mental disorders | ||
No | reference group | reference group |
Yes | 1.60 (1.25 to 2.03) | 1.32 (0.97 to 1.81) |
*Diagnostic groups were conducted in a separate analysis with all other risk factors in the table except ‘mental health contact’. All estimates remained relatively unchanged in the diagnostic group analysis.