The association of parental or caregiver alcohol use with child maltreatment: A systematic review and meta-analysis of longitudinal studies

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dc.citation.volumeEarly View
dc.contributor.authorLeung JYY
dc.contributor.authorParker K
dc.contributor.authorLin E-Y
dc.contributor.authorHuckle T
dc.date.accessioned2025-05-21T01:34:09Z
dc.date.available2025-05-21T01:34:09Z
dc.date.issued2025-04-29
dc.description.abstractBackground and Aims: Caregiver alcohol use is a risk factor for child maltreatment, but a previous meta-analysis was limited to physical abuse only. We aimed to quantify the association of parental or caregiver alcohol use with child maltreatment and assess if this differs by incidence or recurrence of maltreatment and level of caregiver alcohol use. Methods: We undertook a systematic review and meta-analysis of longitudinal studies according to a registered protocol on PROSPERO (CRD42020211585). We searched the databases MEDLINE, PubMed, Scopus, PsycINFO, CINAHL and the Cochrane Library in November 2024. We included studies that reported the association of interest. We excluded studies that only assessed prenatal alcohol use or caregiver substance use, and studies that did not adjust for socio-economic position. Two reviewers independently screened the retrieved articles for relevance, extracted data from the included studies and assessed the methodological quality of studies using criteria adapted from the Newcastle-Ottawa scale. We performed meta-analyses using inverse variance weighting and random effects models. Results: We included seven studies on child maltreatment incidence and five on recurrence. All were cohort studies in high-income countries: three in Australia, one in Denmark, one in New Zealand, two in South Korea, one in the United Kingdom and four in the United States. The sample size ranged from 501 to 84 245 (median 4782). Caregiver alcohol-related diagnoses were associated with higher child maltreatment incidence [odds ratio (OR) = 2.32, 95% confidence interval (CI) = 1.10–4.89] and recurrence (OR = 1.92, 95% CI = 1.13–3.28) compared with caregivers without alcohol-related diagnoses. An association of any caregiver drinking with child maltreatment incidence could not be ruled out (OR = 1.22, 95% CI = 0.72–2.08). The review was limited by high heterogeneity and variable reporting of alcohol use and child maltreatment; however, we obtained similar results after sensitivity analysis and adjustment for reporting bias. Conclusions: Caregiver alcohol use may be an important risk factor for child maltreatment, adding to the growing body of evidence on alcohol's harm to others and calling for stronger actions to reduce alcohol harm.
dc.description.confidentialfalse
dc.format.pagination1-15
dc.identifier.citationLeung JYY, Parker K, Lin EY, Huckle T. (2025). The association of parental or caregiver alcohol use with child maltreatment: A systematic review and meta-analysis of longitudinal studies. Addiction. Early View. (pp. 1-15).
dc.identifier.doi10.1111/add.70055
dc.identifier.eissn1360-0443
dc.identifier.elements-typejournal-article
dc.identifier.issn0965-2140
dc.identifier.urihttps://mro.massey.ac.nz/handle/10179/72921
dc.languageEnglish
dc.publisherJohn Wiley and Sons Ltd on behalf of Society for the Study of Addiction
dc.publisher.urihttps://onlinelibrary.wiley.com/doi/10.1111/add.70055
dc.relation.isPartOfAddiction
dc.rights(c) 2025 The Author/s
dc.rightsCC BY-NC 4.0
dc.rights.urihttps://creativecommons.org/licenses/by-nc/4.0/
dc.subjectabuse
dc.subjectalcohol
dc.subjectcaregiver
dc.subjectchild maltreatment
dc.subjectmeta-analysis
dc.subjectsystematic review
dc.titleThe association of parental or caregiver alcohol use with child maltreatment: A systematic review and meta-analysis of longitudinal studies
dc.typeJournal article
pubs.elements-id500660
pubs.organisational-groupOther
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