Abstract：
Child maltreatment (CM) is associated with negative health outcomes in adulthood, including deliberate self-harm (DSH), suicidal behaviours, and victimisation. It is unknown if associations extend to emergency department (ED) presentations for non-DSH related injuries. Birth cohort study data was linked to administrative health data, including ED presentations for non DSH related injuries and agency-reported and substantiated notifications for CM. Adjusted analyses (n = 6087) showed that any type of agency-reported notification for CM was significantly associated with increased odds of ED presentation for injuries (aOR = 1.57; 95% CI 1.32-1.87). In moderation analyses, women yielded significantly higher odds of notified and substantiated physical abuse, substantiated emotional abuse, and being subject to more than one type of substantiated abuse than males. ED presentations for injuries could be a proxy for risky behaviours, disguised DSH/suicidal behaviours, or physical abuse. The consistent findings in women may point to victimisation via interpersonal violence.
摘要：
儿童虐待（CM）与成年期的负面健康结果有关，包括故意的自我伤害（DSH），自杀行为,和受害。尚不清楚关联是否扩展到非DSH相关伤害的急诊科（ED）报告。出生队列研究数据与行政健康数据相关联，包括非DSH相关伤害的ED介绍以及机构报告和经证实的CM通知。调整后的分析（n=6087）显示，任何类型的机构报告的CM通知与受伤的ED发生率增加显着相关（aOR=1.57；95％CI1.32-1.87）。在适度分析中，女性被告知并得到证实的身体虐待的几率明显更高，确凿的情感虐待，并且比男性遭受一种以上的有根据的虐待。伤害的ED陈述可能是危险行为的代表，伪装DSH/自杀行为，或身体虐待。妇女的一致发现可能表明通过人际暴力受害。
