Abstract：
BACKGROUND: Child maltreatment (CM) is a major public health concern with life-long effects. Its impact on income support has rarely been studied.
OBJECTIVE: To examine the association between CM and receipt of income support payments and the budgetary impact for persons 16 to 33 years.
METHODS: A South Australian birth cohort, born 1986 to 2004 (n = 339,411).
METHODS: We linked child protection (CP) administrative records with national welfare payment records, ending March 2020. Receipt of income support payments and mean payment amounts were described by CP contact (adjusted for child and family attributes). Budget impact was modelled at the national level.
RESULTS: Adjusted odds ratio (AOR) for receipt of any income support payment was 3.01 (2.95-3.07) for individuals with any CP contact versus no CP contact. Among those receiving any payment, adjusted annualised mean benefit payment was $3754 (US$1446) among individuals with no CP contact, $6262 (US$4,307) in persons with any CP contact, and $9,747 in persons who\'d been in OOHC. Cumulative payments modelled from age 16 to 33 years totalled $38,570 (US$26,652) for individuals with no CP contact, and $181,743 (US$125,003) for individuals who\'d been in OOHC. Modelled for the Australian population to age 33, the extra cost associated with CP contact added 39 % to the government income support budget.
CONCLUSIONS: CM is strongly associated with receipt of income support payments. Investment in effective preventive and protective strategies for CP involved children could address this core social determinant of health, while providing budget savings.
OBJECTIVE: To examine the association between CM and receipt of income support payments and the budgetary impact for persons 16 to 33 years.
METHODS: A South Australian birth cohort, born 1986 to 2004 (n = 339,411).
METHODS: We linked child protection (CP) administrative records with national welfare payment records, ending March 2020. Receipt of income support payments and mean payment amounts were described by CP contact (adjusted for child and family attributes). Budget impact was modelled at the national level.
RESULTS: Adjusted odds ratio (AOR) for receipt of any income support payment was 3.01 (2.95-3.07) for individuals with any CP contact versus no CP contact. Among those receiving any payment, adjusted annualised mean benefit payment was $3754 (US$1446) among individuals with no CP contact, $6262 (US$4,307) in persons with any CP contact, and $9,747 in persons who\'d been in OOHC. Cumulative payments modelled from age 16 to 33 years totalled $38,570 (US$26,652) for individuals with no CP contact, and $181,743 (US$125,003) for individuals who\'d been in OOHC. Modelled for the Australian population to age 33, the extra cost associated with CP contact added 39 % to the government income support budget.
CONCLUSIONS: CM is strongly associated with receipt of income support payments. Investment in effective preventive and protective strategies for CP involved children could address this core social determinant of health, while providing budget savings.
摘要：
背景：儿童虐待（CM）是一个主要的公共卫生问题，具有终身影响。它对收入支持的影响很少被研究。
目标：研究CM与收入支持付款的接收之间的关联以及对16至33岁人员的预算影响。
方法：南澳大利亚出生队列，生于1986年至2004年(n=339,411)。
方法：我们将儿童保护（CP）行政记录与国家福利支付记录联系起来，2020年3月结束。CP联系人描述了收入支持付款的接收和平均付款金额（根据儿童和家庭属性进行了调整）。预算影响是在国家一级建模的。
结果：对于有任何CP接触与没有CP接触的个人，收到任何收入支持付款的调整后优势比（AOR）为3.01（2.95-3.07）。在收到任何付款的人中，在没有接触CP的个人中，调整后的年平均福利支付为3754美元(1446美元)，有任何CP联系人的6262美元（4,307美元），和$9,747在OOHC的人。从16岁到33岁的累计付款总额为38,570美元（26,652美元），和181,743美元（125,003美元）的个人在OOHC。以33岁的澳大利亚人口为模型，与CP联系相关的额外费用使政府收入支持预算增加了39％。
结论：CM与收入支持付款的接收密切相关。对涉及CP的儿童的有效预防和保护策略的投资可以解决健康的这一核心社会决定因素，同时节省预算。
目标：研究CM与收入支持付款的接收之间的关联以及对16至33岁人员的预算影响。
方法：南澳大利亚出生队列，生于1986年至2004年(n=339,411)。
方法：我们将儿童保护（CP）行政记录与国家福利支付记录联系起来，2020年3月结束。CP联系人描述了收入支持付款的接收和平均付款金额（根据儿童和家庭属性进行了调整）。预算影响是在国家一级建模的。
结果：对于有任何CP接触与没有CP接触的个人，收到任何收入支持付款的调整后优势比（AOR）为3.01（2.95-3.07）。在收到任何付款的人中，在没有接触CP的个人中，调整后的年平均福利支付为3754美元(1446美元)，有任何CP联系人的6262美元（4,307美元），和$9,747在OOHC的人。从16岁到33岁的累计付款总额为38,570美元（26,652美元），和181,743美元（125,003美元）的个人在OOHC。以33岁的澳大利亚人口为模型，与CP联系相关的额外费用使政府收入支持预算增加了39％。
结论：CM与收入支持付款的接收密切相关。对涉及CP的儿童的有效预防和保护策略的投资可以解决健康的这一核心社会决定因素，同时节省预算。
