PT  - JOURNAL ARTICLE
AU  - Romina Buffarini
AU  - Carolina V N Coll
AU  - Terrie Moffitt
AU  - Mariângela Freitas da Silveira
AU  - Fernando Barros
AU  - Joseph Murray
TI  - Intimate partner violence against women and child maltreatment in a Brazilian birth cohort study: co-occurrence and shared risk factors
AID  - 10.1136/bmjgh-2020-004306
DP  - 2021 Apr 01
TA  - BMJ Global Health
PG  - e004306
VI  - 6
IP  - 4
4099  - http://gh.bmj.com/content/6/4/e004306.short
4100  - http://gh.bmj.com/content/6/4/e004306.full
SO  - BMJ Global Health2021 Apr 01; 6
AB  - Background Intimate partner violence (IPV) against women and child maltreatment (CM) are major public health problems and human rights issues and may have shared causes. However, their overlap is understudied. We investigated the prevalence of IPV and CM, their co-occurrence in households and possible shared risk factors, in the general population of a Brazilian urban setting.Methods Prospective population-based birth cohort, including over 3500 mother–child dyads with maternal reports on both IPV and CM when children were 4 years old. Eleven neighbourhood, family and parental risk factors were measured between birth and age 4 years. Bivariate and multivariate Poisson regression models with robust variance were used to test which potential risk factors were associated with IPV, CM and their co-occurrence.Results The prevalence of any IPV and CM were 22.8% and 10.9%, respectively; the co-occurrence of both types of violence was 5%. Multivariate analyses showed that the overlap of IPV and CM was strongly associated with neighbourhood violence, absence of the child’s biological father, paternal antisocial behaviour in general and a mother–partner relationship characterised by high levels of criticism, maternal depression and younger maternal age. A concentration of many risk factors among 10% of the population was associated with a sixfold increase in risk for overlapping IPV and CM compared with households with no risk factors.Conclusion IPV and CM share important risk factors in the family and neighbourhood environments and are particularly common in households with multiple social disadvantages and family difficulties. Integrated preventive interventions are needed.Data are available upon request. Due to confidentiality restrictions related to the ethics approval for this study, no identifying information about participants may be released. Dataset without identification used during the current study is available from the corresponding author on reasonable request.