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Table 3 Child and family characteristics predicting fatal maltreatment and long-term mortality in the maltreated infants (n = 6295)

From: Early predictors for maltreatment-related injuries in infancy and long-term mortality: a population-based study

Variable

Fatal maltreatment

Three-year survival status

cHR (95% CI)

aHR (95% CI)

cHR (95% CI)

aHR (95% CI)

Birth year (Ref: 2004–2009)

    

 2010–2014

0.52 (0.29, 0.91)*

0.87 (0.49, 1.55)

0.87 (0.42, 1.82)

 

Gender (Ref: Female)

    

 Male

1.15 (0.66, 2.01)

 

1.72 (0.80, 3.70)

 

Birthweight (Ref: ≥2500 g)a

    

 2000–2499

3.47 (1.60, 7.52)**

1.69 (0.77, 3.75)

2.33 (0.69, 7.91)

1.49 (0.43, 5.16)

 < 2000

6.74 (3.10, 14.6)***

2.84 (1.26, 6.38)*

10.8 (4.52, 25.9)***

6.17 (2.46, 15.4)***

Maternal marital status (Ref: Married)b

    

 Single

5.47 (2.61, 11.5)***

1.44 (0.62, 3.32)

3.61 (1.24, 10.5)*

1.50 (0.46, 4.87)

 Others (divorced, widowed)

10.3 (4.56, 23.4)***

1.92 (0.78, 4.72)

2.20 (0.30, 16.3)

0.77 (0.10, 6.14)

 Missing

0.73 (0.18, 3.04)

0.75 (0.18, 3.25)

1.06 (0.25, 4.52)

1.27 (0.28, 5.76)

Having at least one older child (Ref: No)c,d

    

 Yes

2.05 (1.17, 3.62)*

1.57 (0.86, 2.85)

2.18 (1.04, 4.57)*

1.64 (0.75, 3.58)

Income level (insurance status) (Ref: Low income/poverty)c

    

 Middle income

0.35 (0.20, 0.62)***

0.93 (0.49, 1.79)

0.58 (0.25, 1.32)

1.30 (0.52, 3.24)

 High income

-

-

0.27 (0.10, 0.74)*

1.12 (0.33, 3.83)

Maternal educational attainment (Ref: College or above)a

    

 Senior high school

7.32 (3.48, 15.4)***

1.09 (0.49, 2.44)

3.21 (1.34, 7.72)**

1.36 (0.50, 3.71)

 Junior high school or below

12.1 (5.55, 26.5)***

0.82 (0.33, 2.01)

6.55 (2.66, 16.1)***

1.49 (0.46, 4.78)

Maternal age at having the index child (Ref: 35 years old or above)a

   

 20–34

3.46 (1.24, 9.64)*

1.81 (0.64, 5.13)

1.16 (0.47, 2.87)

0.82 (0.32, 2.09)

 < 20

20.7 (5.18, 82.7)***

1.66 (0.37, 7.41)

7.19 (1.45, 35.6)*

1.05 (0.17, 6.38)

Maternal depression (Ref: No)c,e

    

 Yes

0.78 (0.11, 5.62)

 

-

 

Maternal substance use problems (Ref: No)c,e

    

 Yes

3.35 (0.46, 24.3)

 

-

 

Well-child care utilization in the first two months of life (Ref: Yes)c

  

 No

6.48 (3.72, 11.3)***

2.24 (1.24, 4.05)**

2.74 (1.25, 6.02)*

1.19 (0.52, 2.76)

Maltreatment-related injuries (Ref: Undetermined cause only)c

    

 Maltreatment syndrome only

90.3 (35.8, 228.0)***

37.8 (13.8, 103.1)***

23.6 (10.7, 52.1)***

16.7 (6.60, 42.1)***

 Assault only

7.57 (0.89, 64.7)

4.36 (0.50, 37.7)

-

-

 Two or more

41.0 (4.79, 350.9)***

21.9 (2.51, 190.3)**

23.2 (2.93, 182.8)**

18.8 (2.29, 154.6)**

  1. Note. HR: Hazard Ratio; obtained via Cox regression model; aHR: Adjusted Hazard Ratio. * p < 0.05, ** p < 0.01, *** p < 0.001
  2. a. Retrieved from the Birth Registry in the Ministry of the Interior
  3. b. Retrieved from the Household Registration of the Ministry of the Interior
  4. c. Retrieved from the National Health Insurance Research Database of the National Health Insurance Administration
  5. d. Older sibling: within three years of the index child
  6. e. During three years before the index delivery