A large number of early life exposures predict child maltreatment. Using data from a 30-year birth cohort study we examine 12 early life course risk factors of four types of self-reported childhood maltreatment recalled at the 30-year follow-up. Of the 7223 children in the sample at birth, 2425 responded to the Child Trauma Questionnaire at the 30-year follow-up. On adjusted analysis being a teenage mother predicts childhood physical and sexual abuse, as well as child neglect. More numerous maternal marital partner changes in the 5 years after the birth predict offspring experiences of emotional abuse, sexual abuse and childhood neglect. Policy responses should focus on the broad social context in which children are reared as the most effective approach to reducing the high level of childhood abuse and neglect.

大量的早期生活暴露预示着儿童虐待。使用来自30年出生队列研究的数据，我们检查了30年随访中回忆起的四种自我报告的童年虐待的12种早期生命历程危险因素。在样本中出生的7223名儿童中，有2425名接受了为期30年随访的儿童创伤问卷调查。根据调整后的分析，一个十几岁的母亲会预测儿童时期的身体和性虐待以及对儿童的忽视。出生后5年内，更多的产妇婚姻伴侣变化预测了后代会遭受情感虐待，性虐待和童年忽视。政策应对措施应着眼于广泛的社会环境，在这种社会环境中，养育儿童是减少高水平儿童期虐待和忽视的最有效方法。