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We compared the risk of child maltreatment among M\u0101ori (0\u201317\u2009years) exposed to parents with alcohol\u2010related hospitalisation or mental health\/addiction service use. We also conducted a sensitivity analysis to estimate the number of cases of maltreatment that could be attributed to alcohol among M\u0101ori.<\/jats:p><\/jats:sec>Methods<\/jats:title>A cohort study of 16,617 M\u0101ori aged 0\u201317 and their parents from 2000 to 2017 was conducted using the Statistics New Zealand Integrated Data Infrastructure. A Bayesian piecewise exponential model estimated the risk of time to first child maltreatment event. This analysis used data from child protection, hospital, mortality and police records, and specifically focused on the risk associated with exposure to parents with an alcohol\u2010attributable hospitalisation or mental health\/addiction service use event. Potential confounders for both parents and M\u0101ori (0\u201317\u2009years) were included. We calculated a population\u2010attributable fraction to estimate the proportion of maltreatment cases that could be attributed to alcohol in 2017.<\/jats:p><\/jats:sec>Results<\/jats:title>Results showed a 65% increased risk for young M\u0101ori exposed to parents with heavy alcohol use. We estimated 17% of substantiated child maltreatment among M\u0101ori could be attributed to parental hazardous alcohol consumption.<\/jats:p><\/jats:sec>Discussion and Conclusions<\/jats:title>Severe or hazardous alcohol consumption among parents is a risk factor for child maltreatment among M\u0101ori. M\u0101ori alcohol consumption and harm are symptomatic of wider inequities related, among other things, to the ongoing effects of colonisation, as well as gaps in the regulation of alcohol sales.<\/jats:p><\/jats:sec>","DOI":"10.1111\/dar.13906","type":"journal-article","created":{"date-parts":[[2024,7,21]],"date-time":"2024-07-21T17:00:13Z","timestamp":1721581213000},"page":"1473-1482","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Estimating the alcohol\u2010related burden of child maltreatment among M\u0101ori in Aotearoa, New Zealand"],"prefix":"10.1111","volume":"43","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0669-0685","authenticated-orcid":false,"given":"Taisia","family":"Huckle","sequence":"first","affiliation":[{"name":"SHORE & Whariki Research Centre College of Health, Massey University Auckland New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Helen Moewaka","family":"Barnes","sequence":"additional","affiliation":[{"name":"SHORE & Whariki Research Centre College of Health, Massey University Auckland New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6707-3429","authenticated-orcid":false,"given":"Jose S.","family":"Romeo","sequence":"additional","affiliation":[{"name":"SHORE & Whariki Research Centre College of Health, Massey University Auckland New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2024,7,21]]},"reference":[{"key":"e_1_2_9_2_1","volume-title":"Alcohol: no ordinary commodity","author":"Babor TF","year":"2023"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/S2468-2667(18)30069-0"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.chiabu.2017.08.010"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1360-0443.2012.03917.x"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1177\/1077559515597062"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1111\/add.16111"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.lanepe.2024.100905"},{"key":"e_1_2_9_9_1","volume-title":"M\u0101ori attitudes and behaviours towards alcohol","author":"Muriwai E","year":"2018"},{"key":"e_1_2_9_10_1","unstructured":"Waitangi Tribunal.The Treaty of Waitangi Act 1975 AND an application for an urgent hearing by David Ratu in relation to the Sale and Supply of Alcohol Act 2012. 2019 30 April. 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