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In each age group from 15\u201319 years, the mortality rates for people sexually abused as children were higher than for the general population; age\u2010 and sex\u2010standardised all\u2010cause mortality ratios were highest for people aged 25\u201329 years (men: 16.5; 95% confidence interval [CI], 11.0\u201322.0; women: 19.2; 95% CI, 14.3\u201324.2). The age\u2010 and sex\u2010adjusted mortality rate for people sexually abused as children was higher than in the general population for all\u2010cause (IRR, 8.25; 95% CI, 5.92\u201311.5), internal cause (IRR, 5.92; 95% CI, 3.89\u20139.01), and external cause deaths (IRR, 12.6; 95% CI, 9.61\u201316.6); the differences in external cause mortality were greater for people who had experienced penetrative (IRR, 14.9; 95% CI, 10.9\u201320.5) than for those who had experienced non\u2010penetrative sexual abuse as children (IRR, 8.92; 95% CI, 5.35\u201314.9).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Sexual abuse during childhood is associated with higher mortality rates into mid\u2010adulthood. Preventing child sexual abuse and intervening early to reduce the damage it inflicts is not only essential for the welfare of the child, but could also help reduce avoidable deaths later in life.<\/jats:p><\/jats:sec>","DOI":"10.5694\/mja2.52089","type":"journal-article","created":{"date-parts":[[2023,8,24]],"date-time":"2023-08-24T02:33:30Z","timestamp":1692844410000},"page":"310-315","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["Sexual abuse during childhood and all\u2010cause mortality into middle adulthood: an Australian cohort study"],"prefix":"10.5694","volume":"219","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7978-3751","authenticated-orcid":false,"given":"Nina","family":"Papalia","sequence":"first","affiliation":[{"name":"Centre for Forensic Behavioural Science Swinburne University of Technology  Melbourne VIC"},{"name":"Victorian Institute of Forensic Mental Health (Forensicare)  Melbourne VIC"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Benjamin L","family":"Spivak","sequence":"additional","affiliation":[{"name":"Centre for Forensic Behavioural Science Swinburne University of Technology  Melbourne VIC"},{"name":"Victorian Institute of Forensic Mental Health (Forensicare)  Melbourne VIC"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Linda","family":"Ashford","sequence":"additional","affiliation":[{"name":"Centre for Forensic Behavioural Science Swinburne University of Technology  Melbourne VIC"},{"name":"Victorian Institute of Forensic Mental Health (Forensicare)  Melbourne VIC"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ahona","family":"Guha","sequence":"additional","affiliation":[{"name":"Victorian Institute of Forensic Mental Health (Forensicare)  Melbourne VIC"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stefan","family":"Luebbers","sequence":"additional","affiliation":[{"name":"Centre for Forensic Behavioural Science Swinburne University of Technology  Melbourne VIC"},{"name":"Victorian Institute of Forensic Mental Health (Forensicare)  Melbourne VIC"},{"name":"Youth Forensic Specialist Services, Alfred Health  Melbourne VIC"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"James RP","family":"Ogloff","sequence":"additional","affiliation":[{"name":"Centre for Forensic Behavioural Science Swinburne University of Technology  Melbourne VIC"},{"name":"Victorian Institute of Forensic Mental Health (Forensicare)  Melbourne VIC"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2023,8,23]]},"reference":[{"issue":"6","key":"e_1_2_8_1_1","first-page":"S13","article-title":"The prevalence of child maltreatment in Australia: findings from a national survey","volume":"218","author":"Mathews B","year":"2023","journal-title":"Med J Aust"},{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1176\/appi.ajp.20220174"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.chiabu.2013.03.013"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1177\/1077559520932665"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jadohealth.2022.05.013"},{"issue":"6","key":"e_1_2_8_6_1","first-page":"S34","article-title":"The association between child maltreatment and health risk behaviours and conditions throughout life in the Australian Child Maltreatment Study","volume":"218","author":"Lawrence DM","year":"2023","journal-title":"Med J Aust"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1089\/vio.2017.0019"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10654-013-9832-9"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(20)30621-8"},{"key":"e_1_2_8_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jadohealth.2021.02.006"},{"key":"e_1_2_8_11_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2020-023416"},{"key":"e_1_2_8_12_1","doi-asserted-by":"publisher","DOI":"10.1111\/acps.12679"},{"key":"e_1_2_8_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0145-2134(03)00110-8"},{"key":"e_1_2_8_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.chiabu.2006.12.018"},{"key":"e_1_2_8_15_1","doi-asserted-by":"publisher","DOI":"10.5694\/j.1326-5377.2010.tb03475.x"},{"key":"e_1_2_8_16_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2021-050914"},{"key":"e_1_2_8_17_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.chiabu.2010.04.004"},{"key":"e_1_2_8_18_1","unstructured":"Australian Institute of Health and Welfare.National Death Index (NDI). 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