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RESEARCH PRODUCT
Association of child maltreatment subtypes and long-term physical health in a German representative sample
Vera ClemensPaul L. PlenerElmar BrählerMarkus Huber-langRebecca C. BrownJörg M. Fegertsubject
obesityPsychological interventionObesidadChild abuse and neglectInfarto al Miocardio癌症心肌梗塞0302 clinical medicinelcsh:PsychiatryEnfermedad pulmonar obstructiva crónica030212 general & internal medicineStrokeClinical Research Articlediabetes05 social sciencesCáncerstrokemyocardial infarction• Studies addressing cumulative effects of different child maltreatment subtypes on physical health are sparse especially those comprising emotional and physical neglect.• Odds for obesity diabetes cancer hypertension chronic obstructive pulmonary disease history of myocardial infarction and stroke increased when any kind of child maltreatment was reported.• Growing intensity of each maltreatment subtype was associated with higher rates of all assessed conditions.• Odds for all conditions increased with increasing number of maltreatment subtypes that were experienced.Hipertensión Arterial050104 developmental & child psychologyClinical psychology虐待和忽视儿童medicine.medical_specialtyhypertension高血压lcsh:RC435-571中风physical health outcomesOddschronic obstructive pulmonary disease童年虐待肥胖糖尿病03 medical and health sciencesmedicinecancer0501 psychology and cognitive sciencesAbuso infantil y negligenciaSocioeconomic statusConsecuencias de Salud Físicabusiness.industryPublic healthCTQ treeApoplejíamedicine.diseaseObesity身体健康结果Maltrato infantil慢性阻塞性肺疾病Observational studybusinesschild maltreatmentdescription
ABSTRACT Background: Child maltreatment is a major public problem, associated with enormous consequences on the individual and socioeconomic level. Studies show a clear impact of child maltreatment on long-term physical health. However, there is a lack of analyses comprising a wide variety of subtypes of maltreatment and addressing cumulative effects of different maltreatment subtypes experienced during childhood on physical health. Objective: The objective of this analysis was to assess the association of different subtypes and the intensity of child maltreatment with long-term physical health outcomes. Methods: In a cross-sectional observational approach, a representative sample of the German population (N=2510) was assessed regarding socioeconomic information, their current health status, and their experiences of child maltreatment using the Childhood Trauma Questionnaire (CTQ). Chi2-Tests were performed to compare differences of physical health conditions in adulthood in association with child maltreatment and binary regression analyses to assess the relationship of physical health and number of different subtypes of maltreatment experienced during childhood. Results: Odds increased significantly for obesity (1.8), diabetes (1.26), cancer (1.28), hypertension (1.16), chronic obstructive pulmonary disease (1.51), history of myocardial infarction (1.29) and stroke (1.31) with increasingenhancing number of experienced subtypes of child maltreatment. Growing intensity of each subtype of maltreatment was associated with higher rates of all assessed physical health conditions, which could point towards a dose-dependency of the relationship between maltreatment and long-term physical health. Conclusions: Child maltreatment is associated with increased odds for the leading morbidity and mortality causes in Germany. Interventions encompassing secondary and primary preventive strategies are critical to target this major public health problem and its devastating consequences.
| year | journal | country | edition | language |
|---|---|---|---|---|
| 2018-01-01 | European Journal of Psychotraumatology |