Childhood maltreatment and high dietary fat intake behaviors in adulthood: A birth cohort study

被引:21
作者
Abajobir, Amanuel Alemu [1 ]
Kisely, Steve [2 ,3 ,4 ,5 ]
Williams, Gail [1 ]
Strathearn, Lane [6 ,7 ]
Najman, Jake Moses [1 ,8 ,9 ]
机构
[1] Univ Queensland, Sch Publ Hlth, Fac Med, Publ Hlth Bldg, Herston, Qld 4006, Australia
[2] Univ Queensland, Sch Med, Princess Alexandra Hosp, Fac Med, Woolloongabba, Qld 4102, Australia
[3] Dalhousie Univ, Dept Psychiat, Fac Med, Halifax, NS, Canada
[4] Dalhousie Univ, Dept Community Hlth, Fac Med, Halifax, NS, Canada
[5] Dalhousie Univ, Dept Epidemiol, Fac Med, Halifax, NS, Canada
[6] Univ Iowa, Div Dev & Behav Pediat, Stead Family Dept Pediat, Iowa City, IA USA
[7] Univ Iowa, Stead Family Childrens Hosp, Ctr Disabil & Dev, Iowa City, IA USA
[8] Univ Queensland, Queensland Alcohol & Drug Res & Educ Ctr, Herston, Qld 4006, Australia
[9] Univ Queensland, Fac Humanities & Social Sci, Sch Social Sci, St Lucia, Qld 4072, Australia
基金
英国医学研究理事会;
关键词
Substantiated childhood maltreatment; Dietary fat intake; Birth cohort study; POSTTRAUMATIC-STRESS-DISORDER; SEXUAL-ABUSE; FOOD ADDICTION; OBESITY; US; ASSOCIATION; FREQUENCY; NEGLECT; TRAUMA; RISK;
D O I
10.1016/j.chiabu.2017.08.002
中图分类号
D669 [社会生活与社会问题]; C913 [社会生活与社会问题];
学科分类号
1204 ;
摘要
Childhood maltreatment has been associated with a wide range of chronic medical conditions including obesity, other metabolic events and eating disorders. However, little is known about the association between childhood maltreatment and high dietary fat intake. This study addresses the extent to which co-occurring and specific forms of substantiated childhood maltreatment are associated with self-reported high dietary fat intake in adulthood and whether there is a gender childhood maltreatment interaction in predicting this association. The study also examines the association between age at substantiation of maltreatment, number of childhood maltreatment substantiations and high dietary fat intake-related behaviors. The data were from a prospective Australian pre-birth mother-child dyads study, the Mater-University of Queensland Study of Pregnancy. The study followed 7223 mother-child dyads following the birth of a live, singleton baby at the Mater hospital. Recruitment was early in pregnancy, and then follow-ups at 3-5 days postpartum and again when the child was 6 months, 5, 14 and 21 years of age. The data were linked to agency-substantiated cases of childhood maltreatment 0-14 years. This study extended the data linkage to 3766 (47.4% female) participants who had complete data on dietary fat intake behaviors at the 21-year follow-up. Consecutive logistic regressions were used to estimate odds ratios with respective 95% confidence intervals for high dietary fat intake for multiple and specific forms of childhood maltreatment, as well as age at and number of childhood maltreatment substantiations. Finally, a gender childhood maltreatment interaction term was used to predict the outcome. In both unadjusted and adjusted analyses, substantiated childhood maltreatment including physical abuse were associated with high dietary fat intake-related behaviors. Similarly, substantiation of childhood maltreatment between the ages of 5 and 14 years was significantly associated with high dietary fat intake-related behaviors as were two or more substantiations of maltreatment. Inclusion of gender childhood maltreatment interaction only had a minor impact on the size and direction of the association. Chronic and severe forms of childhood maltreatment including physical abuse are associated with a higher rate of dietary fat intake in young adulthood. Further research to replicate this association might focus on possible neuro-hormonal mechanisms that might explain this behavior.
引用
收藏
页码:147 / 153
页数:7
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