A Prospective Investigation of Physical Health Outcomes in Abused and Neglected Children: New Findings From a 30-Year Follow-Up

被引:258
作者
Widom, Cathy Spatz [1 ]
Czaja, Sally J. [1 ]
Bentley, Tyrone [2 ]
Johnson, Mark S. [3 ]
机构
[1] CUNY, Dept Psychol, John Jay Coll, New York, NY 10019 USA
[2] Univ Med & Dent New Jersey, Dept Pediat, New Jersey Med Sch, Newark, NJ 07103 USA
[3] Univ Med & Dent New Jersey, Dept Family Med, New Jersey Med Sch, Newark, NJ 07103 USA
关键词
CHILDHOOD ABUSE; SOCIOECONOMIC-STATUS; ADULT HEALTH; CARE UTILIZATION; UNITED-STATES; DISPARITIES; BEHAVIOR; WOMEN; PSYCHOPATHOLOGY; VICTIMIZATION;
D O I
10.2105/AJPH.2011.300636
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
Objectives. We investigated whether abused and neglected children are at risk for negative physical health outcomes in adulthood. Methods. Using a prospective cohort design, we matched children (aged 0-11 years) with documented cases of physical and sexual abuse and neglect from a US Midwestern county during 1967 through 1971 with nonmaltreated children. Both groups completed a medical status examination (measured health outcomes and blood tests) and interview during 2003 through 2005 (mean age = 41.2 years). Results. After adjusting for age, gender, and race, child maltreatment predicted above normal hemoglobin, lower albumin levels, poor peak airflow, and vision problems in adulthood. Physical abuse predicted malnutrition, albumin, blood urea nitrogen, and hemoglobin A1C. Neglect predicted hemoglobin A1C, albumin, poor peak airflow, and oral health and vision problems, Sexual abuse predicted hepatitis C and oral health problems. Additional controls for childhood socioeconomic status, adult socioeconomic status, unhealthy behaviors, smoking, and mental health problems play varying roles in attenuating or intensifying these relationships. Conclusions. Child abuse and neglect affect long-term health status-increasing risk for diabetes, lung disease, malnutrition, and vision problems-and support the need for early health care prevention. (Am J Public Health. 2012;102: 1135-1144. doi:10.2105/AJPH.2011.300636)
引用
收藏
页码:1135 / 1144
页数:10
相关论文
共 49 条
[21]   Child Maltreatment 1 Burden and consequences of child maltreatment in high-income countries [J].
Gilbert, Ruth ;
Widom, Cathy Spatz ;
Browne, Kevin ;
Fergusson, David ;
Webb, Elspeth ;
Janson, Staffan .
LANCET, 2009, 373 (9657) :68-81
[22]   Association between childhood trauma and physical disorders among adults in the United States [J].
Goodwin, RD ;
Stein, MB .
PSYCHOLOGICAL MEDICINE, 2004, 34 (03) :509-520
[23]  
Henry B., 1994, PSYCHOL ASSESSMENT, V6, P92
[24]  
Hollingshead A. B., 1975, 4 FACTOR INDEX SOCIA, P21, DOI DOI 10.1016/J.MATERRESBULL.2011.04.018
[25]   Symptomatology and health care utilization of women primary care patients who experienced childhood sexual abuse [J].
Hulme, PA .
CHILD ABUSE & NEGLECT, 2000, 24 (11) :1471-1484
[26]  
Leventhal J M, 1982, Child Abuse Negl, V6, P113, DOI 10.1016/0145-2134(82)90003-5
[27]   PARENTAL NEGLECT DURING CHILDHOOD AND INCREASED RISK OF OBESITY IN YOUNG ADULTHOOD [J].
LISSAU, I ;
SORENSEN, TIA .
LANCET, 1994, 343 (8893) :324-327
[28]   Childhood abuse and lifetime psychopathology in a community sample [J].
MacMillan, HL ;
Fleming, JE ;
Streiner, DL ;
Lin, E ;
Boyle, MH ;
Jamieson, E ;
Duku, EK ;
Walsh, CA ;
Wong, MYY ;
Beardslee, WR .
AMERICAN JOURNAL OF PSYCHIATRY, 2001, 158 (11) :1878-1883
[29]   The Role of Childhood Neglect and Childhood Poverty in Predicting Mental Health, Academic Achievement and Crime in Adulthood [J].
Nikulina, Valentina ;
Widom, Cathy Spatz ;
Czaja, Sally .
AMERICAN JOURNAL OF COMMUNITY PSYCHOLOGY, 2011, 48 (3-4) :309-321
[30]   The altering of reported experiences [J].
Offer, D ;
Kaiz, M ;
Howard, KI ;
Bennett, ES .
JOURNAL OF THE AMERICAN ACADEMY OF CHILD AND ADOLESCENT PSYCHIATRY, 2000, 39 (06) :735-742