Association of child maltreatment subtypes and long-term physical health in a German representative sample
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 mal...
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Online Access: | http://dx.doi.org/10.1080/20008198.2018.1510278 |
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doaj-2f766b46e6ef4872a383e194d10b8ae62020-11-24T22:09:10ZengTaylor & Francis GroupEuropean Journal of Psychotraumatology2000-81982000-80662018-01-019110.1080/20008198.2018.15102781510278Association of child maltreatment subtypes and long-term physical health in a German representative sampleVera Clemens0Markus Huber-Lang1Paul L. Plener2Elmar Brähler3Rebecca C. Brown4Jörg M. Fegert5University of UlmUlm University Medical CentreUniversity of UlmUniversity Medical Center of Johannes Gutenberg University MainzUniversity of UlmUniversity of UlmBackground: 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 increasing 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.http://dx.doi.org/10.1080/20008198.2018.1510278Child abuse and neglectchild maltreatmentphysical health outcomesobesitydiabetescancerhypertensionchronic obstructive pulmonary diseasemyocardial infarctionstroke |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Vera Clemens Markus Huber-Lang Paul L. Plener Elmar Brähler Rebecca C. Brown Jörg M. Fegert |
spellingShingle |
Vera Clemens Markus Huber-Lang Paul L. Plener Elmar Brähler Rebecca C. Brown Jörg M. Fegert Association of child maltreatment subtypes and long-term physical health in a German representative sample European Journal of Psychotraumatology Child abuse and neglect child maltreatment physical health outcomes obesity diabetes cancer hypertension chronic obstructive pulmonary disease myocardial infarction stroke |
author_facet |
Vera Clemens Markus Huber-Lang Paul L. Plener Elmar Brähler Rebecca C. Brown Jörg M. Fegert |
author_sort |
Vera Clemens |
title |
Association of child maltreatment subtypes and long-term physical health in a German representative sample |
title_short |
Association of child maltreatment subtypes and long-term physical health in a German representative sample |
title_full |
Association of child maltreatment subtypes and long-term physical health in a German representative sample |
title_fullStr |
Association of child maltreatment subtypes and long-term physical health in a German representative sample |
title_full_unstemmed |
Association of child maltreatment subtypes and long-term physical health in a German representative sample |
title_sort |
association of child maltreatment subtypes and long-term physical health in a german representative sample |
publisher |
Taylor & Francis Group |
series |
European Journal of Psychotraumatology |
issn |
2000-8198 2000-8066 |
publishDate |
2018-01-01 |
description |
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 increasing 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. |
topic |
Child abuse and neglect child maltreatment physical health outcomes obesity diabetes cancer hypertension chronic obstructive pulmonary disease myocardial infarction stroke |
url |
http://dx.doi.org/10.1080/20008198.2018.1510278 |
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