Association between maternal intimate partner violence and incident obesity in preschool-aged children: results from the Fragile Families and Child Well-being Study.
Association between maternal intimate partner violence and incident obesity in preschool-aged children: results from the Fragile Families and Child Well-being Study.
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DOI：
10.1001/archpediatrics.2010.94
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发表时间：
2010-06
影响因子：
--
通讯作者：
Wright RJ
中科院分区：
文献类型：
--
作者：
Boynton-Jarrett R;Fargnoli J;Suglia SF;Zuckerman B;Wright RJ
目的探讨母亲亲密伴侣暴力（IPV）的长期性对学龄前儿童肥胖风险的影响。前瞻性队列研究。几个美国大城市。脆弱家庭和儿童福利研究参与者的子样本（n = 1595），他们是1998年至2000年间出生的孩子，他们的父母在基线和12个月、36个月和60个月时接受了采访。母亲报告受到亲密伴侣的限制性虐待、性虐待和身体虐待。慢性IPV被定义为母亲在妊娠期或婴儿期（0-12个月）和幼儿期（36-60个月）暴露于IPV。重复测量儿童身体质量指数。在1595名儿童中，16.5%的儿童在5岁时肥胖，49.4%的母亲报告了某种形式的IPV。与没有IPV暴露的儿童相比，母亲报告慢性IPV的儿童在5岁时肥胖的风险增加（调整后的优势比= 1.80；95%可信区间，1.24-2.61）。分层分析显示，与男孩相比，母亲有慢性IPV病史的女孩肥胖的风险增加（校正优势比= 2.21,95%可信区间为1.30-3.75）（校正优势比= 1.66,95%可信区间为0.94-2.93），而生活在不太安全社区的儿童中，任何母亲IPV对肥胖的影响都更大（校正优势比= 1.56,95%可信区间为1.03-2.36）。慢性母体IPV与学龄前儿童肥胖风险增加有关。预防家庭暴力和改善社区安全可能有助于减少儿童肥胖。
To examine the impact of chronicity of maternal intimate partner violence (IPV) on obesity risk among preschool-aged children. Prospective cohort study. Several large US cities. A subsample of the Fragile Families and Child Well-being Study participants (n = 1595), who were children born between 1998 and 2000 and their parents interviewed at baseline and at 12, 36, and 60 months. Maternal report of restrictive, sexual, and physical abuse from an intimate partner. Chronic IPV was defined as any maternal IPV exposure during both pregnancy or infancy (0–12 months) and early childhood (36–60 months). Repeated measures of child body mass index. Among the 1595 children, 16.5% were obese at age 5 years and 49.4% of the mothers reported some form of IPV. Compared with those who had no IPV exposure, children whose mothers reported chronic IPV had an elevated risk for obesity at age 5 years (adjusted odds ratio = 1.80; 95% confidence interval, 1.24–2.61). Stratified analyses indicated increased risk for obesity among girls with a maternal history of chronic IPV (adjusted odds ratio = 2.21; 95% confidence interval, 1.30–3.75) compared with boys (adjusted odds ratio = 1.66; 95% confidence interval, 0.94–2.93) and a larger effect of any maternal IPV on obesity among children living in less safe neighborhoods (adjusted odds ratio = 1.56; 95% confidence interval, 1.03–2.36). Chronic maternal IPV is associated with increased risk of obesity among preschool-aged children. Preventing family violence and improving community safety may help reduce childhood obesity.