Childhood physical abuse and midlife physical health: testing a multi-pathway life course model.
Childhood physical abuse and midlife physical health: testing a multi-pathway life course model.
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童年身体虐待和中年身体健康：测试多途径生命历程模型。
DOI：
10.1016/j.socscimed.2009.04.011
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发表时间：
2009
期刊：
影响因子：
--
通讯作者：
Springer,KristenW
中科院分区：
文献类型：
--
作者：
Springer,KristenW
虽然先前的研究已经确定，童年虐待对中年身体健康有不利影响，但目前还不清楚虐待结束后几十年如何继续损害健康。在这个项目中，我评估了四个生命历程路径（健康行为，认知，心理健康和社会关系），这些路径将儿童期身体虐待与三个中年身体健康结果（支气管炎诊断，溃疡诊断和一般身体健康）联系起来。这三种结果在病因学上是不同的，导致独特的可检验的假设。多变量模型控制的童年背景和早期逆境估计使用的数据，从3000多名受访者在威斯康星州纵向研究，美国。结果表明，中年社会关系和认知不作为任何结果的途径。然而，吸烟是连接儿童虐待与支气管炎的关键途径;心理健康对溃疡很重要; BMI，吸烟和心理健康对一般身体健康至关重要。这些研究结果表明，虐待幸存者的应对机制可能导致一系列中年健康问题。此外，研究结果验证了使用横断面数据时，病因学上不同的结果来理解合理的因果途径。
Although prior research has established that childhood abuse adversely affects midlife physical health, it is unclear how abuse continues to harm health decades after the abuse has ended. In this project, I assess four life course pathways (health behaviors, cognition, mental health, and social relation) that plausibly link childhood physical abuse to three midlife physical health outcomes (bronchitis diagnosis, ulcer diagnosis, and general physical health). These three outcomes are etiologically distinct, leading to unique testable hypotheses. Multivariate models controlling for childhood background and early adversity were estimated using data from over 3000 respondents in the Wisconsin Longitudinal Study, USA. The results indicate that midlife social relations and cognition do not function as pathways for any outcome. However, smoking is a crucial pathway connecting childhood abuse with bronchitis; mental health is important for ulcers; and BMI, smoking, and mental health are paramount for general physical health. These findings suggest that abuse survivors' coping mechanisms can lead to an array of midlife health problems. Furthermore, the results validate the use of etiologically distinct outcomes for understanding plausible causal pathways when using cross-sectional data.