The Harmful Effect of Child Maltreatment on Economic Outcomes in Adulthood

The Harmful Effect of Child Maltreatment on Economic Outcomes in Adulthood
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DOI:
10.2105/ajph.2018.304635
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发表时间:
2018-09-01
影响因子:
12.7
通讯作者:
Merrick, Melissa T.
Merrick, Melissa T.
中科院分区:
医学2区
文献类型:
--
作者:
Henry, Kimberly L.;Fulco, Celia J.;Merrick, Melissa T.

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目标.研究童年期虐待对成年后经济压力的影响,以及这种影响在多大程度上受青少年抑郁症状、青少年药物滥用、教育成就下降和第一胎出生时间的影响。我们指定了一个多层次的路径模型来研究儿童虐待的发展级联。我们使用的数据来自一项纵向小组研究,该研究涉及496名参与罗切斯特代际研究的父母,该研究在纽约的罗切斯特进行。数据收集于1988年至2016年。儿童虐待有直接和间接(通过中介)的影响,更大的经济压力,在成年期。虐待有可能破坏青少年和成年早期的健康发展,并使受影响的个人在以后的生活中面临经济困难的风险。虐待是健康和繁荣的一个关键社会决定因素,预防虐待和向受害者提供心理健康和社会服务的举措至关重要。
Objectives. To examine the effect of maltreatment during childhood on subsequent financial strain during adulthood and the extent to which this effect is mediated by adolescent depressive symptoms, adolescent substance abuse, attenuated educational achievement, and timing of first birth.Methods. We specified a multilevel path model to examine the developmental cascade of child maltreatment. We used data from a longitudinal panel study of 496 parents participating in the Rochester Intergenerational Study, in Rochester, New York. Data were collected between 1988 and 2016.Results. Child maltreatment had both a direct and indirect (via the mediators) effect on greater financial strain during adulthood.Conclusions. Maltreatment has the capacity to disrupt healthy development during adolescence and early adulthood and puts the affected individual at risk for economic difficulties later in life. Maltreatment is a key social determinant for health and prosperity, and initiatives to prevent maltreatment and provide mental health and social services to victims are critical.