Dating Violence, Childhood Maltreatment, and BMI From Adolescence to Young Adulthood
Dating Violence, Childhood Maltreatment, and BMI From Adolescence to Young Adulthood
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DOI：
10.1542/peds.2014-1179
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发表时间：
2014-10-01
期刊：
影响因子：
8
通讯作者：
Suglia, Shakira F.
中科院分区：
文献类型：
--
作者：
Clark, Cari Jo;Spencer, Rachael A.;Suglia, Shakira F.
背景和目的：本研究测试是否约会暴力（DV）的受害者是与BMI的增加在整个过渡期从青春期到年轻的成年人，是否性别和以前暴露于儿童虐待修改这种increases.METHODS：数据来自参与者（N = 9295; 49.9%女性）在全国青少年健康纵向研究。根据研究第2、3和4波时测量的身高和体重计算BMI。DV受害测量波2，3和4使用修订后的冲突策略量表的项目。使用具有稳健SE的广义估计方程进行线性回归来检验关联性。模型分层，根据性别和历史的儿童maltreatment.RESULTS：从基线到第4波，BMI平均增加6.5个单位（95%置信区间[CI]：6.2-6.7）和6.8个单位（95% CI：6.5-7.1）的男性和女性，分别，和近一半（45.5%的男性，43.9%的女性）报告DV在某些时候。在分层模型中，DV受害（β：0.3 [95%CI：0.0-0.6]）独立预测女性BMI随时间的增加。暴露于儿童期性虐待放大了与DV受害相关的BMI增加（β：1.3 [95% CI：0.3-2.3]）。没有其他类型的儿童期虐待是DV-BMI关联的重要修饰符。暴力受害是不与BMI之间的男子。结论：筛选和支持DV受害者，特别是妇女谁也经历了童年虐待，可能是必要的，以减少与受害的健康后果的可能性。
BACKGROUND AND OBJECTIVES: This study tested whether dating violence (DV) victimization is associated with increases in BMI across the transition from adolescence to young adulthood and whether gender and previous exposure to child maltreatment modify such increases.METHODS: Data were from participants (N = 9295; 49.9% female) in the National Longitudinal Study of Adolescent Health. BMI was calculated from measured height and weight at waves 2, 3, and 4 of the study. DV victimization was measured at waves 2, 3, and 4 by using items from the revised Conflict Tactics Scales. Linear regression by using generalized estimating equations with robust SEs was used to test the association. Models were stratified according to gender and history of child maltreatment.RESULTS: From baseline to wave 4, BMI increased on average 6.5 units (95% confidence interval [CI]: 6.2-6.7) and 6.8 units (95% CI: 6.5-7.1) among men and women, respectively, and nearly one-half (45.5% of men; 43.9% of women) reported DV at some point. In stratified models, DV victimization (beta: 0.3 [95% CI: 0.0-0.6]) independently predicted BMI increase over time in women. Exposure to childhood sexual abuse magnified the increase in BMI associated with DV victimization (beta: 1.3 [95% CI: 0.3-2.3]). No other types of childhood maltreatment were significant modifiers of the DV-BMI association. Violence victimization was not associated with BMI among men.CONCLUSIONS: Screening and support for DV victims, especially women who have also experienced childhood maltreatment, may be warranted to reduce the likelihood of health consequences associated with victimization.