The relationship between child abuse and adult obesity among California women
The relationship between child abuse and adult obesity among California women
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DOI：
10.1016/j.amepre.2007.02.036
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发表时间：
2007-07-01
影响因子：
5.5
通讯作者：
Kimerling, Rachel
中科院分区：
文献类型：
--
作者：
Alvarez, Jennifer;Pavao, Joanne;Kimerling, Rachel
背景资料：尽管临床研究表明虐待儿童与成人肥胖有关，但很少有研究是在大规模社区或州为基础的样本中进行的。本研究探讨虐待儿童和成人肥胖之间的关系，相对于其他危险因素，如人口统计学，粮食不安全，水果和蔬菜消费不足，缺乏体育锻炼，在一个有代表性的样本的加州women.Methods：数据来自加州妇女的健康调查，一个国家为基础的，随机数字拨号每年的概率调查加州妇女。参与者包括11，115名年龄在18岁或以上的非妊娠女性，她们提供了所有研究变量的完整数据。电话采访包括评估虐待儿童（从创伤应激量表中提取），食品不安全，感知压力，体力活动，水果和蔬菜消费，身高和体重。结果：肥胖妇女（BMI ≥ 30）报告儿童虐待的可能性显著高于对照组（OR =1.32，95%可信区间CI =1.23-1.42）。在一个多变量模型中调整了年龄，种族/民族，教育，粮食不安全，水果和蔬菜消费不足，缺乏身体活动，和感知的压力，暴露于儿童虐待的妇女仍然显着更可能是肥胖比未暴露的妇女（调整OR=1.27，95%CI =1.13-1.40）。与任何类型的虐待相关的肥胖的人口归因分数为4.5%（95%CI =2.28-6.55）。结论：暴露于儿童虐待与成年肥胖之间的加州妇女，甚至占其他相关变量。这支持了这样一种观点，即虐待儿童及其后遗症可能是公共卫生干预的重要目标，特别是在已知虐待儿童流行率很高的亚人群中。
Background: Despite clinical studies suggesting that child abuse is associated with adult obesity, very few studies have been conducted with large community or state-based samples. This study examines the relationship between child abuse and adult obesity, relative to other risk factors such as demographics, food insecurity, inadequate fruit and vegetable consumption, and physical inactivity, in a representative sample of California women.Methods: Data are from the California Women's Health Survey, a state-based, random-digit-dial annual probability survey of California women. Participants included 11,115 nonpregnant women aged 18 or older, who provided complete data for all study variables. The telephone interview included assessment of child abuse (abstracted from the Traumatic Stress Schedule), food insecurity, perceived stress, physical activity, fruit and vegetable consumption, height, and weight. Data were collected in 2002, 2003, and 2004, and analyzed in 2006.Results: Obese (body mass index [BMI] of 30 or higher) women were significantly more likely to report exposure to child abuse (odds ratio [OR]=1.32, 95% confidence interval [CI]=1.23-1.42). In a multivariate model adjusted for age, race/ethnicity, education, food insecurity, inadequate fruit and vegetable consumption, physical inactivity, and perceived stress, women exposed to child abuse remained significantly more likely to be obese than unexposed women (adjusted OR=1.27, 95% CI=1.13-1.40). The population-attributable fraction of obesity associated with any type of abuse was 4.5% (95% CI=2.28-6.55).Conclusions: Exposure to child abuse is associated with adult obesity among California women, even accounting for other relevant variables. This supports the notion that child abuse and its sequelae may be important targets for public health intervention, particularly in subpopulations where the prevalence of child abuse is known to be high.