Developmental timing of child maltreatment in relation to obesity and substance use disorder in late adolescence.
Developmental timing of child maltreatment in relation to obesity and substance use disorder in late adolescence.
复制标题
与青春期后期肥胖和物质使用障碍相关的儿童虐待的发育时间。
DOI：
10.1037/vio0000495
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发表时间：
2024
影响因子：
2.8
通讯作者：
Wu,Jingwei
中科院分区：
文献类型：
--
作者：
Kobulsky,Julia;Schroeder,Krista;Schuler,Brittany;Patrick,EmilyL;Lang,Yanda;Wu,Jingwei
目的肥胖和药物使用是主要的可预防的死亡原因，但人们对它们的暴力来源仍知之甚少。这项研究考察了儿童虐待与肥胖和青春期晚期物质使用障碍(SUD)症状的关系，确定了儿童虐待类型和时间以及性别的作用。方法样本(N=1,161)来自儿童虐待和忽视纵向研究。在18岁时测量肥胖和SOD。结果青春期情绪虐待与肥胖(OR=2.03，95%CI[1.25，3.30])、SOD(OR=2.00，95%CI[1.20，3.35])和青少年身体虐待伴肥胖(OR=2.20，95%CI[1.36，3.58])相关。在女童中，儿童期早期躯体虐待与躯体功能障碍(OR=2.35，95%CI[1.08，5.12])、青春期情感虐待(OR=2.16，95%CI[1.10，4.23])和躯体功能障碍(OR=3.21，95%CI[1.37，7.35])相关。青春期身体虐待和肥胖与男孩相关(OR=3.18，95%CI[1.45，6.98])。性别适度与女孩的监督疏忽和肥胖之间存在负相关关系(OR=。26，95%可信区间[。07、。99])。结论虐待儿童的类型和时间决定了虐待儿童的效果，取决于性别。关注青春期情感虐待的干预可能会同时减少SUD和肥胖症。
ObjectiveObesity and substance use are leading preventable causes of mortality, yet their origins in violence remain poorly understood. This study examined child maltreatment in relation to obesity and symptoms consistent with substance use disorder (SUD) in late adolescence, determining the roles of the child maltreatment type and timing, and gender.MethodThe sample (N= 1,161) was drawn from the Longitudinal Studies of Child Abuse and Neglect. Obesity and SUD were measured at 18 years. Lifetime child protective services records and youth self-reports indicated physical abuse, sexual abuse, supervisory neglect, failure-to-provide neglect, and emotional maltreatment during early childhood, middle childhood, and adolescence.ResultsIn the overall sample, emotional maltreatment during adolescence was associated with obesity (OR= 2.03, 95% CI [1.25, 3.30]) and SUD (OR= 2.00, 95% CI [1.20, 3.35]), and adolescent physical abuse with obesity (OR= 2.20, 95% CI [1.36, 3.58]). In girls, early childhood physical abuse was associated with SUD (OR= 2.35, 95% CI [1.08, 5.12]), and emotional maltreatment during adolescence with obesity (OR= 2.16, 95% CI [1.10, 4.23]) and SUD (OR= 3.21, 95% CI [1.37, 7.3 5]). Adolescent physical abuse and obesity were associated in boys (OR= 3.18, 95% CI [1.45, 6.98]). Gender moderation was identified for an inverse relationship between supervisory neglect and obesity in girls (OR=. 26, 95% CI [. 07,. 99]).ConclusionsType and timing contribute to the effects of child maltreatment, contingent upon gender. Intervention focused on adolescent emotional maltreatment may reduce both SUD and obesity.