Does substantiated childhood maltreatment lead to poor quality of life in young adulthood? Evidence from an Australian birth cohort study
Does substantiated childhood maltreatment lead to poor quality of life in young adulthood? Evidence from an Australian birth cohort study
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DOI：
10.1007/s11136-017-1517-5
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发表时间：
2017-07-01
影响因子：
3.5
通讯作者：
Najman, Jake Moses
中科院分区：
文献类型：
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作者：
Abajobir, Amanuel Alemu;Kisely, Steve;Najman, Jake Moses
为了研究单一和多种形式的证实的儿童期虐待（CM）对生活质量（QoL）的独立影响，控制选定的潜在混杂因素和/或协变量，以及并发的抑郁症状，我们使用了一个前瞻性的出生前队列的8556名母亲的数据，这些母亲在1981年至1983年在布里斯班的Mater医院首次产前门诊就诊时连续招募。澳大利亚这些数据与向儿童保护政府机构报告的14岁以下儿童的经证实的CM病例有关。样本包括3730名（49.7%女性）年轻成人，在21年随访时有完整的QoL数据。参与者的平均年龄为20.6岁。Logistic回归模型用于评估CM和21年随访时测量的QoL之间的关联，暴露于证实的CM和较差的QoL之间存在统计学显著性相关。这也适用于儿童期身体虐待、儿童期情感虐待和忽视的子类别。在调整混杂因素/协变量和并发抑郁症状后，这些相关性基本稳定，但身体虐待除外。CEA与或不忽视显着，特别是预测更糟糕的后续生活质量。暴露于任何证实的虐待大大有助于更糟糕的生活质量在年轻的成年人，与CEA和忽视一个特定的关联。CM的既往经验可能与随后较差的QoL有实质性关联。
To examine the independent effect of single and multiple forms of substantiated childhood maltreatment (CM) on quality of life (QoL), controlling for selected potential confounders and/or covariates, and concurrent depressive symptoms.We used data from a prospective pre-birth cohort of 8556 mothers recruited consecutively during their first antenatal clinic visit at the Mater Hospital from 1981 to 1983 in Brisbane, Australia. The data were linked to substantiated cases of CM reported to the child protection government agency up to the age of 14 years. The sample consisted of 3730 (49.7% female) young adults for whom there were complete data on QoL at the 21-year follow-up. The mean age of participants was 20.6 years. Logistic regression models were used to assess the association between CM and QoL measured at the 21-year follow-up.There were statistically significant associations between exposure to substantiated CM and poorer QoL. This also applied to the subcategories of childhood physical abuse, childhood emotional abuse (CEA), and neglect. These associations were generally stable after adjusting for confounders/covariates and concurrent depressive symptoms, except physical abuse. CEA with or without neglect significantly and particularly predicted worse subsequent QoL.Exposure to any substantiated maltreatment substantially contributed to worse QoL in young adulthood, with a particular association with CEA and neglect. Prior experiences of CM may have a substantial association with subsequent poorer QoL.