Katie A McLaughlin1, Archana Basu, Kate Walsh, Natalie Slopen, Jennifer A Sumner, Karestan C Koenen, Katherine M Keyes. 1. From the Department of Psychology (McLaughlin), University of Washington; Department of Epidemiology (Basu, Sumner, Koenen), Harvard School of Public Health; Department of Epidemiology (Walsh, Keyes), Mailman School of Public Health, Columbia University; Department of Epidemiology and Biostatistics (Slopen), University of Maryland College Park; and Center for Behavioral Cardiovascular Health (Sumner), Columbia University Medical Center.
Abstract
OBJECTIVES: Exposure to violence is associated with chronic physical conditions in adults. Although violence exposure is common among youths, it is unknown whether violence is associated with chronic physical conditions in childhood and adolescence. We examined the associations of violence exposure with chronic physical conditions in a population-representative sample of US adolescents and determined whether associations were explained by co-occurring mental disorders. METHODS: Data were drawn from the National Comorbidity Survey Replication-Adolescent Supplement (NCS-A), a national cross-sectional survey of 6,483 adolescents (ages 13-17). Lifetime exposure to violence; Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition mood, anxiety, and substance disorders; and self-reported arthritis, frequent headaches, back or neck problems, other chronic pain, asthma, and allergies were assessed. RESULTS: One in 4 (24.99%) adolescents reported exposure to violence. Violence exposure was associated with elevated odds of back/neck pain, headaches, chronic pain, allergies, and asthma (odds ratio [OR], 1.5-2.1; 95% confidence interval [CI], 1.1-3.5) after adjustment for sociodemographics, socioeconomic status, and lifetime mental disorders. Regarding new onsets, violence exposure was associated with greater hazard for subsequent first-onset only of back/neck pain (hazard ratio, 1.9; 95% CI, 1.2-3.0) and headaches (hazard ratio, 1.4; 95% CI, 1.1-1.8), and these associations were explained by early-onset mental disorders. CONCLUSIONS: Childhood violence exposure is associated with chronic physical conditions that emerge early in the life course, although associations are stronger for prevalent than incident conditions. Violence exposure predicts incident pain conditions only, and these associations are explained by mental disorders that begin after violence exposure. Interventions and policies aimed at preventing violence and detecting and treating early-onset mental disorders have the potential to reduce morbidity, mortality, and health disparities beginning early in development.
OBJECTIVES: Exposure to violence is associated with chronic physical conditions in adults. Although violence exposure is common among youths, it is unknown whether violence is associated with chronic physical conditions in childhood and adolescence. We examined the associations of violence exposure with chronic physical conditions in a population-representative sample of US adolescents and determined whether associations were explained by co-occurring mental disorders. METHODS: Data were drawn from the National Comorbidity Survey Replication-Adolescent Supplement (NCS-A), a national cross-sectional survey of 6,483 adolescents (ages 13-17). Lifetime exposure to violence; Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition mood, anxiety, and substance disorders; and self-reported arthritis, frequent headaches, back or neck problems, other chronic pain, asthma, and allergies were assessed. RESULTS: One in 4 (24.99%) adolescents reported exposure to violence. Violence exposure was associated with elevated odds of back/neck pain, headaches, chronic pain, allergies, and asthma (odds ratio [OR], 1.5-2.1; 95% confidence interval [CI], 1.1-3.5) after adjustment for sociodemographics, socioeconomic status, and lifetime mental disorders. Regarding new onsets, violence exposure was associated with greater hazard for subsequent first-onset only of back/neck pain (hazard ratio, 1.9; 95% CI, 1.2-3.0) and headaches (hazard ratio, 1.4; 95% CI, 1.1-1.8), and these associations were explained by early-onset mental disorders. CONCLUSIONS: Childhood violence exposure is associated with chronic physical conditions that emerge early in the life course, although associations are stronger for prevalent than incident conditions. Violence exposure predicts incident pain conditions only, and these associations are explained by mental disorders that begin after violence exposure. Interventions and policies aimed at preventing violence and detecting and treating early-onset mental disorders have the potential to reduce morbidity, mortality, and health disparities beginning early in development.
Authors: Ronald C Kessler; Patricia Berglund; Wai Tat Chiu; Olga Demler; Steven Heeringa; Eva Hiripi; Robert Jin; Beth-Ellen Pennell; Ellen E Walters; Alan Zaslavsky; Hui Zheng Journal: Int J Methods Psychiatr Res Date: 2004 Impact factor: 4.035
Authors: Lucy S King; Natalie L Colich; Joelle LeMoult; Kathryn L Humphreys; Sarah J Ordaz; Alexandria N Price; Ian H Gotlib Journal: Psychoneuroendocrinology Date: 2016-11-24 Impact factor: 4.905
Authors: Eric D Finegood; Edith Chen; Jennifer Kish; Katherine Vause; Adam K K Leigh; Lauren Hoffer; Gregory E Miller Journal: Psychoneuroendocrinology Date: 2020-02-19 Impact factor: 4.905
Authors: Adolfo G Cuevas; Thao Ho; Justin Rodgers; Danielle DeNufrio; Lindsey Alley; Jennifer Allen; David R Williams Journal: Ethn Health Date: 2019-05-07 Impact factor: 2.772
Authors: Elizabeth Andersen; Paul Geiger; Crystal Schiller; Karen Bluth; Lana Watkins; Ying Zhang; Kai Xia; Hafsah Tauseef; Jane Leserman; Susan Girdler; Susan Gaylord Journal: Psychosom Med Date: 2021 Jul-Aug 01 Impact factor: 4.312
Authors: Jeremy Landeo-Gutierrez; Erick Forno; Gregory E Miller; Juan C Celedón Journal: Am J Respir Crit Care Med Date: 2020-04-15 Impact factor: 30.528