Gillian England-Mason1,2, Rebecca Casey3, Mark Ferro4,5, Harriet L MacMillan2,5, Lil Tonmyr6, Andrea Gonzalez7,8. 1. Neuroscience Graduate Program, McMaster University, Hamilton, ON, Canada. 2. Department of Psychiatry and Behavioural Neurosciences, McMaster University, 1280 Main Street West, MIP 201A, Hamilton, ON, L8S 4K1, Canada. 3. Department of Political Science, York University, Toronto, ON, Canada. 4. School of Public Health and Health Systems, University of Waterloo, Waterloo, ON, Canada. 5. Offord Centre for Child Studies, McMaster University, Hamilton, ON, Canada. 6. Centre for Chronic Disease Prevention, Public Health Agency of Canada, Ottawa, Canada. 7. Department of Psychiatry and Behavioural Neurosciences, McMaster University, 1280 Main Street West, MIP 201A, Hamilton, ON, L8S 4K1, Canada. gonzal@mcmaster.ca. 8. Offord Centre for Child Studies, McMaster University, Hamilton, ON, Canada. gonzal@mcmaster.ca.
Abstract
OBJECTIVES: This study investigated associations between three types of child maltreatment (exposure to intimate partner violence, sexual, and physical abuse) and multimorbidity (chronic physical conditions, pain conditions, and mental disorders) in adults. METHODS: Multinomial logistic regression was used to analyze weighted data from the 2012 Canadian Community Health Survey (CCHS - MH 2012), a representative population sample (N = 23,846) of respondents ages 18+. RESULTS: All three subtypes of child maltreatment independently predicted increased odds of experiencing multimorbidity as an adult, while adjusting for covariates (adjusted odds ratios ranged from 1.34 (95% CI = 1.00, 1.80) to 4.87 (95% CI = 2.75, 8.63)). A dose-response relationship between the number of child maltreatment subtypes and risk for multimorbidity was also observed (adjusted odds ratios ranged from 1.38 (95% CI = 1.11, 1.73) to 10.96 (95% CI = 6.12, 19.64)). CONCLUSION: The current results highlight the importance of considering a range of childhood adversities and suggest that public health approaches that aim to decrease the prevalence and severity of child maltreatment have the potential to ameliorate adult multimorbidities. Future research is encouraged to investigate these issues using longitudinal population-level data.
OBJECTIVES: This study investigated associations between three types of child maltreatment (exposure to intimate partner violence, sexual, and physical abuse) and multimorbidity (chronic physical conditions, pain conditions, and mental disorders) in adults. METHODS: Multinomial logistic regression was used to analyze weighted data from the 2012 Canadian Community Health Survey (CCHS - MH 2012), a representative population sample (N = 23,846) of respondents ages 18+. RESULTS: All three subtypes of child maltreatment independently predicted increased odds of experiencing multimorbidity as an adult, while adjusting for covariates (adjusted odds ratios ranged from 1.34 (95% CI = 1.00, 1.80) to 4.87 (95% CI = 2.75, 8.63)). A dose-response relationship between the number of child maltreatment subtypes and risk for multimorbidity was also observed (adjusted odds ratios ranged from 1.38 (95% CI = 1.11, 1.73) to 10.96 (95% CI = 6.12, 19.64)). CONCLUSION: The current results highlight the importance of considering a range of childhood adversities and suggest that public health approaches that aim to decrease the prevalence and severity of child maltreatment have the potential to ameliorate adult multimorbidities. Future research is encouraged to investigate these issues using longitudinal population-level data.
Entities:
Keywords:
Child abuse; Chronic disease; Intimate partner violence; Mental disorder; Public health
Authors: Colleen M Davison; Susan J Thanabalasingam; Eva M Purkey; Imaan Bayoumi Journal: Int J Environ Res Public Health Date: 2021-06-25 Impact factor: 3.390