Sana El Mhamdi1,2,3, Andrine Lemieux4, Hela Abroug2, Arwa Ben Salah2,3, Ines Bouanene2,3, Kamel Ben Salem1,2, Mustafa al'Absi4. 1. Department of Preventive and Community Medicine, University Hospital Tahar Sfar, Mahdia, Tunisia. 2. Department of Community Medicine, Faculty of Medicine, University of Monastir, Monastir,Tunisia. 3. Research Laboratory, 'Epidemiology Applied to Maternal and Child Health', Tunisia. 4. Department of Family Medicine and Biobehavioral Health, University of Minnesota Medical School, Duluth, MN, USA.
Abstract
BACKGROUND: We sought to investigate the relationship between social violence and adult overweight/obesity and the role of common mental disorders (CMD) in mediating this relationship. METHODS: A cross-sectional study was conducted from January to June 2016 in Tunisia. Participants were selected from randomly selected Primary Health Care Centers. The Arabic version of the Adverse Childhood Experiences-International Questionnaire (ACE-IQ) was used. RESULTS: A total of 2120 participants were included. Women exposed to social ACEs had higher rates of overweight/obesity than men (13.5 versus 9.5%; P = 0.004). For women, statistically significant partial mediation effects of CMD were observed for exposure to community violence (% mediated = 17.7%). For men, partial mediation was found for the exposure to peer violence (% mediated = 12.5%). CONCLUSION: Our results provide evidence of the independent increase of overweight/obesity after exposure to social ACEs. Efforts to uncover and address underlying trauma in health care settings may increase the effectiveness of obesity interventions.
BACKGROUND: We sought to investigate the relationship between social violence and adult overweight/obesity and the role of common mental disorders (CMD) in mediating this relationship. METHODS: A cross-sectional study was conducted from January to June 2016 in Tunisia. Participants were selected from randomly selected Primary Health Care Centers. The Arabic version of the Adverse Childhood Experiences-International Questionnaire (ACE-IQ) was used. RESULTS: A total of 2120 participants were included. Women exposed to social ACEs had higher rates of overweight/obesity than men (13.5 versus 9.5%; P = 0.004). For women, statistically significant partial mediation effects of CMD were observed for exposure to community violence (% mediated = 17.7%). For men, partial mediation was found for the exposure to peer violence (% mediated = 12.5%). CONCLUSION: Our results provide evidence of the independent increase of overweight/obesity after exposure to social ACEs. Efforts to uncover and address underlying trauma in health care settings may increase the effectiveness of obesity interventions.
Authors: Alexis E Duncan; Carolyn E Sartor; Melissa Jonson-Reid; Melissa A Munn-Chernoff; Michaela A Eschenbacher; Elizabeth W Diemer; Elliot C Nelson; Mary Waldron; Kathleen K Bucholz; Pamela A F Madden; Andrew C Heath Journal: Child Abuse Negl Date: 2015-03-11
Authors: Shana D Stites; Sharnita Midgett; Dawn Mechanic-Hamilton; Megan Zuelsdorff; Crystal M Glover; David X Marquez; Joyce E Balls-Berry; Marissa L Streitz; Ganesh Babulal; Jean-Francois Trani; J Neil Henderson; Lisa L Barnes; Jason Karlawish; Dave A Wolk Journal: Gerontologist Date: 2022-05-26