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Childhood abuse, adult health, and health care utilization: results from a representative community sample.

https://arctichealth.org/en/permalink/ahliterature165077
Source
Am J Epidemiol. 2007 May 1;165(9):1031-8
Publication Type
Article
Date
May-1-2007
Author
M J Chartier
J R Walker
B. Naimark
Author Affiliation
Department of Community Health Sciences, University of Manitoba, Winnipeg, Manitoba, Canada. mariette.chartier@gov.mb.ca
Source
Am J Epidemiol. 2007 May 1;165(9):1031-8
Date
May-1-2007
Language
English
Publication Type
Article
Keywords
Adolescent
Adult
Age Factors
Child
Child Abuse - psychology - statistics & numerical data
Child Abuse, Sexual - psychology - statistics & numerical data
Cross-Sectional Studies
Family Practice - statistics & numerical data
Female
Health Services - utilization
Health Services Needs and Demand - statistics & numerical data
Health Status Indicators
Health Surveys
Humans
Male
Mental Health - statistics & numerical data
Ontario - epidemiology
Pain - epidemiology
Prevalence
Retrospective Studies
Time Factors
Abstract
The long-term consequences of childhood abuse on adult mental health have been a major focus of research. Much less attention has been directed to its effects on physical health outcomes. By use of data from the Ontario Health Survey (n = 9,953), the association between retrospective reports of childhood physical and sexual abuse and adult health and health care utilization was examined in men and women. The population health survey was conducted from November 1990 to March 1991 in the Canadian province of Ontario. An association of moderate strength was found between childhood abuse and multiple health problems, poor or fair self-rated health, pain that interferes with activities, disability due to physical health problems, and frequent emergency room and health professional visits but not frequent general practitioner visits. These effects were more pronounced in females and younger respondents. The strength of the associations reported here with odds ratios of 1.3-2.2 was lower than that found between childhood abuse and adult mental health, with odds ratios of 1.9-3.4. Given the growing evidence of the long-term effects of childhood abuse, greater efforts are clearly needed in developing more effective strategies for the prevention and treatment of child abuse.
PubMed ID
17309899 View in PubMed
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Social phobia and potential childhood risk factors in a community sample.

https://arctichealth.org/en/permalink/ahliterature195510
Source
Psychol Med. 2001 Feb;31(2):307-15
Publication Type
Article
Date
Feb-2001
Author
M J Chartier
J R Walker
M B Stein
Author Affiliation
Department of Community Health Sciences and Department of Clinical Health Psychology, University of Manitoba, Winnipeg, Canada.
Source
Psychol Med. 2001 Feb;31(2):307-15
Date
Feb-2001
Language
English
Publication Type
Article
Keywords
Adolescent
Adult
Canada - epidemiology
Community Mental Health Services
Cross-Sectional Studies
Family - psychology
Female
Humans
Male
Phobic Disorders - diagnosis - epidemiology - etiology
Prevalence
Psychiatric Status Rating Scales
Questionnaires
Retrospective Studies
Risk factors
Abstract
This study examined the relationship between potential childhood risk factors and social phobia in an epidemiological sample. Identifying risk factors such as childhood adversities can often uncover important clues as to the aetiology of a disorder. This information also enables health care providers to predict which individuals are most likely to develop the disorder.
Data came from the Mental Health Supplement to the Ontario Health Survey of a survey of 8116 Canadian respondents, aged 15-64. Social phobia was diagnosed using the Composite International Diagnostic Interview (CIDI). Childhood risk factors were assessed by a series of standardized questions.
A positive relationship was observed between social phobia and lack of close relationship with an adult, not being first born (in males only), marital conflict in the family of origin, parental history of mental disorder, moving more than three times as a child, juvenile justice and child welfare involvement, running away from home, childhood physical and sexual abuse, failing a grade, requirement of special education before age 9 and dropping out of high school. Many of these variables remained significant after controlling for phobias, major depressive disorder and alcohol abuse. The data also suggest that some childhood risk factors may interact with gender to influence the development of social phobia.
Although an association was detected between social phobia and childhood risk factors, naturalistic prospective studies are needed to clarify the aetiological importance of these and other potential risk factors for the disorder.
PubMed ID
11232917 View in PubMed
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