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    Adverse Childhood Exposures and Reported Child Health at Age 12

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    Author
    Flaherty, E.G.
    Thompson, R.
    Litrownik, A.J.
    Zolotor, A.J.
    Dubowitz, H.
    Runyan, D.K.
    English, D.J.
    Everson, M.D.
    Date
    2009
    Journal
    Academic Pediatrics
    Publisher
    Elsevier
    Type
    Article
    
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    See at
    https://doi.org/10.1016/j.acap.2008.11.003
    Abstract
    Objective: The relationship between adverse childhood exposures and poor health, illness, and somatic complaints at age 12 was examined. Methods: LONGSCAN (Consortium for Longitudinal Studies of Child Abuse and Neglect) tracks a group of children with variable risk for maltreatment. Of the participating child-caregiver dyads, 805 completed an interview when the child was age 4 or age 6, as well as interviews at age 8 and 12. The relationships between 8 categories of childhood adversity (psychological maltreatment, physical abuse, sexual abuse, child neglect, caregiver's substance/alcohol use, caregiver's depressive symptoms, caregiver's being treated violently, and criminal behavior in the household) and child health at age 12 were analyzed. The impact of adversity in the first 6 years of life and adversity in the second 6 years of life on child health were compared. Results: Only 10% of the children had experienced no adversity, while more than 20% had experienced 5 or more types of childhood adversity. At age 12, 37% of the children sampled had some health complaint. Exposure to 5 or more adversities, particularly exposure in the second 6 years of life, was significantly associated with increased risks of any health complaint (odds ratio [OR] 2.24, 95% confidence interval [95% CI] 1.02-4.96), an illness requiring a doctor (OR 3.69, 95% CI 1.02-15.1), and caregivers' reports of child's somatic complaints (OR 3.37, 95% CI 1.14-1.0). There was no association between adverse exposures and self-rated poor health or self-rated somatic complaints. Conclusions: A comprehensive assessment of children's health should include a careful history of their past exposure to adverse conditions and maltreatment. Interventions aimed at reducing these exposures may result in better child health. Copyright 2009 Academic Pediatric Association.
    Sponsors
    This research was sponsored by grants from the Office of Child Abuse and Neglect to the Consortium of Longitudinal Studies on Child Abuse and Neglect (LONGSCAN).
    Keyword
    adverse childhood experiences
    child abuse
    child neglect
    health outcomes
    longitudinal studies
    Identifier to cite or link to this item
    https://www.scopus.com/inward/record.uri?eid=2-s2.0-65549136414&doi=10.1016%2fj.acap.2008.11.003&partnerID=40&md5=95c974aeac25fc57b04ab0c8327834de; http://hdl.handle.net/10713/11861
    ae974a485f413a2113503eed53cd6c53
    10.1016/j.acap.2008.11.003
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    Dr. Howard Dubowitz

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