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    Effect of early childhood adversity on child health

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    Author
    Flaherty, E.G.
    Thompson, R.
    Litrownik, A.J.
    Theodore, A.
    English, D.J.
    Black, M.M.
    Wike, T.
    Whimper, L.
    Runyan, D.K.
    Dubowitz, H.
    Date
    2006
    Journal
    Archives of Pediatrics and Adolescent Medicine
    Publisher
    American Medical Association
    Type
    Article
    
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    See at
    https://doi.org/10.1001/archpedi.160.12.1232
    Abstract
    Objective: To examine the effect of child abuse and other household dysfunction on child health outcomes. Design: Data from the Longitudinal Studies of Child Abuse and Neglect collected through interviews and questionnaires administered when target children were 4 years old and 6 years old. Setting: Children in the South, East, Midwest, Northwest, and Southwest United States. Participants: One thousand forty-one children at high risk for child abuse and neglect (3 cohorts derived primarily from among children recruited through social service mechanisms, 1 cohort recruited at birth from among high-risk infants, and 1 cohort recruited from a medical setting). Main Outcome Measures: (1) Association of 7 adverse exposures (3 categories of child abuse [physical abuse, sexual abuse, and psychological maltreatment] and 4 categories of household dysfunction [caregiver problem drinking, caregiver depression, caregiver treated violently, and criminal behavior in the household]) derived from data collected when the child was 4 years old. (2) Indexes of child physical health at age 6 years (caregiver overall assessment of child health and reports of illness requiring medical attention). Results: Two thirds of the sample had experienced at least 1 adverse exposure. One adverse exposure almost doubled the risk of overall poor health (odds ratio, 1.89; 95% confidence interval, 1.02-3.48), and 4 adverse exposures or more almost tripled the risk of illness requiring medical attention (odds ratio, 2.83; 95% confidence interval, 1.10-7.31). Conclusion: Adverse environmental exposures, including child abuse and other household dysfunction, are associated with poor child health even at an early age, although our data do not support a dose-response relationship. �2006 American Medical Association. All rights reserved.
    Identifier to cite or link to this item
    https://www.scopus.com/inward/record.uri?eid=2-s2.0-33845462008&doi=10.1001%2farchpedi.160.12.1232&partnerID=40&md5=b5aa6f521649fc1669ee35f19d318f52; http://hdl.handle.net/10713/11886
    ae974a485f413a2113503eed53cd6c53
    10.1001/archpedi.160.12.1232
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    Dr. Howard Dubowitz

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