The UMB Digital Archive is getting an upgrade! The upgrade requires a content freeze starting 1/27/25 and is expected to last two weeks. Any new user accounts or submissions made to the Archive during this time will not be transferred to the upgraded site. Contact ArchiveHelp@hshsl.umaryland.edu for questions.

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
2006Journal
Archives of Pediatrics and Adolescent MedicinePublisher
American Medical AssociationType
Article
Metadata
Show full item recordAbstract
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/10713/11886ae974a485f413a2113503eed53cd6c53
10.1001/archpedi.160.12.1232
Scopus Count
Collections
Related articles
- Antenatal psychosocial risk factors associated with adverse postpartum family outcomes.
- Authors: Wilson LM, Reid AJ, Midmer DK, Biringer A, Carroll JC, Stewart DE
- Issue date: 1996 Mar 15
- Adverse childhood exposures and reported child health at age 12.
- Authors: Flaherty EG, Thompson R, Litrownik AJ, Zolotor AJ, Dubowitz H, Runyan DK, English DJ, Everson MD
- Issue date: 2009 May-Jun
- Adverse childhood experiences and child health in early adolescence.
- Authors: Flaherty EG, Thompson R, Dubowitz H, Harvey EM, English DJ, Proctor LJ, Runyan DK
- Issue date: 2013 Jul
- A prospective investigation of major depressive disorder and comorbidity in abused and neglected children grown up.
- Authors: Widom CS, DuMont K, Czaja SJ
- Issue date: 2007 Jan
- Effects of child abuse and neglect: does social capital really matter?
- Authors: Saluja G, Kotch J, Lee LC
- Issue date: 2003 Jul