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dc.contributor.authorFlaherty, E.G.
dc.contributor.authorThompson, R.
dc.contributor.authorLitrownik, A.J.
dc.contributor.authorTheodore, A.
dc.contributor.authorEnglish, D.J.
dc.contributor.authorBlack, M.M.
dc.contributor.authorWike, T.
dc.contributor.authorWhimper, L.
dc.contributor.authorRunyan, D.K.
dc.contributor.authorDubowitz, H.
dc.date.accessioned2020-02-07T21:37:18Z
dc.date.available2020-02-07T21:37:18Z
dc.date.issued2006
dc.identifier.urihttps://www.scopus.com/inward/record.uri?eid=2-s2.0-33845462008&doi=10.1001%2farchpedi.160.12.1232&partnerID=40&md5=b5aa6f521649fc1669ee35f19d318f52
dc.identifier.urihttp://hdl.handle.net/10713/11886
dc.description.abstractObjective: 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.en_US
dc.description.urihttps://doi.org/10.1001/archpedi.160.12.1232en_US
dc.language.isoen_USen_US
dc.publisherAmerican Medical Associationen_US
dc.relation.ispartofArchives of Pediatrics and Adolescent Medicine
dc.titleEffect of early childhood adversity on child healthen_US
dc.typeArticleen_US
dc.identifier.doi10.1001/archpedi.160.12.1232
dc.identifier.pmid17146020
dc.identifier.ispublishedYes
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