A Prospective Investigation of Physical Health Outcomes in Abused and Neglected Children: New Findings From a 30-Year Follow-Up

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dc.contributor.authorWidom, C. S., Czaja, S. J., Bentley, T., & Johnson, M. S.
dc.date.accessioned2014-11-14T15:21:20Z
dc.date.available2014-11-14T15:21:20Z
dc.date.issued2012
dc.description.abstractObjectives: We investigated whether abused and neglected children are at risk for negative physical health outcomes in adulthood. Methods: Using a prospective cohort design, we matched children (aged 0–11 years) with documented cases of physical and sexual abuse and neglect from a US Midwestern county during 1967 through 1971 with nonmaltreated children. Both groups completed a medical status examination (measured health outcomes and blood tests) and interview during 2003 through 2005 (mean age = 41.2 years). Results: After adjusting for age, gender, and race, child maltreatment predicted above normal hemoglobin, lower albumin levels, poor peak airflow, and vision problems in adulthood. Physical abuse predicted malnutrition, albumin, blood urea nitrogen, and hemoglobin A1C. Neglect predicted hemoglobin A1C, albumin, poor peak airflow, and oral health and vision problems, Sexual abuse predicted hepatitis C and oral health problems. Additional controls for childhood socioeconomic status, adult socioeconomic status, unhealthy behaviors, smoking, and mental health problems play varying roles in attenuating or intensifying these relationships. Conclusions: Child abuse and neglect affect long-term health status—increasing risk for diabetes, lung disease, malnutrition, and vision problems — and support the need for early health care prevention. (Author Abstract)en_US
dc.identifier.citationWidom, C. S., Czaja, S. J., Bentley, T., & Johnson, M. S. (2012). A prospective investigation of physical health outcomes in abused and neglected children: new findings from a 30-year follow-up. American journal of public health, 102(6), 1135-1144.en_US
dc.identifier.urihttp://www.ncbi.nlm.nih.gov/pmc/articles/PMC3483964/pdf/AJPH.2011.300636.pdf
dc.identifier.urihttp://hdl.handle.net/11212/1831
dc.language.isoen_USen_US
dc.publisherAmerican journal of public healthen_US
dc.subjectchild abuseen_US
dc.subjectlong term effectsen_US
dc.subjectmedical effectsen_US
dc.subjectresearchen_US
dc.titleA Prospective Investigation of Physical Health Outcomes in Abused and Neglected Children: New Findings From a 30-Year Follow-Upen_US
dc.typeArticleen_US

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