George Warren Brown School of Social Work, Washington University in St. Louis, Campus Box 1196, 1 Brookings Drive, St Louis, MO 63130, USA.
J Pediatr Psychol. 2010 Jun;35(5):511-22. doi: 10.1093/jpepsy/jsp086. Epub 2009 Oct 1.
To examine if maltreatment predicted increased risk of hospital-based treatment prior to age 18 years for asthma, cardio-respiratory, and non-sexually transmitted infectious disease in a sample of low-income children.
This study used administrative data from multiple systems to follow children for 12-18 years (N = 6,282). Cox regression was used to explore the risk of first hospital treatment by disease category. Negative binomial regression was used to explore the relationship between recurrent maltreatment and total hospital care episodes.
Controlling for individual, family, and community factors, children with maltreatment reports had a 74-100% higher risk of hospital treatment. Recurrent reports predicted a higher count of hospital care episodes.
The negative health impact of maltreatment prior to adulthood supports the need for early prevention and intervention to prevent initial and recurrent child abuse and improve capacity to meet healthcare needs of maltreated children.
在一个低收入儿童样本中，研究虐待是否预示着在 18 岁之前因哮喘、心肺和非性传播传染病而接受医院治疗的风险增加。
本研究使用来自多个系统的行政数据，对儿童进行了 12-18 年的随访（N=6282）。采用 Cox 回归分析探讨了疾病类别首次住院治疗的风险。采用负二项回归分析探讨了反复虐待与总住院护理次数之间的关系。
在控制个体、家庭和社区因素后，有虐待报告的儿童接受医院治疗的风险增加了 74%-100%。反复报告预示着更高的住院护理次数。
在成年之前，虐待对健康的负面影响支持了早期预防和干预的必要性，以防止初始和反复的儿童虐待，并提高满足受虐待儿童医疗需求的能力。
