Tanaka M, Afifi T O, Wathen C N, Boyle M H, MacMillan H L
Department of Psychiatry & Behavioural Neurosciences,Offord Centre for Child Studies,McMaster University,Ontario,Canada.
Departments of Community Health Sciences and Psychiatry,University of Manitoba,Manitoba,Canada.
Epidemiol Psychiatr Sci. 2015 Aug;24(4):353-63. doi: 10.1017/S2045796014000274. Epub 2014 May 1.
Despite the advances in child maltreatment research, there is still the need for comprehensive information about how abuse affects a broad range of categories of young adult functioning, and the extent to which these vary by sex. We examined the associations between child physical abuse (PA) and sexual abuse (SA) and six areas of functioning (mental health, physical health, life satisfaction, illegal substance use, alcohol problems and daily smoking).
Data were obtained from the 1983 Ontario Child Health Study and follow-up in 2000/2001 (n = 1893). Multilevel regression estimated the adjusted associations for PA (with severity) and SA with each of the outcomes. Estimates with an entire sample were presented with sex-by-abuse interactions to examine sex differences and then presented separately by sex.
In the adjusted model, severe PA and SA were associated with impairment in mental health, and both forms of PA (severe and non-severe) and SA were associated with low life satisfaction. In addition, severe PA was associated with illegal substance use. Child abuse variables were not associated with poor physical health, alcohol problems or smoking. Although sex-stratified analyses revealed different patterns, there was no significant sex difference in the integrated sample.
This is among the first community-based studies to show a strong association between child PA and SA and low life satisfaction in young adults. The abuse effects were similar for both sexes.
尽管儿童虐待研究取得了进展，但仍需要全面了解虐待如何影响广泛类别的青年功能，以及这些影响在性别上的差异程度。我们研究了儿童身体虐待（PA）和性虐待（SA）与六个功能领域（心理健康、身体健康、生活满意度、非法药物使用、酒精问题和日常吸烟）之间的关联。
数据来自1983年安大略儿童健康研究及其2000/2001年的随访（n = 1893）。多水平回归估计了PA（及其严重程度）和SA与每个结果的调整后关联。对整个样本的估计呈现了虐待与性别的交互作用，以检验性别差异，然后按性别分别呈现。
在调整后的模型中，严重PA和SA与心理健康受损有关，两种形式的PA（严重和非严重）以及SA都与低生活满意度有关。此外，严重PA与非法药物使用有关。儿童虐待变量与身体健康不佳、酒精问题或吸烟无关。尽管按性别分层的分析显示出不同模式，但在综合样本中没有显著的性别差异。
这是首批基于社区的研究之一，表明儿童PA和SA与青年低生活满意度之间存在密切关联。虐待对两性的影响相似。
