Shenk Chad E, Noll Jennie G, Peugh James L, Griffin Amanda M, Bensman Heather E
Department of Human Development and Family Studies, The Pennsylvania State University, Division of Child Abuse Pediatrics, The Pennsylvania State University Hershey Medical Center,
Department of Human Development and Family Studies, The Pennsylvania State University.
J Pediatr Psychol. 2016 Jan-Feb;41(1):37-45. doi: 10.1093/jpepsy/jsv017. Epub 2015 Mar 21.
To evaluate the impact of contamination, or the presence of child maltreatment in a comparison condition, when estimating the broad, longitudinal effects of child maltreatment on female health at the transition to adulthood.
The Female Adolescent Development Study (N = 514; age range: 14-19 years) used a prospective cohort design to examine the effects of substantiated child maltreatment on teenage births, obesity, major depression, and past-month cigarette use. Contamination was controlled via a multimethod strategy that used both adolescent self-report and Child Protective Services records to remove cases of child maltreatment from the comparison condition.
Substantiated child maltreatment significantly predicted each outcome, relative risks = 1.47-2.95, 95% confidence intervals: 1.03-7.06, with increases in corresponding effect size magnitudes, only when contamination was controlled using the multimethod strategy.
Contamination truncates risk estimates of child maltreatment and controlling it can strengthen overall conclusions about the effects of child maltreatment on female health.
在评估儿童期受虐待对成年过渡阶段女性健康的广泛、长期影响时，评估污染或对照条件下存在儿童期受虐待情况的影响。
女性青少年发展研究（N = 514；年龄范围：14 - 19岁）采用前瞻性队列设计，以研究经证实的儿童期受虐待对青少年生育、肥胖、重度抑郁和过去一个月吸烟情况的影响。通过多方法策略控制污染，该策略利用青少年自我报告和儿童保护服务记录，从对照条件中排除儿童期受虐待的案例。
仅在使用多方法策略控制污染时，经证实的儿童期受虐待显著预测了每个结果，相对风险 = 1.47 - 2.95，95%置信区间：1.03 - 7.06，且相应效应大小幅度增加。
污染会截断儿童期受虐待的风险估计，对其进行控制可强化关于儿童期受虐待对女性健康影响的总体结论。
