School of Public Health, The University of Queensland, Public Health Building, Herston 4006, Queensland, Australia.
School of Medicine, University of Queensland, Princess Alexandra Hospital, 199 Ipswich Road, Woolloongabba 4102, Queensland, Australia; Departments of Psychiatry, Community Health and Epidemiology, Dalhousie University, Canada.
Child Abuse Negl. 2017 Feb;64:71-78. doi: 10.1016/j.chiabu.2016.12.010. Epub 2016 Dec 28.
Early life stress including childhood maltreatment has been associated with reduced head circumference and/or brain size, cognitive, and academic deficits in children and adolescents. However, little is known about the effect of childhood maltreatment on height, especially in early adulthood. This study was designed to examine the association between confirmed cases of multiple or subtypes of childhood maltreatment and stunted growth in young adulthood controlling for perinatal and familial confounding factors. A total of 2661 (48.4% female) young adults from the Mater Hospital-University Study of Pregnancy (MUSP) had data on standardised height-for-age score measurement as part of physical assessment at the 21-year follow-up. Prospectively substantiated cases of childhood maltreatment, 0-14 years of age, were linked to the MUSP dataset. Ethical approval was obtained from the Human Ethics Review Committee of The University of Queensland and the Mater Hospital. Multiple regression analyses were performed to determine the effects of childhood maltreatment on height in young adults. Childhood physical or emotional abuse and neglect were significantly associated with a deficit in height in young adulthood after controlling for perinatal and familial confounders. Multiple incidents of childhood maltreatment also were associated with a deficit in height.
早期生活压力,包括儿童期虐待,与儿童和青少年的头围和/或大脑体积缩小、认知和学业缺陷有关。然而,关于儿童虐待对身高的影响,特别是在成年早期的影响,人们知之甚少。本研究旨在探讨在控制围产期和家庭混杂因素的情况下,经证实的多种或亚型儿童虐待与青年期生长迟缓之间的关系。共有 2661 名(48.4%为女性)来自 Mater 医院-怀孕研究(MUSP)的年轻人,在 21 岁随访时的身体评估中,有标准化身高-年龄评分测量的数据。0-14 岁时前瞻性证实的儿童虐待病例与 MUSP 数据集相关联。本研究获得了昆士兰大学和 Mater 医院人类伦理审查委员会的伦理批准。采用多元回归分析来确定儿童虐待对年轻人身高的影响。在控制围产期和家庭混杂因素后,儿童期身体或情感虐待和忽视与青年期身高缺陷显著相关。多次发生的儿童虐待也与身高缺陷有关。