Ustuner Top Fadime, Cam Hasan Hüseyin
Department of Pediatric Nursing, Faculty of Health Sciences, Giresun University, Giresun, Turkey.
Department of Public Health Nursing, Yusuf Şerefoğlu Faculty of Health Sciences, Kilis 7 Aralık University, Kilis, Turkey.
Psychol Health Med. 2021 Jun;26(5):543-554. doi: 10.1080/13548506.2020.1768274. Epub 2020 May 20.
Childhood maltreatment (CM) is a global problem with serious life-long consequences. The purpose of the present study was to determine the prevalence of CM among university students and to assess the associations between CM and the health-related quality of life (HRQOL) in adulthood. The present descriptive cross-sectional study involved 626 students who had been selected by means of a cluster sampling method from among all the students studying in Giresun University. CM was assessed with the Childhood Trauma Questionnaire at interview and HRQOL was assessed using the Duke Health Profile. Data were analyzed using descriptive statistics, Pearson chi-square tests, independent samples t-test, and binary logistic regression. About half (43.5%) of the students reported exposure to some form of CM. Logistic regression analysis showed that male gender, parental separation or divorce, poorer familial relationships, lower socioeconomic status, smoking and alcohol consumption were significantly associated with CM. A significant correlation emerged between CM and physical health, general health, perceived health, self-esteem, anxiety, pain and disability. CM is common among university students in Turkey. Students who had experienced CM had significant and sustained losses in HRQOL in adulthood relative to students who had not experienced maltreatment.
儿童期虐待（CM）是一个全球性问题，会产生严重的终身后果。本研究的目的是确定大学生中CM的患病率，并评估CM与成年期健康相关生活质量（HRQOL）之间的关联。本描述性横断面研究涉及626名学生，这些学生是通过整群抽样方法从吉雷松大学所有在校学生中挑选出来的。通过访谈使用儿童创伤问卷评估CM，使用杜克健康状况量表评估HRQOL。使用描述性统计、Pearson卡方检验、独立样本t检验和二元逻辑回归分析数据。约一半（43.5%）的学生报告曾遭受某种形式的CM。逻辑回归分析表明，男性、父母分居或离婚、家庭关系较差、社会经济地位较低、吸烟和饮酒与CM显著相关。CM与身体健康、总体健康、感知健康、自尊、焦虑、疼痛和残疾之间存在显著相关性。CM在土耳其大学生中很常见。与未经历虐待的学生相比，经历过CM的学生在成年期的HRQOL有显著且持续的损失。
