Department of Epidemiology, Rollins School of Public Health, Emory University, United States of America.
Department of Epidemiology, Rollins School of Public Health, Emory University, United States of America.
Prev Med. 2020 Oct;139:106176. doi: 10.1016/j.ypmed.2020.106176. Epub 2020 Jun 24.
Child maltreatment is common and has been associated with substance use addictions, yet few studies have examined associations with potentially addictive dietary and screen time behaviors. The goal of this study was to assess associations between retrospectively self-reported child maltreatment (sexual abuse, physical abuse, emotional abuse, and neglect) and excessive self-reported dietary (sugar sweetened beverage and fast food consumption) and screen time behaviors (television/video watching and leisure time computer use) in early adulthood, overall and by sex and race/ethnicity. Associations were examined using data from 10,813 participants 24-32 years old from the National Longitudinal Study of Adolescent to Adult Health. We used predicted marginal proportions accounting for the complex sample design to obtain prevalence ratios (PRs) and adjusted for demographic characteristics and physical activity. In females, exposure to poly-maltreatment (2+ types of child maltreatment) was associated with excessive sugar sweetened beverage consumption, television/video watching, and leisure time computer use; in males, exposure to poly-maltreatment was associated with excessive sugar sweetened beverage consumption, television/video watching, and fast food consumption. Some associations were particularly strong in racial/ethnic minorities, especially Latina females (poly-maltreatment-sugar sweetened beverage association: aPR = 6.14, 95% CI:2.12, 17.75; poly-maltreatment-computer use association: aPR = 3.08, 95% CI:1.44, 6.58). These findings show that child maltreatment is associated with excessive dietary and screen time behaviors into adulthood, and these associations are present in racial/ethnic groups at high risk of cardiometabolic disease. Extension of an addiction paradigm to include dietary and screen time behaviors may inform health risks and disease prevention efforts in child maltreatment survivors.
儿童虐待很常见，与物质使用成瘾有关，但很少有研究探讨与潜在成瘾性的饮食和屏幕时间行为的关联。本研究的目的是评估在成年早期， retrospectively 自我报告的儿童虐待（性虐待、身体虐待、情感虐待和忽视）与过度自我报告的饮食（含糖饮料和快餐消费）和屏幕时间行为（看电视/视频和闲暇时间电脑使用）之间的关联，总体上以及按性别和种族/族裔进行评估。使用来自国家青少年至成人健康纵向研究的 10813 名 24-32 岁参与者的数据，我们使用预测边缘比例，考虑到复杂的样本设计，获得患病率比（PR），并调整了人口统计学特征和身体活动。在女性中，暴露于多型虐待（2 种或多种类型的儿童虐待）与过度饮用含糖饮料、看电视/视频和闲暇时间使用电脑有关；在男性中，暴露于多型虐待与过度饮用含糖饮料、看电视/视频和快餐消费有关。在种族/族裔少数群体中，特别是拉丁裔女性，一些关联尤其强烈（多型虐待-含糖饮料关联：aPR=6.14，95%CI：2.12，17.75；多型虐待-电脑使用关联：aPR=3.08，95%CI：1.44，6.58）。这些发现表明，儿童虐待与成年后过度的饮食和屏幕时间行为有关，而且这些关联存在于心血管代谢疾病高危的种族/族裔群体中。将成瘾范式扩展到饮食和屏幕时间行为中，可能会为儿童虐待幸存者的健康风险和疾病预防工作提供信息。
