Baiden Philip, Panisch Lisa S, Onyeaka Henry K, LaBrenz Catherine A, Kim Yeonwoo
The University of Texas at Arlington, School of Social Work, 211 S. Cooper St., Box 19129, Arlington, TX 76019, United States.
University of Rochester Medical Center, Department of Psychiatry, Center for the Study and Prevention of Suicide, 300 Crittenden Blvd., Rochester, NY 14642, United States.
Prev Med Rep. 2021 Jun 24;23:101463. doi: 10.1016/j.pmedr.2021.101463. eCollection 2021 Sep.
The objective of this cross-sectional study was to investigate childhood physical and sexual abuse as factors associated with arthritis among adults from selected states in the United States. Data for this study came from the 2019 Behavioral Risk Factor Surveillance System survey. An analytic sample of 75,717 adults 18-75 years old (49.7% female) was analyzed using log-binomial regression. The outcome variable investigated in this study was arthritis, and the main explanatory variables were childhood physical and sexual abuse. Of the 75,717 respondents examined, 20,938 (representing 27.6%) had arthritis. A little over one in four respondents (25.5%) experienced childhood physical abuse and 5.6% experienced childhood sexual abuse by age 18. In the multivariable regression, respondents who experienced childhood physical abuse had 1.36 times the risk of having arthritis when compared to respondents who did not experience childhood physical abuse ( = 1.36, < .001, 95% CI = 1.28-1.46). Respondents who experienced childhood sexual abuse had 1.60 times the risk of having arthritis when compared to respondents who did not experience childhood sexual abuse ( = 1.74, < .001, 95% CI = 1.54-1.97). The findings of this study demonstrate that childhood physical and sexual abuse are associated with arthritis later in adulthood. The associations persisted even after adjusting for demographic, socioeconomic status, body mass index (BMI), current smoking status, and self-perceived physical health. The findings of this study add to the burgeoning number of studies demonstrating the adverse impact of childhood physical and sexual abuse on chronic health outcomes among adults.
这项横断面研究的目的是调查童年时期遭受身体虐待和性虐待是否为美国特定州成年人患关节炎的相关因素。本研究的数据来自2019年行为危险因素监测系统调查。使用对数二项回归分析了一个由75717名18至75岁成年人（49.7%为女性）组成的分析样本。本研究调查的结果变量是关节炎，主要解释变量是童年时期的身体虐待和性虐待。在接受检查的75717名受访者中，有20938人（占27.6%）患有关节炎。略多于四分之一的受访者（25.5%）在18岁前经历过童年身体虐待，5.6%经历过童年性虐待。在多变量回归中，与未经历童年身体虐待的受访者相比，经历过童年身体虐待的受访者患关节炎的风险是其1.36倍（RR = 1.36，P <.001，95%CI = 1.28 - 1.46）。与未经历童年性虐待的受访者相比，经历过童年性虐待的受访者患关节炎的风险是其1.60倍（RR = 1.74，P <.001，95%CI = 1.54 - 1.97）。本研究结果表明，童年时期的身体虐待和性虐待与成年后期患关节炎有关。即使在对人口统计学、社会经济地位、体重指数（BMI）、当前吸烟状况和自我感知的身体健康进行调整后，这种关联仍然存在。本研究结果进一步增加了越来越多的研究数量，这些研究表明童年时期的身体虐待和性虐待对成年人慢性健康结果有不利影响。
