Olomouc University Social Health Institute, Palacky University Olomouc, Univerzitní 22, 771 11, Olomouc, Czech Republic.
Psychiatric-Psychotherapeutic Outpatient Clinic, Pro mente sana, Heydukova 27, 811 08, Bratislava, Slovakia.
BMC Public Health. 2022 Sep 19;22(1):1769. doi: 10.1186/s12889-022-14160-2.
The abuse and neglect of a child is a major public health problem with serious psychosocial, health and economic consequences. The aim of this study was to assess the relationship between various types of childhood trauma, selected long-term diseases and alcohol and nicotine use disorder in Czech and Slovak representative samples.
Data on retrospective reporting about selected long-term diseases, alcohol and nicotine use disorder (CAGE Questionnaire) and childhood maltreatment (Childhood Trauma Questionnaire; CTQ) in two representative samples (Czech sample: n = 1800, 48.7% men, mean age 46.61 ± 17.4; Slovak sample: n = 1018, 48.7% men, mean age: 46.2 ± 16.6) was collected. Multinomial logistic regression models were used to assess the relationships between childhood maltreatment and long-term diseases.
There is a higher occurrence of some long-term diseases (such as diabetes, obesity, allergy, asthma) and alcohol and nicotine use disorder in the Czech sample; however, in the Slovak sample the associations between child maltreatment and long-term diseases are stronger overall. Emotional abuse predicts the occurrence of all the studied long-term diseases, and the concurrent occurrence of emotional abuse and neglect significantly predicts the reporting of most diseases. All types of childhood trauma were strong predictors of reporting the occurrence of three or more long-term diseases.
The extent of reporting childhood trauma and associations with long-term diseases in the Czech and Slovak population is a challenge for the strengthening of preventive and therapeutic programmes in psychosocial and psychiatric care for children and adolescents to prevent later negative consequences on health.
儿童虐待和忽视是一个重大的公共卫生问题，会带来严重的心理社会、健康和经济后果。本研究旨在评估捷克和斯洛伐克代表性样本中各种类型的儿童创伤与选定的长期疾病以及酒精和尼古丁使用障碍之间的关系。
在两个代表性样本（捷克样本：n=1800，48.7%男性，平均年龄 46.61±17.4；斯洛伐克样本：n=1018，48.7%男性，平均年龄：46.2±16.6）中收集了关于选定的长期疾病、酒精和尼古丁使用障碍（CAGE 问卷）以及儿童期虐待（儿童期创伤问卷；CTQ）的回溯报告数据。使用多项逻辑回归模型评估儿童虐待与长期疾病之间的关系。
在捷克样本中，某些长期疾病（如糖尿病、肥胖症、过敏、哮喘）和酒精及尼古丁使用障碍的发生率较高；然而，在斯洛伐克样本中，儿童虐待与长期疾病之间的关联总体上更为强烈。情感虐待预测所有研究的长期疾病的发生，而情感虐待和忽视的同时发生显著预测大多数疾病的报告。所有类型的儿童创伤都是报告三种或更多长期疾病发生的强烈预测因素。
在捷克和斯洛伐克人群中，报告儿童创伤的程度以及与长期疾病的关联是加强儿童和青少年心理社会和精神保健预防和治疗计划的挑战，以预防以后对健康产生负面影响。
