Child maltreatment as a predictor of adult physical functioning in a prospective British birth cohort

BMJ Open
Gemma ArcherChristine Power

Abstract

Child maltreatment (abuse and neglect) has established associations with mental health; however, little is known about its relationship with physical functioning. Physical functioning (ie, the ability to perform the physical tasks of daily living) in adulthood is an important outcome to consider, as it is strongly associated with an individual's ability to work, and future disability and dependency. We aimed to establish whether maltreatment was associated with physical functioning, independent of other early-life factors. 1958 British birth cohort. 8150 males and females with data on abuse and who participated at age 50 years. The primary outcome was poor physical functioning at 50 years (<65 on the Short-Form 36 survey physical functioning subscale). Secondary outcomes included mental health and self-reported health at 50 years. 23% of participants reported at least one type of maltreatment; 12% were identified with poor physical functioning. Neglect (ORadj 1.55, 95% CI 1.24 to 1.93), psychological abuse (ORadj 1.49, 1.17-1.88) and sexual abuse (ORadj 2.56, 1.66-3.96) were associated with poor physical functioning independent of other maltreatments and covariates, including childhood social class, birth weight and childhood i...Continue Reading

Citations

Nov 6, 2018·Frontiers in Immunology·Sara SchaeferBethany M Henrick
Jun 13, 2019·The Australian and New Zealand Journal of Psychiatry·Sandesh DhakalJennifer Yf Lau
Jun 21, 2019·International Journal of Epidemiology·Nina Trivedy RogersSnehal M Pinto Pereira
Feb 21, 2021·Cortex; a Journal Devoted to the Study of the Nervous System and Behavior·Juliann B PurcellDavid C Knight
Jul 6, 2019·Annals of Physical and Rehabilitation Medicine·Louis JacobAi Koyanagi
May 13, 2021·BMC Public Health·Alexander JahnTrine Nøhr Winding
May 22, 2021·Journal of Family Medicine and Primary Care·Vinod PaulMonika Pathania
Nov 12, 2021·Disability and Rehabilitation·Michelle M PeboleDavid R Strauser

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