TY  - JOUR
PY  - 2006//
TI  - Effect of Early Childhood Adversity on Child Health
JO  - Archives of pediatrics and adolescent medicine
A1  - Flaherty, Emalee Gottbrath
A1  - Thompson, Ricardo
A1  - Litrownik, Alan J.
A1  - Theodore, Adrea
A1  - English, D. J.
A1  - Black, Maureen M.
A1  - Wike, Traci
A1  - Whimper, Lakecia
A1  - Runyan, Desmond Kimo
A1  - Dubowitz, Howard
SP  - 1232
EP  - 1238
VL  - 160
IS  - 12
N2  - OBJECTIVE: To examine the effect of child abuse and other household dysfunction on child health outcomes. DESIGN: Data from the Longitudinal Studies of Child Abuse and Neglect collected through interviews and questionnaires administered when target children were 4 years old and 6 years old. SETTING: Children in the South, East, Midwest, Northwest, and Southwest United States. PARTICIPANTS: One thousand forty-one children at high risk for child abuse and neglect (3 cohorts derived primarily from among children recruited through social service mechanisms, 1 cohort recruited at birth from among high-risk infants, and 1 cohort recruited from a medical setting). MAIN OUTCOME MEASURES: (1) Association of 7 adverse exposures (3 categories of child abuse [physical abuse, sexual abuse, and psychological maltreatment] and 4 categories of household dysfunction [caregiver problem drinking, caregiver depression, caregiver treated violently, and criminal behavior in the household]) derived from data collected when the child was 4 years old. (2) Indexes of child physical health at age 6 years (caregiver overall assessment of child health and reports of illness requiring medical attention). RESULTS: Two thirds of the sample had experienced at least 1 adverse exposure. One adverse exposure almost doubled the risk of overall poor health (odds ratio, 1.89; 95% confidence interval, 1.02-3.48), and 4 adverse exposures or more almost tripled the risk of illness requiring medical attention (odds ratio, 2.83; 95% confidence interval, 1.10-7.31). CONCLUSION: Adverse environmental exposures, including child abuse and other household dysfunction, are associated with poor child health even at an early age, although our data do not support a dose-response relationship.<p />  <p>Language: en</p>
LA  - en
SN  - 1072-4710
UR  - http://dx.doi.org/10.1001/archpedi.160.12.1232
ID  - ref1
ER  -