TY  - JOUR
PY  - 2008//
TI  - Health-Related Quality of Life Among Adults Who Experienced Maltreatment During Childhood
JO  - American journal of public health
A1  - Corso, Phaedra S.
A1  - Edwards, Valerie J.
A1  - Fang, Xiangming
A1  - Mercy, James A.
SP  - 1094
EP  - 1100
VL  - 98
IS  - 6
N2  - Objectives. We sought to assess the difference in a preference-based measure of health among adults reporting maltreatment as a child versus those reporting no maltreatment. Methods. Using data from a study of adults who reported adverse childhood experiences and current health status, we matched adults who reported childhood maltreatment (n = 2812) to those who reported no childhood maltreatment (n=3356). Propensity score methods were used to compare the 2 groups. Health-related quality-of-life data (or "utilities") were imputed from the Medical Outcomes Study 36-Item Short Form Health Survey using the Short Form-6D preference-based scoring algorithm. Results. The combined strata-level effects of maltreatment on Short Form-6D utility was a reduction of 0.028 per year (95% confidence interval= 0.022, 0.034; P<.001). All utility losses for the childhood-maltreatment versus no-childhood-maltreatment groups by age group were significantly different: 18-39 years, 0.042; 40-49 years, 0.038; 50-59 years, 0.023;60-69 years, 0.016; 70 or more years, 0.025. Conclusions. Persons who experienced childhood maltreatment had significant and sustained losses in health-related quality of life in adulthood relative to persons who did not experience maltreatment. These data are useful for asessing the cost-effectiveness of interventions designed to prevent child maltreatment in terms of cost per quality-adjustedlife years saved.     <p>Language: en</p>
LA  - en
SN  - 0090-0036
UR  - http://dx.doi.org/10.2105/AJPH.2007.119826
ID  - ref1
ER  -