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The relationship of childhood sexual and physical abuse with adulthood disability - 20/07/20

Doi : 10.1016/j.rehab.2019.06.005 
Louis Jacob a, , Philippe Thoumie b, Josep Maria Haro c, Ai Koyanagi c, d
a Faculty of Medicine, University of Versailles Saint-Quentin-en-Yvelines, 2, avenue de la Source de la Bièvre, 78180 Montigny-le-Bretonneux, France 
b Inserm U-1150, Service de médecine physique et réadaptation, Sorbonne University, Hôpital Rothschild and Agathe, AP–HP, 75012 Paris, France 
c Research and Development Unit, Parc Sanitari Sant Joan de Déu, Universitat de Barcelona, Fundació Sant Joan de Déu, CIBERSAM, Dr. Antoni Pujadas, 42, Sant Boi de Llobregat, 08830 Barcelona, Spain 
d ICREA, Pg. Lluis Companys 23, 08010 Barcelona, Spain 

Corresponding author.

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Highlights

Different types of childhood abuse are positively associated with adulthood disability.
Increasing numbers of types of childhood abuse are associated with higher odds of adulthood disability.
The association between any childhood abuse and adulthood disability is largely explained by anxiety disorder, number of chronic physical conditions, and loneliness.

El texto completo de este artículo está disponible en PDF.

Abstract

Objective

The aim of this study was to examine the association of childhood sexual and physical abuse with disability in adulthood, and to assess how several demographic, physical, behavioral, psychosocial, and psychiatric factors may influence this association.

Methods

This study used nationally representative cross-sectional data from 7403 people aged16 years who participated in the 2007 Adult Psychiatric Morbidity Survey. Information on childhood sexual talk, sexual touching, sexual intercourse, and physical abuse occurring before the age of 16, and disability in activities of daily living and instrumental activities of daily living in adulthood were collected. Multivariable logistic regression analyses were conducted.

Results

After adjusting for age, sex, and ethnicity, we found a positive association between different types of childhood abuse and adulthood disability: sexual talk (OR 1.54; 95% CI 1.27–1.85); sexual touching (OR 1.82; 95% CI 1.49–2.22); sexual intercourse (OR 2.58; 95% CI 1.75–3.81); physical abuse (OR 2.84; 95% CI 2.20–3.68). Increasing number of types of childhood abuse was associated with increased odds of adulthood disability. The odds of adulthood disability was increased for individuals who experienced all types of childhood abuse versus no childhood abuse (OR 3.59; 95% CI 1.64–7.84). Finally, the association between any childhood abuse and adulthood disability was largely explained by anxiety disorder, number of chronic physical conditions, and loneliness.

Conclusions

Childhood abuse is positively associated with adulthood disability in England. Future longitudinal studies are warranted to understand the potentially complex interplay of factors that may increase risk for disability in individuals who experienced childhood abuse.

El texto completo de este artículo está disponible en PDF.

Keywords : Childhood abuse, Adulthood disability, Risk factor, Nationally representative survey, England


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Vol 63 - N° 4

P. 332-339 - juillet 2020 Regresar al número
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