Associations of abuse and neglect with young adult health in a population-based longitudinal cohort: Findings from Project EAT

Susan M Mason; Rebecca L Tavernier; Jessica K Friedman; Stephanie Hanson; Sydney Johnson; Dianne Neumark-Sztainer

doi:10.1016/j.ypmed.2022.107234

Associations of abuse and neglect with young adult health in a population-based longitudinal cohort: Findings from Project EAT

Susan M Mason
, Rebecca L Tavernier
, Jessica K Friedman
, Stephanie Hanson
, Sydney Johnson
, Dianne Neumark-Sztainer

Research output: Contribution to journal › Article › peer-review

8 Scopus citations

Abstract

Childhood maltreatment (abuse and neglect) is associated with a range of negative outcomes, but a gap remains in understanding of how specific maltreatment types, particularly neglect and non-familial sexual abuse, relate to health and behavior. This study examined the association of neglect and sexual abuse (both familial and non-familial), as well as familial physical and emotional abuse, with: depressive mood and eating disorders; tobacco and marijuana use; and BMI ≥ 25 kg/m² and BMI ≥ 30 kg/m² in young adults. Data came from Project EAT (Eating and Activity in Teens and Young Adults), a population-based longitudinal study of weight-related health from adolescence into young adulthood. Maltreatment before age 18 was retrospectively reported at ages 26–33. Risk differences (RDs) and 95% confidence intervals (CIs) were estimated for those with a given maltreatment type to those without, and also for the cumulative number of maltreatment types experienced. One in 3 participants reported abuse or neglect. All maltreatment types were associated with at least one adverse health outcome, with physical abuse being least consistently related to the outcomes. Emotional abuse showed the strongest association with depressive mood. All maltreatment types were associated with eating disorder diagnosis, tobacco use, and marijuana use (except physical abuse for eating disorder). There was little evidence of a maltreatment association with BMI ≥ 25 kg/m²; emotional abuse and neglect were associated with BMI ≥ 30 kg/m². Prevention of maltreatment needs to be a top public health priority.

Original language	English (US)
Article number	107234
Journal	Preventive medicine
Volume	164
DOIs	https://doi.org/10.1016/j.ypmed.2022.107234
State	Published - Nov 2022

Bibliographical note

Funding Information:
Data collection for the study was supported by Grant Number R01HL116892 from the National Heart, Lung, and Blood Institute (PI: Dianne Neumark-Sztainer). The authors' time to conduct and describe the analysis reported within this manuscript was supported by Grant Number R35HL139853 from the National Heart, Lung, and Blood Institute (PI: Dianne Neumark-Sztainer) and by Grant Number R01HD090053 (PI: Susan Mason) through the National Institute for Child Health and Human Development. Rebecca Emery's time was supported by the National Center for Advancing Translational Sciences under TL1 TR002493 (PI: Fulkerson) and UL1 TR002494 (PI: Blazar). Dr. Mason also acknowledges support from the Minnesota Population Center (Grant Number P2CHD041023 from the National Institute for Child Health and Human Development). The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Heart, Lung, and Blood Institute, the National Institute for Child Health and Human Development, the National Center for Advancing Translational Sciences, or the National Institutes of Health.

Funding Information:
Data collection for the study was supported by Grant Number R01HL116892 from the National Heart, Lung, and Blood Institute (PI: Dianne Neumark-Sztainer). The authors' time to conduct and describe the analysis reported within this manuscript was supported by Grant Number R35HL139853 from the National Heart, Lung, and Blood Institute (PI: Dianne Neumark-Sztainer) and by Grant Number R01HD090053 (PI: Susan Mason) through the National Institute for Child Health and Human Development. Rebecca Emery's time was supported by the National Center for Advancing Translational Sciences under TL1 TR002493 (PI: Fulkerson) and UL1 TR002494 (PI: Blazar). Dr. Mason also acknowledges support from the Minnesota Population Center (Grant Number P2CHD041023 from the National Institute for Child Health and Human Development). The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Heart, Lung, and Blood Institute, the National Institute for Child Health and Human Development, the National Center for Advancing Translational Sciences, or the National Institutes of Health.

Publisher Copyright:
© 2022

Keywords

Body weight
Child abuse
Child maltreatment
Child neglect
Depression
Eating disorders
Marijuana
Tobacco

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

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10.1016/j.ypmed.2022.107234

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title = "Associations of abuse and neglect with young adult health in a population-based longitudinal cohort: Findings from Project EAT",

abstract = "Childhood maltreatment (abuse and neglect) is associated with a range of negative outcomes, but a gap remains in understanding of how specific maltreatment types, particularly neglect and non-familial sexual abuse, relate to health and behavior. This study examined the association of neglect and sexual abuse (both familial and non-familial), as well as familial physical and emotional abuse, with: depressive mood and eating disorders; tobacco and marijuana use; and BMI ≥ 25 kg/m2 and BMI ≥ 30 kg/m2 in young adults. Data came from Project EAT (Eating and Activity in Teens and Young Adults), a population-based longitudinal study of weight-related health from adolescence into young adulthood. Maltreatment before age 18 was retrospectively reported at ages 26–33. Risk differences (RDs) and 95\% confidence intervals (CIs) were estimated for those with a given maltreatment type to those without, and also for the cumulative number of maltreatment types experienced. One in 3 participants reported abuse or neglect. All maltreatment types were associated with at least one adverse health outcome, with physical abuse being least consistently related to the outcomes. Emotional abuse showed the strongest association with depressive mood. All maltreatment types were associated with eating disorder diagnosis, tobacco use, and marijuana use (except physical abuse for eating disorder). There was little evidence of a maltreatment association with BMI ≥ 25 kg/m2; emotional abuse and neglect were associated with BMI ≥ 30 kg/m2. Prevention of maltreatment needs to be a top public health priority.",

keywords = "Body weight, Child abuse, Child maltreatment, Child neglect, Depression, Eating disorders, Marijuana, Tobacco",

author = "Mason, \{Susan M\} and Tavernier, \{Rebecca L\} and Friedman, \{Jessica K\} and Stephanie Hanson and Sydney Johnson and Dianne Neumark-Sztainer",

note = "Funding Information: Data collection for the study was supported by Grant Number R01HL116892 from the National Heart, Lung, and Blood Institute (PI: Dianne Neumark-Sztainer). The authors' time to conduct and describe the analysis reported within this manuscript was supported by Grant Number R35HL139853 from the National Heart, Lung, and Blood Institute (PI: Dianne Neumark-Sztainer) and by Grant Number R01HD090053 (PI: Susan Mason) through the National Institute for Child Health and Human Development. Rebecca Emery's time was supported by the National Center for Advancing Translational Sciences under TL1 TR002493 (PI: Fulkerson) and UL1 TR002494 (PI: Blazar). Dr. Mason also acknowledges support from the Minnesota Population Center (Grant Number P2CHD041023 from the National Institute for Child Health and Human Development). The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Heart, Lung, and Blood Institute, the National Institute for Child Health and Human Development, the National Center for Advancing Translational Sciences, or the National Institutes of Health. Funding Information: Data collection for the study was supported by Grant Number R01HL116892 from the National Heart, Lung, and Blood Institute (PI: Dianne Neumark-Sztainer). The authors' time to conduct and describe the analysis reported within this manuscript was supported by Grant Number R35HL139853 from the National Heart, Lung, and Blood Institute (PI: Dianne Neumark-Sztainer) and by Grant Number R01HD090053 (PI: Susan Mason) through the National Institute for Child Health and Human Development. Rebecca Emery's time was supported by the National Center for Advancing Translational Sciences under TL1 TR002493 (PI: Fulkerson) and UL1 TR002494 (PI: Blazar). Dr. Mason also acknowledges support from the Minnesota Population Center (Grant Number P2CHD041023 from the National Institute for Child Health and Human Development). The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Heart, Lung, and Blood Institute, the National Institute for Child Health and Human Development, the National Center for Advancing Translational Sciences, or the National Institutes of Health. Publisher Copyright: {\textcopyright} 2022",

year = "2022",

month = nov,

doi = "10.1016/j.ypmed.2022.107234",

language = "English (US)",

volume = "164",

journal = "Preventive medicine",

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AU - Johnson, Sydney

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N2 - Childhood maltreatment (abuse and neglect) is associated with a range of negative outcomes, but a gap remains in understanding of how specific maltreatment types, particularly neglect and non-familial sexual abuse, relate to health and behavior. This study examined the association of neglect and sexual abuse (both familial and non-familial), as well as familial physical and emotional abuse, with: depressive mood and eating disorders; tobacco and marijuana use; and BMI ≥ 25 kg/m2 and BMI ≥ 30 kg/m2 in young adults. Data came from Project EAT (Eating and Activity in Teens and Young Adults), a population-based longitudinal study of weight-related health from adolescence into young adulthood. Maltreatment before age 18 was retrospectively reported at ages 26–33. Risk differences (RDs) and 95% confidence intervals (CIs) were estimated for those with a given maltreatment type to those without, and also for the cumulative number of maltreatment types experienced. One in 3 participants reported abuse or neglect. All maltreatment types were associated with at least one adverse health outcome, with physical abuse being least consistently related to the outcomes. Emotional abuse showed the strongest association with depressive mood. All maltreatment types were associated with eating disorder diagnosis, tobacco use, and marijuana use (except physical abuse for eating disorder). There was little evidence of a maltreatment association with BMI ≥ 25 kg/m2; emotional abuse and neglect were associated with BMI ≥ 30 kg/m2. Prevention of maltreatment needs to be a top public health priority.

AB - Childhood maltreatment (abuse and neglect) is associated with a range of negative outcomes, but a gap remains in understanding of how specific maltreatment types, particularly neglect and non-familial sexual abuse, relate to health and behavior. This study examined the association of neglect and sexual abuse (both familial and non-familial), as well as familial physical and emotional abuse, with: depressive mood and eating disorders; tobacco and marijuana use; and BMI ≥ 25 kg/m2 and BMI ≥ 30 kg/m2 in young adults. Data came from Project EAT (Eating and Activity in Teens and Young Adults), a population-based longitudinal study of weight-related health from adolescence into young adulthood. Maltreatment before age 18 was retrospectively reported at ages 26–33. Risk differences (RDs) and 95% confidence intervals (CIs) were estimated for those with a given maltreatment type to those without, and also for the cumulative number of maltreatment types experienced. One in 3 participants reported abuse or neglect. All maltreatment types were associated with at least one adverse health outcome, with physical abuse being least consistently related to the outcomes. Emotional abuse showed the strongest association with depressive mood. All maltreatment types were associated with eating disorder diagnosis, tobacco use, and marijuana use (except physical abuse for eating disorder). There was little evidence of a maltreatment association with BMI ≥ 25 kg/m2; emotional abuse and neglect were associated with BMI ≥ 30 kg/m2. Prevention of maltreatment needs to be a top public health priority.

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KW - Child maltreatment

KW - Child neglect

KW - Depression

KW - Eating disorders

KW - Marijuana

KW - Tobacco

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VL - 164

JO - Preventive medicine

JF - Preventive medicine

M1 - 107234

ER -

Associations of abuse and neglect with young adult health in a population-based longitudinal cohort: Findings from Project EAT

Abstract

Bibliographical note

Keywords

UN SDGs

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