Assessment of Additional Medical Costs Among Older Adults in Japan With a History of Childhood Maltreatment

Isumi, Aya; Fujiwara, Takeo; Kato, Hirotaka; Tsuji, Taishi; Takagi, Daisuke; Kondo, Naoki; Kondo, Katsunori

doi:10.1001/jamanetworkopen.2019.18681

Cited by 14 publications

(9 citation statements)

References 53 publications

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“…Childhood maltreatment, defined as any form of physical, emotional, or sexual abuse and neglect that occurs to those under 18 years of age, is thought to affect one in three children globally 1 . It is well described that childhood maltreatment can have long-term effects on health through the lifespan and is associated with the development of mental and physical well-being in adolescence 2 . A recent systematic review found that 20.0% of Chinese adolescents had suffered childhood physical abuse, 30% had suffered emotional abuse, 12% had suffered sexual abuse, 47% had suffered physical neglect, and 44% had suffered emotional neglect, respectively 3 ; indicating that childhood maltreatment has also been a major public health problem among Chinese adolescents.…”

Section: Introductionmentioning

confidence: 99%

Childhood maltreatment predicts subsequent anxiety symptoms among Chinese adolescents: the role of the tendency of coping styles

Guo

Wang

et al. 2021

Transl Psychiatry

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Childhood maltreatment may have an influence on anxiety symptoms and coping styles. This longitudinal study aimed to estimate the prospective associations between different types of childhood maltreatment and anxiety symptoms among Chinese adolescents, with a particular focus on investigating whether these associations vary by the tendency of coping styles. Data were from the Longitudinal Study of Adolescents’ Mental and Behavioral Well-being Research. The baseline sample included 1957 participants (response rate: 99.03%) and followed up at 1-year later (n = 1836, retention rate: 93.8%). Anxiety symptoms, childhood maltreatment, the tendency of coping styles, morning cortisol level, depressive symptoms, self-esteem, and other demographics were measured. Overall, the mean age of the baseline students was 13.6 (SD: 1.5) years. The final results showed that childhood emotional abuse (unstandardized β-estimate = 0.13, 95% CI = 0.07–0.18), physical abuse (unstandardized β-estimate = 0.08, 95% CI = 0.01–0.16), and sexual abuse (unstandardized β-estimate = 0.17, 95% CI = 0.04–0.29) were positively associated with anxiety symptoms at follow-up after adjusting for significant covariates at baseline. Additionally, the stratified analyses demonstrated that only among students with negative coping styles, childhood emotional abuse, physical abuse, and sexual abuse were associated with subsequent anxiety symptoms; the differences between the positive and negative coping style strata were significant (P < 0.05). Childhood maltreatment appears to be a predictor of anxiety symptoms among adolescents, and the tendency of coping styles may have a moderating role in these longitudinal associations. The efforts to prevent anxiety symptoms are recommended to be focused on adolescents with the experience of childhood maltreatment and negative coping styles.

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Section: Introductionmentioning

confidence: 99%

Childhood maltreatment predicts subsequent anxiety symptoms among Chinese adolescents: the role of the tendency of coping styles

Guo

Wang

et al. 2021

Transl Psychiatry

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“…Older people who have had ACEs are more likely to experience depression and have lower subjective health ( Cheong et al, 2017 ; Tani, Fujiwara, et al, 2016 ; Tani, Kondo, et al, 2016 ), and with populations continuing to age globally, the development of public/global health interventions that can mitigate such effects in old age is especially important ( World Health Organization, 2015 ). Older people with a history of childhood maltreatment tend to have additional medical and care costs compared with those who have not had ACEs ( Bellis et al, 2019 ; Isumi et al, 2020 ), so any mitigating interventions could have important impacts in reducing healthcare costs. There is evidence that social participation in neighbourhood activities can enhance the health of older people ( Levasseur et al, 2010 ; Saito et al, 2019 ; World Health Organization, 2002 ).…”

Section: Introductionmentioning

confidence: 99%

Roles of participation in social activities in the association between adverse childhood experiences and health among older Japanese adults

Nishio

Green

Kondo

2022

SSM - Population Health

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Adverse childhood experiences (ACEs) have shown strong associations with later-life health such as depression and subjective health. Social participation is also associated with later-life health but it is unclear to what extent this could contribute to alleviating harmful impacts of ACEs, nor is it clear whether ACEs are themselves associated with later-life social participation. Thus, this study aims to understand: (1) the influence of ACEs on social participation in later life and (2) whether social participation can alleviate the harmful influences of ACEs on depression and subjective health among Japanese older adults. Data were from 5,671 Japanese older adults (aged 65+) in surveys in 2013 and 2016 as part of the Japan Gerontological Evaluation Study (JAGES). Logistic regression analyses were conducted to estimate the relations between ACEs and later-life social participation, adjusting for potential confounders and mediators. Inverse probability weighting was used to estimate average effects of ACEs on later-depression and subjective health, adjusting for potential confounders, and these were compared against controlled direct effect (CDE) estimates from marginal structural models based on all respondents experiencing weekly social participation. We found that ACEs were associated with reduced later-life social participation (OR for >1 ACEs = 0.88, 95% CI = 0.79, 0.99). The estimated effect of ACEs on depression ( adjusted total effect estimates: OR = 1.23, 95% CI = 1.05, 1.45) was marginally alleviated in estimates assuming weekly social participation for everyone (CDE = 1.18, 95% CI = 0.98, 1.43). A similar tendency was seen for poor subjective heath. Negative impacts of ACEs on depression may be marginally mitigated through social participation, but mitigating effects were moderate. Further investigation on other potential later-life mitigating factors is needed.

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“…Child abuse is also a serious child health problem in Japan and has long-term social consequences [ 19 ]. The number of child abuse consultations handled by the Child Guidance Center in FY2017 was 135,152, which was 3.3 times greater than the previous 10 years, and this number is increasing each year [ 20 ].…”

Section: Introductionmentioning

confidence: 99%

Incidence of and improvement in inappropriate parental behaviors of mothers with young children: a retrospective cohort study conducted in collaboration with a local government

Arai

Goto

Komatsu³

et al. 2021

Arch Public Health

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Background Inappropriate parental behaviors of mothers toward young children require further study; few epidemiological studies have utilized longitudinal analysis of region-based cohorts. This study examined the frequency of incidence of and improvements in inappropriate parental behaviors of mothers with young children and related factors. Methods Among the mothers who underwent a checkup in Fukushima City in 2017, 586 mothers with data from 4-, 18-, and 42-month-old checkups were included in analysis. In this retrospective cohort study, an anonymous database was created by transcribing and matching health checkup records with questionnaires stored at the city health center. Data were analyzed using chi-square tests and logistic regression analysis, using the SPSS Ver.20.0. Results In 28.5% of mothers, inappropriate parental behaviors were not reported in the 18-month-old data but were reported in the 42-month-old data. In 3.8%, inappropriate parental behaviors were reported in the 18-month-old data but were not reported in the 42-month-old data. The most common inappropriate parental behavior reported was “yelling at the child using emotional words” (18-month-old data, 16.2%; 42-month-old data, 39.5%). Mothers with financial difficulties were 2.19 times (95%CI: 1.13–4.26) more likely to begin inappropriate parental behaviors between 18 and 42 months. Improvements in parental behaviors were significantly higher in mothers under 30 years old (p = 0.03). Conclusions It is necessary to identify mothers with financial difficulties early and to examine how to provide childcare and financial support from a local government at the time of child health checkup.

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Assessment of Additional Medical Costs Among Older Adults in Japan With a History of Childhood Maltreatment

Abstract: IMPORTANCE Childhood maltreatment can have significant consequences on health through the life course, but its association with health care costs in later life is not widely known.

Cited by 14 publications

References 53 publications

Childhood maltreatment predicts subsequent anxiety symptoms among Chinese adolescents: the role of the tendency of coping styles

Childhood maltreatment predicts subsequent anxiety symptoms among Chinese adolescents: the role of the tendency of coping styles

Roles of participation in social activities in the association between adverse childhood experiences and health among older Japanese adults

Incidence of and improvement in inappropriate parental behaviors of mothers with young children: a retrospective cohort study conducted in collaboration with a local government

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