Associations between childhood maltreatment and educational, health and economic outcomes among middle-aged Chinese: The moderating role of relative poverty

Zheng, Xiaodong; Fang, Zuyi; Shangguan, Shuangyue; Fang, Xiangming

doi:10.1016/j.chiabu.2021.105162

Cited by 22 publications

(20 citation statements)

References 80 publications

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“…Our observation that physical and emotional neglect were particularly associated with poor functioning corroborates with the ndings of Larsson et al (2013). These subtypes of CT could be more frequent in families with low socioeconomic status, because these families may not have the economic means to sustain a safe home environment (Zheng et al, 2021). In line with this interpretation, intergenerational mobility (i.e., the relationship between socio-economic status of parents and the status their offspring attain as adults) could be a mechanism behind the relation between CT and poor functioning.…”

Section: Discussionsupporting

confidence: 85%

“…In line with this interpretation, intergenerational mobility (i.e., the relationship between socio-economic status of parents and the status their offspring attain as adults) could be a mechanism behind the relation between CT and poor functioning. Indeed, children growing up in low socioeconomic status families have an increased risk of CT as well as themselves ending in low socioeconomic status as adults (Torche, 2015;Zheng et al, 2021).…”

Section: Discussionmentioning

confidence: 99%

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Association between childhood trauma, cognition, and psychosocial function in a large sample of partially or fully remitted patients with bipolar disorder and healthy participants

Hansen

Mariegaard

Kessing

2022

Preprint

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Background: Childhood trauma (CT) are frequently reported by patients with bipolar disorder (BD), but it is unclear whether and how CT contribute to patients’ cognitive and psychosocial impairments. We aimed to examine the impact of CT on cognition and psychosocial functioning in a large sample of 345 patients with BD and 183 healthy control participants (HC) using the Childhood Trauma Questionnaire, neurocognitive tests and ratings of mood symptoms and functioning. Results: Patients showed broad cognitive impairments across memory, attention and executive function and functional disability despite being in partial or full remission and had higher levels of CT than HC. Higher levels of CT correlated with impairments across almost all cognitive domains and lower psychosocial functioning across BD patients and HC. Of these, the associations between CT and poorer working memory and lower psychosocial functioning, respectively, prevailed after adjusting for clinical and demographical variables. Diagnosis of BD and estimated verbal intelligence did not moderate these associations. Analysis of CT sub-categories showed that working memory impairments were related particularly to childhood physical and emotional abuse, while psychosocial difficulties were related to physical and emotional neglect. Conclusions: CT may have negative implications for working memory and psychosocial functioning across both BD and healthy populations. If the findings are replicated, this would suggest that early interventions that reduce the frequency of CT in vulnerable families may aid children’s cognitive and psychosocial development.

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Section: Discussionsupporting

confidence: 85%

Section: Discussionmentioning

confidence: 99%

Association between childhood trauma, cognition, and psychosocial function in a large sample of partially or fully remitted patients with bipolar disorder and healthy participants

Hansen

Mariegaard

Kessing

2022

Preprint

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“…Apart from this direct impact, the pathway model suggests that childhood experiences can also have an indirect effect on health status in later life by influencing SES and health during adulthood (Black et al 2017 ; Kalmakis and Chandler 2015 ; Kendig et al 2017 ). Negative childhood experiences, to some extent, will affect educational and occupational attainment, which are both strong protective factors of middle-aged and older adults’ health status (Zheng et al 2021 ). In addition, adults who have been exposed to low SES, ACEs, illness, and low levels of health care have also been shown to have lower self-rated health and higher prevalence of risk behaviors, mental disorder, cognitive impairment, and chronic diseases such as cardiovascular disease (Kalmakis and Chandler 2015 ; Wang and Shen 2016 ; Zheng et al 2021 ).…”

Section: Introductionmentioning

confidence: 99%

Childhood experiences and frailty trajectory among middle-aged and older adults in China

2022

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This study examined the associations between childhood experience and frailty trajectory among middleaged and older Chinese adults. Data were derived from The China Health and Retirement Longitudinal Study. We used data from all of the 4 waves (i.e., 2011, 2013, 2015, 2018) and the life history survey occurred in 2014. A total of 10963 respondents were included. Latent growth curve models were conducted to examine the proposed model. The results showed that adverse childhood experience, childhood socio-economic status, and the objective indicators of childhood health and healthcare were associated with both the baseline level and change rate of frailty trajectory. The perceived childhood health and healthcare conditions were associated with baseline frailty only. Our ndings highlighted the crucial role of childhood antecedents in the progression of frailty at later life. We further provided strong evidence that childhood was an essential life stage for human development. Future social policies and interventions should use childhood experience as a screening tool, as well as promote child protection, health education, and life course interventions.

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“…Hence, this study adopted accurate and objective expenditure indicators. Some studies have used total household expenditure to measure the poverty of a household with CHARLS or other surveys ( 33 – 35 ). Therefore, this study used the total household expenditure to construct poverty variables for measuring economic conditions.…”

Section: Methodsmentioning

confidence: 99%

Association Between Dynamic Trends of Functional Disability and Poverty Among People Aged 45 and Over

Liao

Yan

et al. 2022

Front. Public Health

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BackgroundThe disability problem has become prominent with the acceleration of the global aging process. Individual disability is associated with economic conditions and contributes to family poverty. As disability will change over a long period of time and may even show distinct dynamic trends, we aimed to focus on activities of daily living (ADL) and classify functional disability trends. Moreover, we aimed to highlight and analyze the association between functional disability trends and economic conditions and explore the influencing factors.Materials and MethodsA total of 11,222 individuals who were 45 years old or older were included in four surveys conducted by the China Health and Retirement Longitudinal Study in 2011, 2013, 2015, and 2018. Samples were analyzed after excluding those with missing key variables. The latent class growth model was used to classify the ADL trends. Two binary logistic regressions were established to observe the association between the ADL trends and follow-up economic conditions or catastrophic health expenditure trends.ResultsADL trends of older adults were classified into improving (25.4%), stabilizing (57.0%), and weakening ADL (17.6%). ADL trend was associated with follow-up poverty (p = 0.002) and catastrophic health expenditure trends (p < 0.001). Compared with the improving ADL trend, the stabilizing ADL may have a negative influence on individuals' economic conditions (OR = 1.175, 95%CI = 1.060–1.303). However, a stabilizing ADL trend was less likely to bring about catastrophic health expenditures (OR = 0.746, 95%CI = 0.678–0.820) compared with an improving ADL trend.ConclusionThe improvement of functional disability would make the medical expense burden heavier but would still be beneficial for the prevention of poverty. A significant association was found between socioeconomic factors and poverty. Preventing the older adults from developing disability and illness, improving the compensation level of medical insurance, and optimizing the long-term care insurance and the primary healthcare system can potentially contribute to the prevention of poverty. Meanwhile, focusing on people who are poor at early stages, women, middle-aged, low-educated, and in rural areas is important.

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Associations between childhood maltreatment and educational, health and economic outcomes among middle-aged Chinese: The moderating role of relative poverty

Cited by 22 publications

References 80 publications

Association between childhood trauma, cognition, and psychosocial function in a large sample of partially or fully remitted patients with bipolar disorder and healthy participants

Association between childhood trauma, cognition, and psychosocial function in a large sample of partially or fully remitted patients with bipolar disorder and healthy participants

Childhood experiences and frailty trajectory among middle-aged and older adults in China

Association Between Dynamic Trends of Functional Disability and Poverty Among People Aged 45 and Over

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