Child maltreatment and adult multimorbidity: results from the Canadian Community Health Survey

England-Mason, Gillian; Casey, Rebecca; Ferro, Mark A.; MacMillan, Harriet L.; Tonmyr, Lil; González, Andrea

doi:10.17269/s41997-018-0069-y

Cited by 30 publications

(28 citation statements)

References 29 publications

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“…the presence or absence of two or more LTCs) 16,17 or separating it into clusters based on combinations of chronic pain, mental health problems and physical health problems. 15 When separating multimorbidity into clusters, physical abuse, sexual abuse or exposure to domestic violence as a child have been shown to increase the likelihood of painful and mental health conditions. 15 Our findings expand on these associations, in particular showing an association between maltreatment and LTC count.…”

Section: Discussionmentioning

confidence: 99%

“…15 When separating multimorbidity into clusters, physical abuse, sexual abuse or exposure to domestic violence as a child have been shown to increase the likelihood of painful and mental health conditions. 15 Our findings expand on these associations, in particular showing an association between maltreatment and LTC count. We know that experience of multimorbidity, for patient and practitioner, is influenced by more than LTC count.…”

Section: Discussionmentioning

confidence: 99%

“…Given the association between child maltreatment and multiple individual LTCs, it would be expected that it would be associated with an increased prevalence of multimorbidity. 15 – 18 However, studies examining prior traumatic childhood experience, including maltreatment, and adult multimorbidity have varied in how maltreatment was measured. 16 , 17 In addition, while multimorbidity is associated with previous maltreatment, it has previously been measured as a binary outcome of two or more conditions, 16 – 18 or in the context of combined physical and mental health problems, 19 or chronic pain.…”

Section: Introductionmentioning

confidence: 99%

“… 16 , 17 In addition, while multimorbidity is associated with previous maltreatment, it has previously been measured as a binary outcome of two or more conditions, 16 – 18 or in the context of combined physical and mental health problems, 19 or chronic pain. 15 It is not clear what the association is between child maltreatment and increasing numbers of LTCs (rather than a binary cut-off of >2 LTCs).…”

Section: Introductionmentioning

confidence: 99%

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Association between childhood maltreatment and the prevalence and complexity of multimorbidity: A cross-sectional analysis of 157,357 UK Biobank participants

et al. 2020

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Background: Child maltreatment is associated with long-term conditions (LTCs) in adulthood. Its relationship to multimorbidity (≥2 LTCs) is less clear. We explore the relationship between child maltreatment, multimorbidity and factors complicating management. Methods: Cross-sectional analysis of 157,357 UK Biobank participants. Experience of four maltreatment types (physical/sexual/emotional/neglect) was identified. We explored the relationship between type, number and frequency of maltreatment and LTC count (0, 1, 2, 3, ≥4) using multinomial logistic regression. Binary logistic regression assessed the relationship between maltreatment and self-rated health, loneliness, social isolation, frailty and widespread pain in those with multimorbidity, adjusting for sociodemographics and lifestyle factors. Results: 52,675 participants (33%) experienced ≥1 type of maltreatment; 983 (0.6%) experienced all four. Type, frequency and number of types of maltreatment were associated with higher LTC count. People experiencing four types of maltreatment were 5 times as likely to have a LTC count of ≥4 as those experiencing none (odds ratio (OR): 5.16; 99% confidence interval (CI): 3.77-7.07). Greater number of types of maltreatment was associated with higher prevalence of combined physical/mental health LTCs (OR: 2.99; 99% CI: 2.54–3.51 for four types of maltreatment). Compared to people who reported no maltreatment, people experiencing all four types of maltreatment were more likely to have poor self-rated health (OR: 3.56; 99% CI: 2.58–4.90), loneliness (OR: 3.16; 99% CI: 2.17–4.60), social isolation (OR: 1.45; 99% CI: 1.03–2.05), widespread pain (OR: 3.19; 99% CI: 1.87–5.44) and frailty (OR: 3.21; 99% CI: 2.04–5.05). Conclusion: Peoplewith a history of maltreatment have higher LTC counts and potentially more complicated management needs reinforcing calls for early intervention.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Association between childhood maltreatment and the prevalence and complexity of multimorbidity: A cross-sectional analysis of 157,357 UK Biobank participants

et al. 2020

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“…For decades, medical examinations could not uncover the aetiology of her complex condition, until analysis of her narrative, previously overlooked, indicated an important role of childhood trauma, violence and abuse [42]. This type of patient-based evidence has been key to acknowledging cumulative childhood stress as a plausibly strong disposition toward immune dysfunction and other chronic conditions in adulthood [43][44][45][46]. Because of this and many similar stories, there is a growing interest in the way that patient experiences can serve as causal evidence and in how this evidence should be evaluated.…”

Section: Patient Narrativementioning

confidence: 99%

Causal Evidence and Dispositions in Medicine and Public Health

Rocca

Anjum

2020

IJERPH

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Since the introduction of evidence-based medicine, there have been discussions about the epistemic primacy of randomised controlled trials (RCTs) for establishing causality in medicine and public health. A growing movement within philosophy of science calls instead for evidential pluralism: that we need more than one single method to investigate health outcomes. How should such evidential pluralism look in practice? How useful are the various methods available for causal inquiry? Further, how should different types of causal evidence be evaluated? This paper proposes a constructive answer and introduces a framework aimed at supporting scientists in developing appropriate methodological approaches for exploring causality. We start from the philosophical tradition that highlights intrinsic properties (dispositions, causal powers or capacities) as essential features of causality. This abstract idea has wide methodological implications. The paper explains how different methods, such as lab experiments, case studies, N-of-1 trials, case control studies, cohort studies, RCTs and patient narratives, all have some strengths and some limitations for picking out intrinsic causal properties. We explain why considering philosophy of causality is crucial for evaluating causality in the health sciences. In our proposal, we combine the various methods in a temporal process, which could then take us from an observed phenomenon (e.g., a correlation) to a causal hypothesis and, finally, to improved theoretical knowledge.

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Adverse childhood experiences and multimorbidity in adulthood: Findings from the Survey of Health, Ageing and Retirement in Europe (SHARE)

Deschênes,

Lowry,

Simmons

et al. 2024

J Public Health (Berl.)

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Child maltreatment and adult multimorbidity: results from the Canadian Community Health Survey

Cited by 30 publications

References 29 publications

Association between childhood maltreatment and the prevalence and complexity of multimorbidity: A cross-sectional analysis of 157,357 UK Biobank participants

Association between childhood maltreatment and the prevalence and complexity of multimorbidity: A cross-sectional analysis of 157,357 UK Biobank participants

Causal Evidence and Dispositions in Medicine and Public Health

Adverse childhood experiences and multimorbidity in adulthood: Findings from the Survey of Health, Ageing and Retirement in Europe (SHARE)

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