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• W2033929686 abstract "<h3>Objective</h3> To examine the effect of child abuse and other household dysfunction on child health outcomes. <h3>Design</h3> Data from the Longitudinal Studies of Child Abuse and Neglect collected through interviews and questionnaires administered when target children were 4 years old and 6 years old. <h3>Setting</h3> Children in the South, East, Midwest, Northwest, and Southwest United States. <h3>Participants</h3> One thousand forty-one children at high risk for child abuse and neglect (3 cohorts derived primarily from among children recruited through social service mechanisms, 1 cohort recruited at birth from among high-risk infants, and 1 cohort recruited from a medical setting). <h3>Main Outcome Measures</h3> (1) Association of 7 adverse exposures (3 categories of child abuse [physical abuse, sexual abuse, and psychological maltreatment] and 4 categories of household dysfunction [caregiver problem drinking, caregiver depression, caregiver treated violently, and criminal behavior in the household]) derived from data collected when the child was 4 years old. (2) Indexes of child physical health at age 6 years (caregiver overall assessment of child health and reports of illness requiring medical attention). <h3>Results</h3> Two thirds of the sample had experienced at least 1 adverse exposure. One adverse exposure almost doubled the risk of overall poor health (odds ratio, 1.89; 95% confidence interval, 1.02-3.48), and 4 adverse exposures or more almost tripled the risk of illness requiring medical attention (odds ratio, 2.83; 95% confidence interval, 1.10-7.31). <h3>Conclusion</h3> Adverse environmental exposures, including child abuse and other household dysfunction, are associated with poor child health even at an early age, although our data do not support a dose-response relationship." @default.
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• W2033929686 date "2006-12-01" @default.
• W2033929686 modified "2023-09-26" @default.
• W2033929686 title "Effect of Early Childhood Adversity on Child Health" @default.
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• W2033929686 doi "https://doi.org/10.1001/archpedi.160.12.1232" @default.
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