Hanlon, P. , McCallum, M. , Jani, B. D. , McQueenie, R., Lee, D. and Mair, F. S. (2020) Association between childhood maltreatment and the prevalence and complexity of multimorbidity: a cross-sectional analysis of 157,357 UK Biobank participants. Journal of Comorbidity, 10, pp. 1-12. (doi: 10.1177/2235042X10944344)
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Abstract
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.
| Item Type: | Articles |
|---|---|
| Status: | Published |
| Refereed: | Yes |
| Glasgow Author(s) Enlighten ID: | Jani, Dr Bhautesh and Lee, Professor Duncan and Hanlon, Dr Peter and Mair, Professor Frances and McQueenie, Dr Ross and McCallum, Dr Marianne |
| Authors: | Hanlon, P., McCallum, M., Jani, B. D., McQueenie, R., Lee, D., and Mair, F. S. |
| College/School: | College of Medical Veterinary and Life Sciences > School of Health & Wellbeing > General Practice and Primary Care College of Medical Veterinary and Life Sciences > School of Medicine, Dentistry & Nursing College of Science and Engineering > School of Mathematics and Statistics > Statistics |
| Journal Name: | Journal of Comorbidity |
| Publisher: | SAGE Publications |
| ISSN: | 2235-042X |
| ISSN (Online): | 2235-042X |
| Published Online: | 19 August 2020 |
| Copyright Holders: | Copyright © 2020 The Authors |
| First Published: | First published in Journal of Comorbidity 10: 1-12 |
| Publisher Policy: | Reproduced under a Creative Commons License |
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