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The impact of childhood sexual abuse on the mental and physical health, and healthcare utilization of older adults

  • Yumiko Kamiya (a1), Virpi Timonen (a2) and Rose Anne Kenny (a3)
Abstract
ABSTRACTBackground:

The aim of this study is to examine the long-term association between childhood sexual abuse (CSA) and mental and physical health, especially with conditions related to hypothalamic–pituitary–adrenal axis dysfunction such as mood disorders, cardiovascular disorders, gastrointestinal disorders, pain disorders, and measures of frailty and functional mobility. In addition, we examined the impact of CSA on self-reported health and healthcare utilization.

Methods:

Data from the Irish Longitudinal Study on Ageing were employed (N = 8,178). The effects of CSA on mental health, physical health, and healthcare utilization in old age population were estimated by ordinal least square, logistic regression, and Poisson regression, controlling for demographic factors, childhood adversities, and behavioral health.

Results:

Six percent of respondents reported CSA with little variation by gender. A significant association was found between CSA and mental health. Those who reported CSA were more likely to have depression, anxiety, worry, loneliness, and low quality of life. Poor self-reported health, lung disease, arthritis, peptic ulcer, chronic pain as well as high levels of total cholesterol and low-density lipoprotein were associated with CSA. Further, those who reported CSA were more likely to report doctor and hospital visits than those without a history of CSA.

Conclusions:

Findings from the present study show that CSA has significant long-term mental and physical consequences, whereby early life events are linked to later life health outcomes.

Copyright
Corresponding author
Correspondence should be addressed to: Dr Yumiko Kamiya, Department of Economic and Social Affairs, United Nations, 2 UN Plaza, DC2-1926, New York, NY 10010, USA. Phone: +1(917)-3675539; Fax: +1(212)-963-2638. Email: kamiya@un.org.
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This list contains references from the content that can be linked to their source. For a full set of references and notes please see the PDF or HTML where available.

A. Barrett , Y. Kamiya and V. O. Sullivan (2014). Childhood sexual abuse and later-life economic consequences. Journal of Behavioral and Experimental Economics, 53, 1016.

L. P. Chen et al. (2010). Sexual abuse and lifetime diagnosis of psychiatric disorders: systematic review and meta-analysis. Mayo Clinic Proceedings, 85, 618629.

A. Danese , C. M. Pariante , A. Caspi , A. Taylor and R. Poulton (2007). Childhood maltreatment predicts adult inflammation in a life-course study. Proceedings of the National Academy of Sciences, 104, 13191324.

V. J. Felitti et al. (1998). Relationship of childhood abuse and household dysfunction to many of the leading causes of death in adults: the adverse childhood experiences (ACE) study. American Journal of Preventive Medicine, 14, 245258.

D. M. Fergusson , L. J. Horwood and J. L. Woodward (2000). The stability of child abuse reports: a longitudinal study of the reporting behaviour of young adults. Psychological Medicine, 30, 529544.

R. Gilbert , C. S Widom , K. Browne , D. Fergusson , E. Webb and S. Janson (2009). Burden and consequences of child maltreatment in high-income countries. The Lancet, 373, 6881.

J. G. Green et al. (2010). Childhood adversities and adult psychiatric disorders in the national comorbidity survey replication: associations with first onset of DSM-IV disorders. Archives of General Psychiatry, 67, 113123.

P. Henningsen , T. Zimmermann and H. Sattel (2003). Medically unexplained physical symptoms, anxiety, and depression: a meta-analytic review. Psychosomatic Medicine, 65, 528533.

L. Irish , I. Kobayashi and D. L. Delahanty (2010). Long-term physical health consequences of childhood sexual abuse: a meta-analytic review. Journal of Pediatric Psychology, 35, 450461.

C. F. Johnson (2004). Child sexual abuse. The Lancet, 364, 462470.

K. Kendall-Tackett (2009). Psychological trauma and physical health: a psychoneuroimmunology approach to etiology of negative health effects and possible interventions. Psychological Trauma: Theory, Research, Practice, and Policy, 1, 3548.

H. McGee , R. Garavan , J. Byrne , M. O’Higgins and R. M. Conroy (2010). Secular trends in child and adult sexual violence – one decreasing and the other increasing: a population survey in Ireland. European Journal of Public Health, 21, 98103.

K. Penza , C. Heim and C. B. Nemeroff (2003). Neurobiological effects of childhood abuse: implications for the pathophysiology of depression and anxiety. Archives of Women's Mental Health, 6, 1522.

C. Raison and A. H. Miller (2003). When not enough is too much: the role of insufficient glucocorticoid signaling in the pathophysiology of stress related disorders. American Journal of Psychiatry, 160, 15541565.

J. W. Rich-Edwards et al. (2012). Child abuse and cardiovascular events in women. Circulation, 126, 920927.

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International Psychogeriatrics
  • ISSN: 1041-6102
  • EISSN: 1741-203X
  • URL: /core/journals/international-psychogeriatrics
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