The Link between Childhood Sexual Abuse and Myocardial Infarction in a Population-Based Study

Autor/inn/en	Fuller-Thomson, Esme; Bejan, Raluca; Hunter, John T.; Grundland, Tamara; Brennenstuhl, Sarah
Titel	The Link between Childhood Sexual Abuse and Myocardial Infarction in a Population-Based Study
Quelle	In: Child Abuse & Neglect: The International Journal, 36 (2012) 9, S.656-665 (10 Seiten) PDF als Volltext Verfügbarkeit
Sprache	englisch
Dokumenttyp	gedruckt; online; Zeitschriftenaufsatz
ISSN	0145-2134
DOI	10.1016/j.chiabu.2012.06.001
Schlagwörter	Child Abuse; Sexual Abuse; Heart Disorders; Socioeconomic Status; Social Support Groups; Mental Health; At Risk Persons; Gender Differences; Racial Factors; Obesity; Smoking; Physical Activities; Diabetes; Correlation; Behavioral Risk Factor Surveillance System + Suchen Sie Ihr Suchwort? Abuse of children; Abuse; Child; Children; Kindesmissbrauch; Missbrauch; Kind; Kinder; Sexueller Missbrauch; Herzkrankheit; Socio-economic status; Sozioökonomischer Status; Social support; Soziale Unterstützung; Psychohygiene; Risikogruppe; Geschlechterkonflikt; Adipositas; Rauchen; Korrelation
Abstract	Objectives: This study examined the relationship between childhood sexual abuse (CSA) and myocardial infarction in men and women, while controlling for social determinants (i.e., socioeconomic status, social support, mental health) and traditional cardiovascular risk factors (i.e., age, race, obesity, smoking, physical inactivity, diabetes mellitus). Methods: Population-based data were obtained from the 2010 Behavioral Risk Factor Surveillance System. Myocardial infarction was ascertained by self-report of a health-professional diagnosis. CSA was defined as forced sex with someone at least 5 years older before the age of 18. The final sample included 5,095 men and 7,768 women. Results: After adjustment for 15 factors, abused males had nearly 3 times the odds of heart attack compared to non-abused males (OR=2.96; 95% CI=1.12, 7.85). Among women, CSA was not associated with heart attack in the age-race adjusted (OR=1.20; 95% CI=0.39, 3.68) or fully-adjusted (OR=0.88; 95% CI=0.28, 2.75) analyses. Conclusions: CSA was associated with heart attack in men, even when controlling for traditional risk factors; however, no association was found among women. Future research is needed to replicate the study's unique findings. (Contains 2 tables.) (As Provided).
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Erfasst von	ERIC (Education Resources Information Center), Washington, DC
Update	2017/4/10