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Height deficit in early adulthood following substantiated childhood maltreatment: A birth cohort study
Institution:1. School of Public Health, The University of Queensland, Public Health Building, Herston 4006, Queensland, Australia;2. School of Medicine, University of Queensland, Princess Alexandra Hospital, 199 Ipswich Road, Woolloongabba 4102, Queensland, Australia;3. Departments of Psychiatry, Community Health and Epidemiology, Dalhousie University, Canada;4. Department of Paediatrics, Developmental and Behavioral Pediatrics, University of Iowa, Iowa City, IA, USA;5. School of Social Sciences, The University of Queensland, St Lucia 4072, Queensland, Australia;6. Queensland Alcohol and Drug Research and Education Centre, The University of Queensland, Herston 4006, Queensland, Australia;1. Division of Health Sciences, University of Warwick Medical School, Coventry, United Kingdom;2. National Institute for Health Research, Collaboration for Leadership in Applied Health Research and Care (CLAHRC), University of Warwick Medical School, Coventry, United Kingdom;3. Department of Mathematics and Information Sciences, Faculty of Engineering and Environment, Northumbria University, Newcastle upon Tyne, United Kingdom;4. Department of Population Health, Luxembourg Institute of Health, Luxembourg;5. Warwick Center for Applied Health Research and Delivery, Division of Health Sciences, University of Warwick Medical School, Coventry, United Kingdom;6. Liverpool School of Tropical Medicine, International Health Group, Liverpool, United Kingdom;1. Neonatal Directorate, King Edward Memorial and Perth Children''s Hospitals, Perth, WA 6009, Australia;2. School of Medicine, University of Western Australia, Perth, WA, Australia;1. School of Criminology and Criminal Justice, Griffith University, Brisbane, Queensland 4122, Australia;2. Ministry of Planning, Bangladesh Planning Commission, Sher-e-Bangla Nagar, Dhaka 1207, Bangladesh;3. Arts, Education and Law, Griffith University, Queensland, Australia;4. Department of Sociology, 1 University of New Mexico, Albuquerque, NM, 87131, United States;5. School of Nursing and Midwifery, Menzies Health Institute Queensland, Griffith University, Brisbane, Queensland, Australia;1. Institute of Psychiatry, Psychology and Neuroscience, King''s College London, London, UK;2. ESRC Centre for Society and Mental Health, King''s College London, London, UK;3. Department of Primary Care and Public Health Sciences, King''s College London, London, UK;4. CIBER Epidemiology and Public Health (CIBERESP), Madrid, Spain;5. Institute of Biomedicine, University of Leon, Leon, Spain;6. Institute of Sport, Exercise and Health, Faculty of Medical Sciences, University College London, London, UK;7. South London and Maudsley NHS Foundation Trust, London, UK
Abstract:Early life stress including childhood maltreatment has been associated with reduced head circumference and/or brain size, cognitive, and academic deficits in children and adolescents. However, little is known about the effect of childhood maltreatment on height, especially in early adulthood. This study was designed to examine the association between confirmed cases of multiple or subtypes of childhood maltreatment and stunted growth in young adulthood controlling for perinatal and familial confounding factors. A total of 2661 (48.4% female) young adults from the Mater Hospital-University Study of Pregnancy (MUSP) had data on standardised height-for-age score measurement as part of physical assessment at the 21-year follow-up. Prospectively substantiated cases of childhood maltreatment, 0–14 years of age, were linked to the MUSP dataset. Ethical approval was obtained from the Human Ethics Review Committee of The University of Queensland and the Mater Hospital. Multiple regression analyses were performed to determine the effects of childhood maltreatment on height in young adults. Childhood physical or emotional abuse and neglect were significantly associated with a deficit in height in young adulthood after controlling for perinatal and familial confounders. Multiple incidents of childhood maltreatment also were associated with a deficit in height.
Keywords:Substantiated childhood maltreatment  Height deficit  Young adulthood  Cohort study
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