The Painful Legacy of Childhood Violence: XXXX Among Adult Survivors of Adverse Childhood Experiences.

@entity1 @entity308 @entity458 @entity2704 @entity148
BACKGROUND: Childhood adversities have been associated with adult @entity2704 in the general population. However, most research has focused on only a few types of maltreatment and has not always controlled for factors correlated with early adversities and @entity2704 . OBJECTIVES: The aim of this study was to investigate the relationship between early adversities and @entity2704 , while controlling for a range of potential explanatory factors. METHODS: We analyzed data from the 2012 Canadian Community Health Survey - Mental Health. Using a representative sample of 10,358 @entity1 and 12,638 @entity1 , we undertook gender-specific logistic regression analyses to determine the association between number and type of self-reported childhood adversities (physical abuse, @entity458 , and witnessing parental domestic violence) and @entity2704 , while controlling for sociodemographics, comorbid adversities, health behaviors, @entity308 , and @entity148 . RESULTS: In total, 6.5% of @entity1 and 14.2% of @entity1 reported @entity2704 . All three adversities were significantly associated with @entity2704 for both genders, even after controlling for a range of variables. The fully adjusted odds of @entity2704 associated with physical abuse, parental domestic violence, and @entity458 were 1.61 (95% confidence interval [CI]   =   1.42-1.83), 1.64 (95% CI   =   1.39-1.93), and 1.32 (95% CI   =   1.11-1.57), respectively, for @entity1 , and 1.50 (95% CI   =   1.25-1.80), 1.52 (95% CI   =   1.16-1.98), and 1.70 (95% CI   =   1.22-2.36) for @entity1 . Greater number of adversities was also associated with increasing odds of @entity2704 . @entity1 reporting all three adversities had over three times (odds ratio   =   3.26; 95% CI   =   2.09-5.07) and @entity1 over two times (OR   =   2.85; 95% CI   =   2.25-3.60) the odds of @entity2704 compared with those without childhood adversities. CONCLUSIONS: Number and type of early adversities are associated with @entity2704 among Canadian @entity1 and @entity1 .
