母亲的童年虐待史与妊娠体重结果。

IF 4.7 2区 医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Epidemiology Pub Date : 2024-11-01 Epub Date: 2024-08-19 DOI:10.1097/EDE.0000000000001788
Susan M Mason, Kriszta Farkas, Lisa M Bodnar, Jessica K Friedman, Sydney T Johnson, Rebecca L Emery Tavernier, Richard F MacLehose, Dianne Neumark-Sztainer
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引用次数: 0

摘要

背景:儿童虐待与成人体重增加有关。目前还不清楚这种关联是否会延伸到孕期,而孕期是肥胖发生的关键窗口期:我们研究了参与纵向队列研究超过 20 年的女性中,童年虐待史与孕前体重指数和妊娠体重增加的关系。26-35 岁时,参与者报告了童年虐待情况(身体虐待、性虐待和情感虐待;情感忽视),5 年后,报告了孕前体重和妊娠体重增加情况(n=656)。我们使用修正的泊松回归模型来估计虐待史与孕前体重指数(BMI)和妊娠体重增加的 Z 值之间的关系,并对社会人口统计学因素进行了调整。我们使用链式方程多变量估算法,利用内部验证研究的数据对结果指标进行误分类调整:在进行误分类调整之前,结果显示与未受虐待的妇女相比,受某些类型虐待的妇女(如情感虐待 RR=2.4; 95% CI: 1.5, 3.7)孕前 BMI ≥30 kg/m2 的风险更高。经过误分类调整后,估计值有所降低,但仍略有升高(例如,情感虐待 RR=1.7; 95% CI: 1.1, 2.7)。虐待与妊娠体重增加 z 值的误分类调整估计值接近零值,且不精确:研究结果表明,虐待与孕前体重指数(BMI)≥30 kg/m2有关,但与高妊娠体重增加无关。研究结果表明,可能需要采取公平的干预措施,为所有进入孕期的妇女提供支持,包括那些有虐待史的妇女。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Maternal History of Childhood Maltreatment and Pregnancy Weight Outcomes.

Background: Childhood maltreatment is associated with elevated adult weight. It is unclear whether this association extends to pregnancy, a critical window for the development of obesity.

Methods: We examined associations of childhood maltreatment histories with prepregnancy body mass index (BMI) and gestational weight gain among women who had participated for >20 years in a longitudinal cohort. At age 26-35 years, participants reported childhood maltreatment (physical, sexual, and emotional abuse; emotional neglect) and, 5 years later, about prepregnancy weight and gestational weight gain for previous pregnancies (n = 656). Modified Poisson regression models were used to estimate associations of maltreatment history with prepregnancy BMI and gestational weight gain z -scores, adjusting for sociodemographics. We used multivariate imputation by chained equations to adjust outcome measures for misclassification using data from an internal validation study.

Results: Before misclassification adjustment, results indicated a higher risk of prepregnancy BMI ≥30 kg/m 2 in women with certain types of maltreatment (e.g., emotional abuse risk ratio = 2.4; 95% confidence interval: 1.5, 3.7) compared with women without that maltreatment type. After misclassification adjustment, estimates were attenuated but still modestly elevated (e.g., emotional abuse risk ratio = 1.7; 95% confidence interval: 1.1, 2.7). Misclassification-adjusted estimates for maltreatment associations with gestational weight gain z -scores were close to the null and imprecise.

Conclusions: Findings suggest an association of maltreatment with prepregnancy BMI ≥30 kg/m 2 but not with high gestational weight gain. Results suggest a potential need for equitable interventions that can support all women, including those with maltreatment histories, as they enter pregnancy.

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来源期刊
Epidemiology
Epidemiology 医学-公共卫生、环境卫生与职业卫生
CiteScore
6.70
自引率
3.70%
发文量
177
审稿时长
6-12 weeks
期刊介绍: Epidemiology publishes original research from all fields of epidemiology. The journal also welcomes review articles and meta-analyses, novel hypotheses, descriptions and applications of new methods, and discussions of research theory or public health policy. We give special consideration to papers from developing countries.
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