Childhood maltreatment as a risk factor for COPD: findings from a population-based survey of Canadian adults

Margot E Shields, Wendy E Hovdestad, Charles P Gilbert, Lil E Tonmyr Public Health Agency of Canada, Ottawa, ON, Canada Objective: The aim of this study was to examine the associations between childhood maltreatment (CM) and COPD in adulthood.Methods: Data were from 15,902 respondents to the 2012 Ca...

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Main Authors: Shields ME, Hovdestad WE, Gilbert CP, Tonmyr LE
Format: Article
Language:English
Published: Dove Medical Press 2016-10-01
Series:International Journal of COPD
Subjects:
Online Access:https://www.dovepress.com/childhood-maltreatment-as-a-risk-factor-for-copd-findings-from-a-popul-peer-reviewed-article-COPD
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author Shields ME
Hovdestad WE
Gilbert CP
Tonmyr LE
author_facet Shields ME
Hovdestad WE
Gilbert CP
Tonmyr LE
author_sort Shields ME
collection DOAJ
description Margot E Shields, Wendy E Hovdestad, Charles P Gilbert, Lil E Tonmyr Public Health Agency of Canada, Ottawa, ON, Canada Objective: The aim of this study was to examine the associations between childhood maltreatment (CM) and COPD in adulthood.Methods: Data were from 15,902 respondents to the 2012 Canadian Community Health Survey – Mental Health. Multiple logistic regression models were used to examine associations between CM and COPD and the role of smoking and mental and substance use variables as mediators in associations.Results: COPD in adulthood was related to CM, with associations differing by sex. Among females, COPD was related to childhood physical abuse (CPA), childhood sexual abuse, and childhood exposure to intimate partner violence, but in the fully adjusted models, the association with CPA did not persist. Among males, COPD was related to childhood exposure to intimate partner violence and severe and frequent CPA, but these associations did not persist in the fully adjusted models.Conclusion: Results from this study establish CM as a risk factor for COPD in adulthood. A large part of the association is attributable to cigarette smoking, particularly for males. These findings underscore the importance of interventions to prevent CM as well as programs to assist victims of CM in dealing with tobacco addiction. Keywords: child abuse, cigarette, smoking, physical abuse, sexual abuse, intimate partner violence, domestic violence, family violence
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spelling doaj.art-08c90d345ed349f184a5ce2507f853132022-12-21T18:15:12ZengDove Medical PressInternational Journal of COPD1178-20052016-10-01Volume 112641265029679Childhood maltreatment as a risk factor for COPD: findings from a population-based survey of Canadian adultsShields MEHovdestad WEGilbert CPTonmyr LEMargot E Shields, Wendy E Hovdestad, Charles P Gilbert, Lil E Tonmyr Public Health Agency of Canada, Ottawa, ON, Canada Objective: The aim of this study was to examine the associations between childhood maltreatment (CM) and COPD in adulthood.Methods: Data were from 15,902 respondents to the 2012 Canadian Community Health Survey – Mental Health. Multiple logistic regression models were used to examine associations between CM and COPD and the role of smoking and mental and substance use variables as mediators in associations.Results: COPD in adulthood was related to CM, with associations differing by sex. Among females, COPD was related to childhood physical abuse (CPA), childhood sexual abuse, and childhood exposure to intimate partner violence, but in the fully adjusted models, the association with CPA did not persist. Among males, COPD was related to childhood exposure to intimate partner violence and severe and frequent CPA, but these associations did not persist in the fully adjusted models.Conclusion: Results from this study establish CM as a risk factor for COPD in adulthood. A large part of the association is attributable to cigarette smoking, particularly for males. These findings underscore the importance of interventions to prevent CM as well as programs to assist victims of CM in dealing with tobacco addiction. Keywords: child abuse, cigarette, smoking, physical abuse, sexual abuse, intimate partner violence, domestic violence, family violencehttps://www.dovepress.com/childhood-maltreatment-as-a-risk-factor-for-copd-findings-from-a-popul-peer-reviewed-article-COPDadverse childhood experienceschild abusenonspecific risk factor
spellingShingle Shields ME
Hovdestad WE
Gilbert CP
Tonmyr LE
Childhood maltreatment as a risk factor for COPD: findings from a population-based survey of Canadian adults
International Journal of COPD
adverse childhood experiences
child abuse
nonspecific risk factor
title Childhood maltreatment as a risk factor for COPD: findings from a population-based survey of Canadian adults
title_full Childhood maltreatment as a risk factor for COPD: findings from a population-based survey of Canadian adults
title_fullStr Childhood maltreatment as a risk factor for COPD: findings from a population-based survey of Canadian adults
title_full_unstemmed Childhood maltreatment as a risk factor for COPD: findings from a population-based survey of Canadian adults
title_short Childhood maltreatment as a risk factor for COPD: findings from a population-based survey of Canadian adults
title_sort childhood maltreatment as a risk factor for copd findings from a population based survey of canadian adults
topic adverse childhood experiences
child abuse
nonspecific risk factor
url https://www.dovepress.com/childhood-maltreatment-as-a-risk-factor-for-copd-findings-from-a-popul-peer-reviewed-article-COPD
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