The relationship between childhood abuse, adult physical health and health care utilization
Bibliographic record
Abstract
Childhood abuse and adult health ii ABSTR,A,CT Introductíon: The long-term consequences ofchildhood malheatment on adult mental health have been a major focus ofresearch.Much less attention has been directed to the effects ofchildhood abuse on physical health outcomes.This study builds on research regarding the link between childhood physical and sexual abuse and adult physical health and health care utilization.The life course model was used whereby outcomes later in life are believed to be linked to early life events.Methods: Using data flom the Ontario Health Survey and the Mental Health Supplement (n=9953), the relationship between retrospective reports of childhood physical and sexual abuse and health and health care utilization indicators were examined.The influences of age, sex, other common adverse childhood experiences (lack ofa close relationship with a parent or adult, having parents with low education, marital conJlict or psychopathology) as well as childhood school diffrculties and health risk behaviors were also explored in this relationship.Resulß: Al association of mode¡ate strength was found between childhood abuse and multiple health problems, poor or fair self-rated health, pain that interferes with activities, disability due to physical health problems, and frequent emergency room and health professional visits.These effects were more pronounced in females and younger respondents.The study results also suggest a dose-response relationship whereby the risk ofnegative health outcomes increases with the number of adverse childhood experiences (including childhood abuse).Analyses suggest that childhood school difficulties, smoking, alcohol problems, obesity and multiple sexual partners partially mediated the effects ofchildhood abuse on health outcomes. Childhood abuse and adult health iiiConclusion: More research is required in undersønding how these early behavioral, environmental and social factors work together in the development oflong term health outcomes.Given the growing evidence ofthe long term effects ofchildhood abuse, greater efforts are clearly needed in developing more effective strategies for the prevention and treatment of child abuse.colleagues, friends and family, My gratitude is extended to my advisor, Dr.
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How this classification was reachedexpand
Full frame machine prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.
Distilled classifier scores by category (both heads)
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.001 | 0.004 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.000 | 0.000 |
| Bibliometrics | 0.001 | 0.001 |
| Science and technology studies | 0.000 | 0.000 |
| Scholarly communication | 0.001 | 0.000 |
| Open science | 0.000 | 0.001 |
| Research integrity | 0.000 | 0.000 |
| Insufficient payload (model declined to judge) | 0.004 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".