Childhood adversities and chronic conditions: examination of mediators, recall bias and age at diagnosis

This is a post-peer-review, pre-copyedit version of an article published in International Journal of Public Health. The final authenticated version is available online at: https://doi.org/10.1007/s00038-017-1021-2 . Objectives The aim of this study was to (1) identify the influence of childhood soci...

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Bibliographic Details
Published in:International Journal of Public Health
Main Author: Sheikh, Mashhood Ahmed
Format: Article in Journal/Newspaper
Language:English
Published: Springer Verlag (Germany) 2017
Subjects:
VDP::Medisinske Fag: 700::Helsefag: 800
VDP::Medical disciplines: 700::Health sciences: 800
Asthma
Bronchitis
Hypothyroid
Migraine
Psychiatric disorders
Mental health
Recall bias
Norway
Population-based
Childhood socioeconomic status
Child abuse
Child maltreatment
Life course
Mediation
Tromsø
Online Access:https://hdl.handle.net/10037/13152
https://doi.org/10.1007/s00038-017-1021-2
Description
Summary:This is a post-peer-review, pre-copyedit version of an article published in International Journal of Public Health. The final authenticated version is available online at: https://doi.org/10.1007/s00038-017-1021-2 . Objectives The aim of this study was to (1) identify the influence of childhood socioeconomic status (CSES) on five chronic conditions: asthma, bronchitis, hypothyroid, migraine, and psychiatric disorders in later life; (2) determine the mediating role of childhood abuse (CA) in these associations, and (3) quantify recall bias due to respondent’s mental health in these associations. Methods 10,325 men and women from the Tromsø Study were followed for 13 years, and Poisson regression models were used. Results Low CSES was associated with a 16–23% higher risk of chronic conditions, and CA was associated with a 16–58% higher risk of chronic conditions (p < 0.05). A minor proportion of the association between CSES and CA (3.98%, p < 0.05); CSES and chronic conditions (5.54–8.71%, p < 0.05); and CA and chronic conditions (9.51–19.52%, p < 0.05), were driven by recall bias due to the respondent’s mental health. CA mediated the association between CSES and chronic conditions (9.58–25.06%, p < 0.05). Conclusions Low CSES and CA are associated with higher risk of chronic conditions in later life. A minor proportion of these associations are driven by recall bias.

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