Résumé :
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[BDSP. Notice produite par INIST-CNRS I9EpR0xC. Diffusion soumise à autorisation]. Objectives. We sought to assess the difference in a preference-based measure of health among adults reporting maltreatment as a child versus those reporting no maltreatment. Methods. Using data from a study of adults who reported adverse childhood experiences and current health status, we matched adults who reported childhood maltreatment (n=2812) to those who reported no childhood maltreatment (n=3356). Propensity score methods were used to compare the 2 groups. Health-related quality-of-life data (or "utilities") were imputed from the Medical Outcomes Study 36-ltem Short Form Health Survey using the Short Form-6D preference-based scoring algorithm. Results. The combined strata-level effects of maltreatment on Short Form-6D utility was a reduction of 0.028 per year (95% confidence interval=0.022,0.034 ; P<. 001). All utility losses for the childhood-maltreatment versus no-childhood-maltreatment groups by age group were significantly different : 18-39 years, 0.042 ; 40-49 years, 0.038 ; 50-59 years, 0.023 ; 60-69 years, 0.016 ; 70 or more years, 0.025. Conclusions. Persons who experienced childhood maltreatment had significant and sustained losses in health-related quality of life in adulthood relative to persons who did not experience maltreatment. These data are useful for asessing the cost-effectiveness of interventions designed to prevent child maltreatment in terms of cost per quality-adjusted life years saved.
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