| Titre : | Hypertension in adult survivors of child abuse : observations from the Nurses'Health Study II. (2010) |
| Auteurs : | RILEY (E.H.) : USA. Department of Medicine. Massachusetts General Hospital. Boston. MA. ; E.N. HIBERT ; H.J. JUN ; RICH-EDWARDS (J.W.) : USA. Connors Center for Women's Health and Gender Biology. Brigham and Women's Hospital. Boston. MA. ; WRIGHT (R.J.) : USA. Department of Environmental Health. Harvard School of Public Health. Boston. MA. |
| Type de document : | Article |
| Dans : | Journal of epidemiology and community health (vol. 64, n° 5, 2010) |
| Pagination : | 413-418 |
| Langues: | Anglais |
| Mots-clés : | Hypertension artérielle ; Adulte ; Enfance maltraitée ; Infirmier ; Profession santé ; Victime ; Homme ; Maltraitance |
| Résumé : | [BDSP. Notice produite par INIST-CNRS 97AqR0xE. Diffusion soumise à autorisation]. Background. Limited research has shown a possible association between exposure to physical or sexual abuse prior to age 18 and the risk of developing hypertension as an adult. The factors mediating this relationship are unknown. Methods. Questionnaire data from 68 505 female participants in the Nurses'Health Study II were analysed regarding exposure to physical and sexual abuse prior to age 18. Cox proportional hazards regression was used to assess the relationship between abuse exposure and hypertension. Results. 64% of the participants (n=41 792) reported physical and/or sexual abuse prior to age 18 ; 17% reported hypertension. All forms of abuse had a dose-response relationship with hypertension. Adjustments for smoking, alcohol, family history of hypertension, exercise and oral contraceptives did not alter risk estimates. Adjustment for body mass index (BMI) significantly attenuated the associations between abuse and risk of hypertension and accounted for approximately 50% of the observed association between abuse exposure and hypertension. Women experiencing forced sexual activity as a child and as an adolescent had a 20% increased risk for developing hypertension (95% CI 8% to 32%) that was independent of BMI. Similarly, women reporting severe physical abuse in childhood and/or adolescence had risk estimates ranging from 14% (95% CI 5% to 24%) to 22% (95% CI 11% to 33%). Conclusion. Early interpersonal violence may be a widespread risk factor for the development of hypertension in women. BMI is a significant mediator in the relationship between early abuse and adult hypertension. |
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