Analysis Of Early Childhood Abuse And Adult Health

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Studies linking early childhood experiences to adult health outcomes are well represented in developmental literature.While research has solidified a significant relation between childhood maltreatment and poor adult health specifically, there has been a limited understanding of the mechanisms that explain this association. The article under review attempts to identify the pathways between childhood abuse and poor adult health and health care utilization, suggesting that risky health behaviors and mental health problems mediate this relation. Though the article offers unprecedented insights into the reasons why early childhood abuse appears to predict poor outcomes in later adult health, there are concerns over the methods and design of the study. The cross-sectional design inhibits longitudinal examination of participants, thus limiting assumptions that can be made about long term effects of childhood experiences. Homeless and institutionalized populations were not represented in the mediation analyses, though rates of childhood abuse, mental health problems, and risky health behaviors are high in such groups. The mediation analyses testing the association between childhood abuse, health indicators, and health outcomes controlled for demographic of participants only. However, age of participant is a confounding variable that may influence the rate at which participants utilize health care services. Regardless of such concerns, the article under review represents an innovative approach to understanding developmental health outcomes, and has allowed for well-informed policies that protect youth against poor health in adulthood.

Research of the factors that predict adult health behaviors and health outcomes has largely driven inter...

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... development, the cross-sectional design of the study limits the conclusions that can be made about the causal nature of associations. Further research may utilize a longitudinal design in studies of child-abuse to better track the progression of childhood experiences on later adult health. Additionally, the Ontario Health Survey from which data was gathered did not include questions on childhood neglect or emotional abuse, though such variables have previously been linked to poor adult health outcomes as well ( Min, Minnes, Kim, & Singer, 2013). Lastly, as the healthcare environment evolves with the implementation of the Affordable Care Act, future analyses needs to consider the possible mediating effects of healthcare coverage and insurance on individuals health care utilization and health outcomes.

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