Child maltreatment prevalence and mental disorders outcomes among American Indian women in primary care
Objective: To examine (1) the prevalence, types, and severity of child abuse and neglect (CAN) and (2) the relationship between CAN and lifetime psychiatric disorders among American Indian women using primary care services. Methods: A cross-sectional study was conducted among 234 American Indian wom...
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| creator | Duran, Bonnie Malcoe, Lorraine Halinka Sanders, Margaret Waitzkin, Howard Skipper, Betty Yager, Joel |
| description | Objective: To examine (1) the prevalence, types, and severity of child abuse and neglect (CAN) and (2) the relationship between CAN and lifetime psychiatric disorders among American Indian women using primary care services.
Methods: A cross-sectional study was conducted among 234 American Indian women, age 18–45 who presented for outpatient ambulatory services at a community-based Indian Health Service Hospital in Albuquerque, New Mexico. Dependent measures included mood, substance abuse, and anxiety disorders as well as posttraumatic stress disorder (PTSD) as measured by the Composite International Diagnostic Interview. CAN was assessed using the Childhood Trauma Questionnaire.
Results: Approximately three-quarters of respondents (76.5%; 95% CI=70.4, 81.7) reported some type of childhood abuse or neglect; over 40% reported exposure to severe maltreatment. Severity of child maltreatment was associated in a dose response manner with lifetime diagnosis of mental disorders. After adjusting for social and demographic correlates, severe child maltreatment was strongly associated with lifetime PTSD (prevalence ratio [PR]=3.9; 95% CI=1.9, 8.0); and was moderately associated with lifetime substance use disorders (PR=2.3; 95% CI=1.6, 3.3); mood disorders (PR=2.1; 95% CI=1.4, 3.2); and with two or more disorders (PR=2.3; 95% CI=1.6, 3.4).
Conclusion: CAN was common in our sample of American Indian women in primary care and was positively associated with lifetime psychiatric disorders outcomes. Screening for CAN and psychiatric disorders would enhance the treatment of patients seeking primary care services. Primary prevention of child maltreatment might reduce the high prevalence of mental disorders among American Indian women.
Objectif: Examiner dans une population d’Amérindiennes qui reçoivent des soins de santé primaires (1) la prévalence, les types et la gravité des mauvais traitements et de la négligence vécus; et (2) la relation entre ces phénomènes et les désordres psychiatriques qu’elles vivent tout au long de leur vie.
Méthode: On a mené une étude parmi 234 Amérindiennes âgées de 18 à 45 ans qui s’étaient présentées dans une clinique externe d’un hôpital communautaire indien à Albuquerque, au Nouveau Mexique. Les variables dépendantes qu’on a mesurées au moyen du Composite International Diagnostic Interview étaient l’état d’esprit, l’angoisse, l’abus de drogues et de l’alcool et le désordre du stress post traumatique. On a mesuré la maltraitance au moyen du |
| doi_str_mv | 10.1016/j.chiabu.2003.06.005 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_57139789</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><ericid>EJ731574</ericid><els_id>S0145213404000080</els_id><sourcerecordid>57139789</sourcerecordid><originalsourceid>FETCH-LOGICAL-c498t-8204516e9032f33b5b372f6195f7b8cc64e00ee4457c319d17954c2d827315853</originalsourceid><addsrcrecordid>eNqFkV9r1jAUh4Mo7nX6DYYEQe_a5W-T3gjjZepksBu9DmlyuuWlTWfSTvz2prxFxYstN4H8nnPIOQ9CZ5TUlNDm_FC7u2C7pWaE8Jo0NSHyGdpRrXillFTP0Y5QIStGuThBr3I-kHKkki_RCZWlhrd6h273d2HweLTDnMDOI8QZ3yd4sANEB9jGkpU3O2Af8pQ8pIynZXbTCBnbcYq3-GKEFJyN-Cr6UK6fJYs4xNInjDb9ws4meI1e9HbI8Ga7T9H3T5ff9l-q65vPV_uL68qJVs-VZkRI2kBLOOs572THFesb2speddq5RgAhAEJI5ThtPVWtFI55zRSnUkt-ij4c-96n6ccCeTZjyA6GwUaYlmykorxVun0SpEpLwTkt4Lv_wMO0pFiGMIwXEazstEDiCLk05ZygN9vwhhKz6jIHc9RlVl2GNKa4KGVvt95LN4L_W7T5KcD7DbDZ2aFPNrqQ_-Gk5Iw3hTs7cquKP_Hl13UrSpT44xaX1T8ESCa7sAr2IYGbjZ_C4x_9DS8YvJo</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>230162057</pqid></control><display><type>article</type><title>Child maltreatment prevalence and mental disorders outcomes among American Indian women in primary care</title><source>MEDLINE</source><source>Elsevier ScienceDirect Journals</source><source>Sociological Abstracts</source><source>Applied Social Sciences Index & Abstracts (ASSIA)</source><creator>Duran, Bonnie ; Malcoe, Lorraine Halinka ; Sanders, Margaret ; Waitzkin, Howard ; Skipper, Betty ; Yager, Joel</creator><creatorcontrib>Duran, Bonnie ; Malcoe, Lorraine Halinka ; Sanders, Margaret ; Waitzkin, Howard ; Skipper, Betty ; Yager, Joel</creatorcontrib><description>Objective: To examine (1) the prevalence, types, and severity of child abuse and neglect (CAN) and (2) the relationship between CAN and lifetime psychiatric disorders among American Indian women using primary care services.
Methods: A cross-sectional study was conducted among 234 American Indian women, age 18–45 who presented for outpatient ambulatory services at a community-based Indian Health Service Hospital in Albuquerque, New Mexico. Dependent measures included mood, substance abuse, and anxiety disorders as well as posttraumatic stress disorder (PTSD) as measured by the Composite International Diagnostic Interview. CAN was assessed using the Childhood Trauma Questionnaire.
Results: Approximately three-quarters of respondents (76.5%; 95% CI=70.4, 81.7) reported some type of childhood abuse or neglect; over 40% reported exposure to severe maltreatment. Severity of child maltreatment was associated in a dose response manner with lifetime diagnosis of mental disorders. After adjusting for social and demographic correlates, severe child maltreatment was strongly associated with lifetime PTSD (prevalence ratio [PR]=3.9; 95% CI=1.9, 8.0); and was moderately associated with lifetime substance use disorders (PR=2.3; 95% CI=1.6, 3.3); mood disorders (PR=2.1; 95% CI=1.4, 3.2); and with two or more disorders (PR=2.3; 95% CI=1.6, 3.4).
Conclusion: CAN was common in our sample of American Indian women in primary care and was positively associated with lifetime psychiatric disorders outcomes. Screening for CAN and psychiatric disorders would enhance the treatment of patients seeking primary care services. Primary prevention of child maltreatment might reduce the high prevalence of mental disorders among American Indian women.
Objectif: Examiner dans une population d’Amérindiennes qui reçoivent des soins de santé primaires (1) la prévalence, les types et la gravité des mauvais traitements et de la négligence vécus; et (2) la relation entre ces phénomènes et les désordres psychiatriques qu’elles vivent tout au long de leur vie.
Méthode: On a mené une étude parmi 234 Amérindiennes âgées de 18 à 45 ans qui s’étaient présentées dans une clinique externe d’un hôpital communautaire indien à Albuquerque, au Nouveau Mexique. Les variables dépendantes qu’on a mesurées au moyen du Composite International Diagnostic Interview étaient l’état d’esprit, l’angoisse, l’abus de drogues et de l’alcool et le désordre du stress post traumatique. On a mesuré la maltraitance au moyen du Childhood Trauma Questionnaire.
Résultats: Environ 3/4 des participantes rapportent avoir été victimes de mauvais traitements ou de négligence; dans plus de 40% des cas, la maltraitance est sévère. La gravité s’associe à une vie entière où règne la maladie mentale. Ayant pris en considération les facteurs sociaux et démographiques, on note que la maltraitance grave s’associe fortement au désordre du stress post traumatique, lequel dure toute une vie (ratio de prévalence de 3.9%) tandis qu’on note une relation modérée pour les abus de l’alcool ou des drogues (ratio de prévalence de 3.9%); les désordres de l’humeur ont un ratio de prévalence de 2.1%. Deux autres désordres ont un ratio de 2.3%.
Conclusions: La maltraitance et la négligence sont chose commune pour cet échantillon de patientes et s’associent à une vie marquée par les désordres psychiatriques. Le dépistage de la maltraitance et des désordres psychiatriques pourrait améliorer le traitement des patients qui reçoivent des soins de santé primaires. La prévention primaire des mauvais traitements pourrait réduire la haute prévalence des désordres mentaux chez les Amérindiennes.</description><identifier>ISSN: 0145-2134</identifier><identifier>EISSN: 1873-7757</identifier><identifier>DOI: 10.1016/j.chiabu.2003.06.005</identifier><identifier>PMID: 15003398</identifier><identifier>CODEN: CABND3</identifier><language>eng</language><publisher>Oxford: Elsevier Ltd</publisher><subject>Adult ; American Indian ; American Indian people ; American Indians ; Anxiety disorders ; Biological and medical sciences ; Child ; Child Abuse ; Child abuse & neglect ; Child Abuse - classification ; Child Abuse - statistics & numerical data ; Child Neglect ; Childhood maltreatment ; Cross-Sectional Studies ; Epidemiology ; Female ; Females ; Humans ; Incidence ; Indians, North American ; Medical sciences ; Mental Disorders ; Mental Disorders - epidemiology ; Mental Disorders - etiology ; Middle Aged ; Mood disorders ; Native American ; Native North Americans ; New Mexico ; New Mexico - epidemiology ; Posttraumatic Stress Disorder ; Prevalence ; Prevention ; Primary care ; Primary Health Care ; Psychiatric disorders ; Psychology. Psychoanalysis. Psychiatry ; Psychopathology. Psychiatry ; Stress Disorders, Post-Traumatic - epidemiology ; Stress Disorders, Post-Traumatic - etiology ; Substance Abuse ; Substance-Related Disorders - epidemiology ; Substance-Related Disorders - etiology ; Surveys and Questionnaires ; Victimology ; Women</subject><ispartof>Child abuse & neglect, 2004-02, Vol.28 (2), p.131-145</ispartof><rights>2004 Elsevier Ltd</rights><rights>2004 INIST-CNRS</rights><rights>Copyright Pergamon Press Inc. Feb 2004</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c498t-8204516e9032f33b5b372f6195f7b8cc64e00ee4457c319d17954c2d827315853</citedby><cites>FETCH-LOGICAL-c498t-8204516e9032f33b5b372f6195f7b8cc64e00ee4457c319d17954c2d827315853</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.chiabu.2003.06.005$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,776,780,3536,27903,27904,30978,30979,33753,45974</link.rule.ids><backlink>$$Uhttp://eric.ed.gov/ERICWebPortal/detail?accno=EJ731574$$DView record in ERIC$$Hfree_for_read</backlink><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=15553236$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/15003398$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Duran, Bonnie</creatorcontrib><creatorcontrib>Malcoe, Lorraine Halinka</creatorcontrib><creatorcontrib>Sanders, Margaret</creatorcontrib><creatorcontrib>Waitzkin, Howard</creatorcontrib><creatorcontrib>Skipper, Betty</creatorcontrib><creatorcontrib>Yager, Joel</creatorcontrib><title>Child maltreatment prevalence and mental disorders outcomes among American Indian women in primary care</title><title>Child abuse & neglect</title><addtitle>Child Abuse Negl</addtitle><description>Objective: To examine (1) the prevalence, types, and severity of child abuse and neglect (CAN) and (2) the relationship between CAN and lifetime psychiatric disorders among American Indian women using primary care services.
Methods: A cross-sectional study was conducted among 234 American Indian women, age 18–45 who presented for outpatient ambulatory services at a community-based Indian Health Service Hospital in Albuquerque, New Mexico. Dependent measures included mood, substance abuse, and anxiety disorders as well as posttraumatic stress disorder (PTSD) as measured by the Composite International Diagnostic Interview. CAN was assessed using the Childhood Trauma Questionnaire.
Results: Approximately three-quarters of respondents (76.5%; 95% CI=70.4, 81.7) reported some type of childhood abuse or neglect; over 40% reported exposure to severe maltreatment. Severity of child maltreatment was associated in a dose response manner with lifetime diagnosis of mental disorders. After adjusting for social and demographic correlates, severe child maltreatment was strongly associated with lifetime PTSD (prevalence ratio [PR]=3.9; 95% CI=1.9, 8.0); and was moderately associated with lifetime substance use disorders (PR=2.3; 95% CI=1.6, 3.3); mood disorders (PR=2.1; 95% CI=1.4, 3.2); and with two or more disorders (PR=2.3; 95% CI=1.6, 3.4).
Conclusion: CAN was common in our sample of American Indian women in primary care and was positively associated with lifetime psychiatric disorders outcomes. Screening for CAN and psychiatric disorders would enhance the treatment of patients seeking primary care services. Primary prevention of child maltreatment might reduce the high prevalence of mental disorders among American Indian women.
Objectif: Examiner dans une population d’Amérindiennes qui reçoivent des soins de santé primaires (1) la prévalence, les types et la gravité des mauvais traitements et de la négligence vécus; et (2) la relation entre ces phénomènes et les désordres psychiatriques qu’elles vivent tout au long de leur vie.
Méthode: On a mené une étude parmi 234 Amérindiennes âgées de 18 à 45 ans qui s’étaient présentées dans une clinique externe d’un hôpital communautaire indien à Albuquerque, au Nouveau Mexique. Les variables dépendantes qu’on a mesurées au moyen du Composite International Diagnostic Interview étaient l’état d’esprit, l’angoisse, l’abus de drogues et de l’alcool et le désordre du stress post traumatique. On a mesuré la maltraitance au moyen du Childhood Trauma Questionnaire.
Résultats: Environ 3/4 des participantes rapportent avoir été victimes de mauvais traitements ou de négligence; dans plus de 40% des cas, la maltraitance est sévère. La gravité s’associe à une vie entière où règne la maladie mentale. Ayant pris en considération les facteurs sociaux et démographiques, on note que la maltraitance grave s’associe fortement au désordre du stress post traumatique, lequel dure toute une vie (ratio de prévalence de 3.9%) tandis qu’on note une relation modérée pour les abus de l’alcool ou des drogues (ratio de prévalence de 3.9%); les désordres de l’humeur ont un ratio de prévalence de 2.1%. Deux autres désordres ont un ratio de 2.3%.
Conclusions: La maltraitance et la négligence sont chose commune pour cet échantillon de patientes et s’associent à une vie marquée par les désordres psychiatriques. Le dépistage de la maltraitance et des désordres psychiatriques pourrait améliorer le traitement des patients qui reçoivent des soins de santé primaires. La prévention primaire des mauvais traitements pourrait réduire la haute prévalence des désordres mentaux chez les Amérindiennes.</description><subject>Adult</subject><subject>American Indian</subject><subject>American Indian people</subject><subject>American Indians</subject><subject>Anxiety disorders</subject><subject>Biological and medical sciences</subject><subject>Child</subject><subject>Child Abuse</subject><subject>Child abuse & neglect</subject><subject>Child Abuse - classification</subject><subject>Child Abuse - statistics & numerical data</subject><subject>Child Neglect</subject><subject>Childhood maltreatment</subject><subject>Cross-Sectional Studies</subject><subject>Epidemiology</subject><subject>Female</subject><subject>Females</subject><subject>Humans</subject><subject>Incidence</subject><subject>Indians, North American</subject><subject>Medical sciences</subject><subject>Mental Disorders</subject><subject>Mental Disorders - epidemiology</subject><subject>Mental Disorders - etiology</subject><subject>Middle Aged</subject><subject>Mood disorders</subject><subject>Native American</subject><subject>Native North Americans</subject><subject>New Mexico</subject><subject>New Mexico - epidemiology</subject><subject>Posttraumatic Stress Disorder</subject><subject>Prevalence</subject><subject>Prevention</subject><subject>Primary care</subject><subject>Primary Health Care</subject><subject>Psychiatric disorders</subject><subject>Psychology. Psychoanalysis. Psychiatry</subject><subject>Psychopathology. Psychiatry</subject><subject>Stress Disorders, Post-Traumatic - epidemiology</subject><subject>Stress Disorders, Post-Traumatic - etiology</subject><subject>Substance Abuse</subject><subject>Substance-Related Disorders - epidemiology</subject><subject>Substance-Related Disorders - etiology</subject><subject>Surveys and Questionnaires</subject><subject>Victimology</subject><subject>Women</subject><issn>0145-2134</issn><issn>1873-7757</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2004</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>7QJ</sourceid><sourceid>BHHNA</sourceid><recordid>eNqFkV9r1jAUh4Mo7nX6DYYEQe_a5W-T3gjjZepksBu9DmlyuuWlTWfSTvz2prxFxYstN4H8nnPIOQ9CZ5TUlNDm_FC7u2C7pWaE8Jo0NSHyGdpRrXillFTP0Y5QIStGuThBr3I-kHKkki_RCZWlhrd6h273d2HweLTDnMDOI8QZ3yd4sANEB9jGkpU3O2Af8pQ8pIynZXbTCBnbcYq3-GKEFJyN-Cr6UK6fJYs4xNInjDb9ws4meI1e9HbI8Ga7T9H3T5ff9l-q65vPV_uL68qJVs-VZkRI2kBLOOs572THFesb2speddq5RgAhAEJI5ThtPVWtFI55zRSnUkt-ij4c-96n6ccCeTZjyA6GwUaYlmykorxVun0SpEpLwTkt4Lv_wMO0pFiGMIwXEazstEDiCLk05ZygN9vwhhKz6jIHc9RlVl2GNKa4KGVvt95LN4L_W7T5KcD7DbDZ2aFPNrqQ_-Gk5Iw3hTs7cquKP_Hl13UrSpT44xaX1T8ESCa7sAr2IYGbjZ_C4x_9DS8YvJo</recordid><startdate>20040201</startdate><enddate>20040201</enddate><creator>Duran, Bonnie</creator><creator>Malcoe, Lorraine Halinka</creator><creator>Sanders, Margaret</creator><creator>Waitzkin, Howard</creator><creator>Skipper, Betty</creator><creator>Yager, Joel</creator><general>Elsevier Ltd</general><general>Elsevier</general><general>Elsevier Science</general><general>Elsevier Science Ltd</general><scope>7SW</scope><scope>BJH</scope><scope>BNH</scope><scope>BNI</scope><scope>BNJ</scope><scope>BNO</scope><scope>ERI</scope><scope>PET</scope><scope>REK</scope><scope>WWN</scope><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QJ</scope><scope>7U3</scope><scope>7U4</scope><scope>BHHNA</scope><scope>DWI</scope><scope>K7.</scope><scope>K9.</scope><scope>WZK</scope><scope>7U1</scope><scope>7U2</scope><scope>C1K</scope></search><sort><creationdate>20040201</creationdate><title>Child maltreatment prevalence and mental disorders outcomes among American Indian women in primary care</title><author>Duran, Bonnie ; Malcoe, Lorraine Halinka ; Sanders, Margaret ; Waitzkin, Howard ; Skipper, Betty ; Yager, Joel</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c498t-8204516e9032f33b5b372f6195f7b8cc64e00ee4457c319d17954c2d827315853</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2004</creationdate><topic>Adult</topic><topic>American Indian</topic><topic>American Indian people</topic><topic>American Indians</topic><topic>Anxiety disorders</topic><topic>Biological and medical sciences</topic><topic>Child</topic><topic>Child Abuse</topic><topic>Child abuse & neglect</topic><topic>Child Abuse - classification</topic><topic>Child Abuse - statistics & numerical data</topic><topic>Child Neglect</topic><topic>Childhood maltreatment</topic><topic>Cross-Sectional Studies</topic><topic>Epidemiology</topic><topic>Female</topic><topic>Females</topic><topic>Humans</topic><topic>Incidence</topic><topic>Indians, North American</topic><topic>Medical sciences</topic><topic>Mental Disorders</topic><topic>Mental Disorders - epidemiology</topic><topic>Mental Disorders - etiology</topic><topic>Middle Aged</topic><topic>Mood disorders</topic><topic>Native American</topic><topic>Native North Americans</topic><topic>New Mexico</topic><topic>New Mexico - epidemiology</topic><topic>Posttraumatic Stress Disorder</topic><topic>Prevalence</topic><topic>Prevention</topic><topic>Primary care</topic><topic>Primary Health Care</topic><topic>Psychiatric disorders</topic><topic>Psychology. Psychoanalysis. Psychiatry</topic><topic>Psychopathology. Psychiatry</topic><topic>Stress Disorders, Post-Traumatic - epidemiology</topic><topic>Stress Disorders, Post-Traumatic - etiology</topic><topic>Substance Abuse</topic><topic>Substance-Related Disorders - epidemiology</topic><topic>Substance-Related Disorders - etiology</topic><topic>Surveys and Questionnaires</topic><topic>Victimology</topic><topic>Women</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Duran, Bonnie</creatorcontrib><creatorcontrib>Malcoe, Lorraine Halinka</creatorcontrib><creatorcontrib>Sanders, Margaret</creatorcontrib><creatorcontrib>Waitzkin, Howard</creatorcontrib><creatorcontrib>Skipper, Betty</creatorcontrib><creatorcontrib>Yager, Joel</creatorcontrib><collection>ERIC</collection><collection>ERIC (Ovid)</collection><collection>ERIC</collection><collection>ERIC</collection><collection>ERIC (Legacy Platform)</collection><collection>ERIC( SilverPlatter )</collection><collection>ERIC</collection><collection>ERIC PlusText (Legacy Platform)</collection><collection>Education Resources Information Center (ERIC)</collection><collection>ERIC</collection><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Applied Social Sciences Index & Abstracts (ASSIA)</collection><collection>Social Services Abstracts</collection><collection>Sociological Abstracts (pre-2017)</collection><collection>Sociological Abstracts</collection><collection>Sociological Abstracts</collection><collection>ProQuest Criminal Justice (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Sociological Abstracts (Ovid)</collection><collection>Risk Abstracts</collection><collection>Safety Science and Risk</collection><collection>Environmental Sciences and Pollution Management</collection><jtitle>Child abuse & neglect</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Duran, Bonnie</au><au>Malcoe, Lorraine Halinka</au><au>Sanders, Margaret</au><au>Waitzkin, Howard</au><au>Skipper, Betty</au><au>Yager, Joel</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><ericid>EJ731574</ericid><atitle>Child maltreatment prevalence and mental disorders outcomes among American Indian women in primary care</atitle><jtitle>Child abuse & neglect</jtitle><addtitle>Child Abuse Negl</addtitle><date>2004-02-01</date><risdate>2004</risdate><volume>28</volume><issue>2</issue><spage>131</spage><epage>145</epage><pages>131-145</pages><issn>0145-2134</issn><eissn>1873-7757</eissn><coden>CABND3</coden><abstract>Objective: To examine (1) the prevalence, types, and severity of child abuse and neglect (CAN) and (2) the relationship between CAN and lifetime psychiatric disorders among American Indian women using primary care services.
Methods: A cross-sectional study was conducted among 234 American Indian women, age 18–45 who presented for outpatient ambulatory services at a community-based Indian Health Service Hospital in Albuquerque, New Mexico. Dependent measures included mood, substance abuse, and anxiety disorders as well as posttraumatic stress disorder (PTSD) as measured by the Composite International Diagnostic Interview. CAN was assessed using the Childhood Trauma Questionnaire.
Results: Approximately three-quarters of respondents (76.5%; 95% CI=70.4, 81.7) reported some type of childhood abuse or neglect; over 40% reported exposure to severe maltreatment. Severity of child maltreatment was associated in a dose response manner with lifetime diagnosis of mental disorders. After adjusting for social and demographic correlates, severe child maltreatment was strongly associated with lifetime PTSD (prevalence ratio [PR]=3.9; 95% CI=1.9, 8.0); and was moderately associated with lifetime substance use disorders (PR=2.3; 95% CI=1.6, 3.3); mood disorders (PR=2.1; 95% CI=1.4, 3.2); and with two or more disorders (PR=2.3; 95% CI=1.6, 3.4).
Conclusion: CAN was common in our sample of American Indian women in primary care and was positively associated with lifetime psychiatric disorders outcomes. Screening for CAN and psychiatric disorders would enhance the treatment of patients seeking primary care services. Primary prevention of child maltreatment might reduce the high prevalence of mental disorders among American Indian women.
Objectif: Examiner dans une population d’Amérindiennes qui reçoivent des soins de santé primaires (1) la prévalence, les types et la gravité des mauvais traitements et de la négligence vécus; et (2) la relation entre ces phénomènes et les désordres psychiatriques qu’elles vivent tout au long de leur vie.
Méthode: On a mené une étude parmi 234 Amérindiennes âgées de 18 à 45 ans qui s’étaient présentées dans une clinique externe d’un hôpital communautaire indien à Albuquerque, au Nouveau Mexique. Les variables dépendantes qu’on a mesurées au moyen du Composite International Diagnostic Interview étaient l’état d’esprit, l’angoisse, l’abus de drogues et de l’alcool et le désordre du stress post traumatique. On a mesuré la maltraitance au moyen du Childhood Trauma Questionnaire.
Résultats: Environ 3/4 des participantes rapportent avoir été victimes de mauvais traitements ou de négligence; dans plus de 40% des cas, la maltraitance est sévère. La gravité s’associe à une vie entière où règne la maladie mentale. Ayant pris en considération les facteurs sociaux et démographiques, on note que la maltraitance grave s’associe fortement au désordre du stress post traumatique, lequel dure toute une vie (ratio de prévalence de 3.9%) tandis qu’on note une relation modérée pour les abus de l’alcool ou des drogues (ratio de prévalence de 3.9%); les désordres de l’humeur ont un ratio de prévalence de 2.1%. Deux autres désordres ont un ratio de 2.3%.
Conclusions: La maltraitance et la négligence sont chose commune pour cet échantillon de patientes et s’associent à une vie marquée par les désordres psychiatriques. Le dépistage de la maltraitance et des désordres psychiatriques pourrait améliorer le traitement des patients qui reçoivent des soins de santé primaires. La prévention primaire des mauvais traitements pourrait réduire la haute prévalence des désordres mentaux chez les Amérindiennes.</abstract><cop>Oxford</cop><cop>New York, NY</cop><pub>Elsevier Ltd</pub><pmid>15003398</pmid><doi>10.1016/j.chiabu.2003.06.005</doi><tpages>15</tpages></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0145-2134 |
| ispartof | Child abuse & neglect, 2004-02, Vol.28 (2), p.131-145 |
| issn | 0145-2134 1873-7757 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_57139789 |
| source | MEDLINE; Elsevier ScienceDirect Journals; Sociological Abstracts; Applied Social Sciences Index & Abstracts (ASSIA) |
| subjects | Adult American Indian American Indian people American Indians Anxiety disorders Biological and medical sciences Child Child Abuse Child abuse & neglect Child Abuse - classification Child Abuse - statistics & numerical data Child Neglect Childhood maltreatment Cross-Sectional Studies Epidemiology Female Females Humans Incidence Indians, North American Medical sciences Mental Disorders Mental Disorders - epidemiology Mental Disorders - etiology Middle Aged Mood disorders Native American Native North Americans New Mexico New Mexico - epidemiology Posttraumatic Stress Disorder Prevalence Prevention Primary care Primary Health Care Psychiatric disorders Psychology. Psychoanalysis. Psychiatry Psychopathology. Psychiatry Stress Disorders, Post-Traumatic - epidemiology Stress Disorders, Post-Traumatic - etiology Substance Abuse Substance-Related Disorders - epidemiology Substance-Related Disorders - etiology Surveys and Questionnaires Victimology Women |
| title | Child maltreatment prevalence and mental disorders outcomes among American Indian women in primary care |
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