Abstract P122: Child Maltreatment and Hypertension in Young Adulthood
Introduction: Recent studies have noted a relationship between child maltreatment and self reported hypertension in adulthood among women, however this association has not been examined among men. Furthermore, most studies have relied on self-reported hypertension.
Methods: We examined the relationship between child maltreatment and hypertension in young adulthood in the National Longitudinal Study of Adolescent Health a nationally representative school based sample. Participants retrospectively (mean age 29.9, n=11,712) reported on their experiences of child abuse and neglect prior to 18 years of age during the wave 4 (2007-2008) assessment. A composite measure of child emotional, physical and sexual violence accounting for the frequency of exposures was created. Blood pressure was measured during an in home visit during follow-up (Wave 4 2007-2008 mean age 29.0). Hypertension was defined as systolic blood pressure >=140mmHg or diastolic >=90mmHg or currently taking antihypertensive medications.
Results: Eighteen percent of participants reported experiencing physical violence and 5% reported being the victims of sexual abuse prior to 18 years of age. In adjusted models, women were at increased risk of having hypertension if they experienced medium (OR 1.3 95%CI 1.0, 1.7) but not high (OR 1.1 95%CI 0.9, 1.4) violence exposure compared to no violence exposure. Among men, those experiencing high violence exposure were at an increased risk of hypertension (OR 1.1, 95%CI 0.9, 1.4) albeit this was not statistically significant. These associations remained after adjusting for BMI, smoking status, physical activity and current depressive symptoms. Conclusion: There appear to be gender differences in the relationship between child maltreatment and hypertension in young adulthood.
- © 2013 by American Heart Association, Inc.