PDF(Pubmed)
Abstract：
BACKGROUND: Emotional abuse in childhood is the most common type of childhood abuse worldwide and is associated with a variety of somatic and mental health issues. However, globally and in indigenous contexts, research on the associations between emotional abuse in childhood and somatic and mental specialist healthcare utilization in adulthood is sparse.
OBJECTIVE: The main aim of this study was to investigate the association between emotional abuse in childhood and somatic and mental specialist healthcare utilization in adulthood in Sami and non-Sami populations, and to examine whether this association differs between the two ethnic groups.
METHODS: This study used cross-sectional data from the SAMINOR 2 Questionnaire Survey - a population-based study on health and living conditions in areas with Sami and non-Sami populations in Middle and Northern Norway. In total, 11 600 individuals participated in SAMINOR 2. Logistic regression was used to present the association between emotional abuse in childhood and somatic and mental specialist healthcare utilization.
RESULTS: Emotional abuse in childhood was significantly associated with somatic specialist healthcare utilization in adulthood (fully adjusted odds ratio [OR] 1.31, 95% confidence interval [CI] 1.15-1.49), with no differences observed between ethnic groups. Emotional abuse in childhood was also associated with mental specialist healthcare utilization (fully adjusted OR 3.99, 95% CI 3.09-5.14), however this association was weaker among Sami (crude OR 2.38, 95% CI 1.37-4.13) compared with non-Sami (crude OR 5.40, 95% Cl 4.07-7.15) participants.
CONCLUSIONS: Emotional abuse in childhood is associated with somatic and mental specialist healthcare utilization in adulthood, with a stronger association to mental healthcare utilization. The association between emotional abuse in childhood and mental specialist healthcare utilization was weaker among Sami than non-Sami participants. Future studies should investigate the reason for this ethnic difference. Our results highlight the need to strengthen efforts to prevent childhood abuse and develop strategies to reduce its societal and personal burden.
OBJECTIVE: The main aim of this study was to investigate the association between emotional abuse in childhood and somatic and mental specialist healthcare utilization in adulthood in Sami and non-Sami populations, and to examine whether this association differs between the two ethnic groups.
METHODS: This study used cross-sectional data from the SAMINOR 2 Questionnaire Survey - a population-based study on health and living conditions in areas with Sami and non-Sami populations in Middle and Northern Norway. In total, 11 600 individuals participated in SAMINOR 2. Logistic regression was used to present the association between emotional abuse in childhood and somatic and mental specialist healthcare utilization.
RESULTS: Emotional abuse in childhood was significantly associated with somatic specialist healthcare utilization in adulthood (fully adjusted odds ratio [OR] 1.31, 95% confidence interval [CI] 1.15-1.49), with no differences observed between ethnic groups. Emotional abuse in childhood was also associated with mental specialist healthcare utilization (fully adjusted OR 3.99, 95% CI 3.09-5.14), however this association was weaker among Sami (crude OR 2.38, 95% CI 1.37-4.13) compared with non-Sami (crude OR 5.40, 95% Cl 4.07-7.15) participants.
CONCLUSIONS: Emotional abuse in childhood is associated with somatic and mental specialist healthcare utilization in adulthood, with a stronger association to mental healthcare utilization. The association between emotional abuse in childhood and mental specialist healthcare utilization was weaker among Sami than non-Sami participants. Future studies should investigate the reason for this ethnic difference. Our results highlight the need to strengthen efforts to prevent childhood abuse and develop strategies to reduce its societal and personal burden.
摘要：
背景：儿童期情绪虐待是全球最常见的儿童期虐待类型，与各种躯体和心理健康问题有关。然而,在全球和土著背景下，关于儿童期情绪虐待与成年期躯体和心理专家医疗保健利用之间关联的研究很少。
目的：这项研究的主要目的是调查萨米人和非萨米人的儿童情绪虐待与成年后躯体和心理专家医疗保健利用之间的关系。并检查两个种族之间的这种联系是否有所不同。
方法：本研究使用来自SAMINOR2问卷调查的横断面数据，该调查是一项基于人群的研究，涉及挪威中部和北部萨米人和非萨米人地区的健康和生活条件。总的来说,11600人参加了SAMINOR2。Logistic回归用于显示儿童期情感虐待与躯体和心理专家医疗保健利用之间的关联。
结果：童年时期的情绪虐待与成年期的躯体专业医疗保健利用显着相关（完全调整后的优势比[OR]1.31，95％置信区间[CI]1.15-1.49），种族之间没有差异。童年时期的情绪虐待也与心理专家的医疗保健利用有关（完全调整OR3.99，95％CI3.09-5.14），然而,与非萨米人(粗OR5.40,95%Cl4.07-7.15)参与者相比,萨米人(粗OR2.38,95%Cl1.37-4.13)的这种关联较弱.
结论：儿童时期的情绪虐待与成年后的躯体和心理专家医疗保健使用有关，与精神保健利用有更强的联系。与非萨米人相比，萨米人的童年情感虐待与心理专家医疗保健利用之间的关联较弱。未来的研究应该调查这种种族差异的原因。我们的结果突出表明，需要加强努力，防止儿童虐待，并制定战略，以减少其社会和个人负担。
目的：这项研究的主要目的是调查萨米人和非萨米人的儿童情绪虐待与成年后躯体和心理专家医疗保健利用之间的关系。并检查两个种族之间的这种联系是否有所不同。
方法：本研究使用来自SAMINOR2问卷调查的横断面数据，该调查是一项基于人群的研究，涉及挪威中部和北部萨米人和非萨米人地区的健康和生活条件。总的来说,11600人参加了SAMINOR2。Logistic回归用于显示儿童期情感虐待与躯体和心理专家医疗保健利用之间的关联。
结果：童年时期的情绪虐待与成年期的躯体专业医疗保健利用显着相关（完全调整后的优势比[OR]1.31，95％置信区间[CI]1.15-1.49），种族之间没有差异。童年时期的情绪虐待也与心理专家的医疗保健利用有关（完全调整OR3.99，95％CI3.09-5.14），然而,与非萨米人(粗OR5.40,95%Cl4.07-7.15)参与者相比,萨米人(粗OR2.38,95%Cl1.37-4.13)的这种关联较弱.
结论：儿童时期的情绪虐待与成年后的躯体和心理专家医疗保健使用有关，与精神保健利用有更强的联系。与非萨米人相比，萨米人的童年情感虐待与心理专家医疗保健利用之间的关联较弱。未来的研究应该调查这种种族差异的原因。我们的结果突出表明，需要加强努力，防止儿童虐待，并制定战略，以减少其社会和个人负担。
