Abstract：
BACKGROUND: Child maltreatment (CM) includes neglect, and several types of abuse, including physical, emotional, and sexual. CM has been associated with a wide range of mental illnesses. Literature examining these illnesses in mid-life is scarce, and the impact of these illnesses on mental health service use is currently unknown.
OBJECTIVE: To examine associations between self-reported CM and subsequent hospital admissions for mental illnesses, and/or community mental health service contacts.
METHODS: Birth cohort study data linked to administrative health data, including hospital admissions and community mental health service contacts, up to the age of 40.
METHODS: Associations between hospital admissions for mental health and community mental health contacts and CM subtypes (neglect, physical abuse, emotional abuse and sexual abuse) were examined using multivariate logistic regression.
RESULTS: Adjusted analyses showed that all subtypes of CM were significantly (p < 0.05) associated with admissions to hospital for any type of mental illness (aOR range 1.87-3.61), non-psychotic mental disorders (aOR range 1.98-3.61), alcohol and/or substance use (aOR range 2.83-5.43), and community mental health service contacts (aOR range 2.44-3.13). Hospital admissions for psychotic mental disorders were significantly associated with physical abuse, emotional abuse, and sexual abuse (aOR range 2.14-3.93).
CONCLUSIONS: The results of this study confirm the current knowledge around CM and subsequent mental health illnesses up to the age of 40, and extend this knowledge to hospital and mental health service use.
OBJECTIVE: To examine associations between self-reported CM and subsequent hospital admissions for mental illnesses, and/or community mental health service contacts.
METHODS: Birth cohort study data linked to administrative health data, including hospital admissions and community mental health service contacts, up to the age of 40.
METHODS: Associations between hospital admissions for mental health and community mental health contacts and CM subtypes (neglect, physical abuse, emotional abuse and sexual abuse) were examined using multivariate logistic regression.
RESULTS: Adjusted analyses showed that all subtypes of CM were significantly (p < 0.05) associated with admissions to hospital for any type of mental illness (aOR range 1.87-3.61), non-psychotic mental disorders (aOR range 1.98-3.61), alcohol and/or substance use (aOR range 2.83-5.43), and community mental health service contacts (aOR range 2.44-3.13). Hospital admissions for psychotic mental disorders were significantly associated with physical abuse, emotional abuse, and sexual abuse (aOR range 2.14-3.93).
CONCLUSIONS: The results of this study confirm the current knowledge around CM and subsequent mental health illnesses up to the age of 40, and extend this knowledge to hospital and mental health service use.
摘要：
背景：儿童虐待（CM）包括忽视，和几种类型的虐待，包括身体，情感,和性。CM与广泛的精神疾病有关。在中年时期研究这些疾病的文献很少，这些疾病对精神卫生服务使用的影响目前尚不清楚。
目的：研究自我报告的CM与随后住院的精神疾病之间的关系，和/或社区心理健康服务联系人。
方法：出生队列研究数据与行政卫生数据相关，包括住院和社区精神卫生服务联系人，到40岁。
方法：住院心理健康与社区心理健康接触者和CM亚型之间的关联（忽略，身体虐待,情感虐待和性虐待)使用多变量逻辑回归进行检查。
结果：调整后的分析显示，CM的所有亚型与任何类型的精神疾病的入院均显着相关（p<0.05）（aOR范围为1.87-3.61），非精神病性精神障碍（AOR范围1.98-3.61），酒精和/或物质使用（AOR范围2.83-5.43），和社区精神卫生服务联系人(aOR范围2.44-3.13)。因精神病性精神障碍入院与身体虐待显着相关，情感虐待,和性虐待（AOR范围2.14-3.93）。
结论：这项研究的结果证实了有关CM和随后的精神健康疾病的当前知识，直到40岁，并将这些知识扩展到医院和精神卫生服务的使用。
目的：研究自我报告的CM与随后住院的精神疾病之间的关系，和/或社区心理健康服务联系人。
方法：出生队列研究数据与行政卫生数据相关，包括住院和社区精神卫生服务联系人，到40岁。
方法：住院心理健康与社区心理健康接触者和CM亚型之间的关联（忽略，身体虐待,情感虐待和性虐待)使用多变量逻辑回归进行检查。
结果：调整后的分析显示，CM的所有亚型与任何类型的精神疾病的入院均显着相关（p<0.05）（aOR范围为1.87-3.61），非精神病性精神障碍（AOR范围1.98-3.61），酒精和/或物质使用（AOR范围2.83-5.43），和社区精神卫生服务联系人(aOR范围2.44-3.13)。因精神病性精神障碍入院与身体虐待显着相关，情感虐待,和性虐待（AOR范围2.14-3.93）。
结论：这项研究的结果证实了有关CM和随后的精神健康疾病的当前知识，直到40岁，并将这些知识扩展到医院和精神卫生服务的使用。
