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Health-related quality of life among adults who experienced maltreatment during childhood

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Authors:
Summary:

A total of 2812 adults who reported childhood maltreatment were matched with 3356 adults who reported no childhood maltreatment, and compared using propensity score methods. Health-related quality-of-life data (or “utilities”) were imputed from the Medical Outcomes Study 36-Item Short Form Health Survey using the Short Form–6D preference-based scoring algorithm. The combined strata-level effects of maltreatment on Short Form–6D utility was a reduction of 0.028 per year (p<0.001). All utility losses differed significantly between the two groups by age level: 18–39 years, p<0.042; 40–49 years, p<0.038; 50–59 years, p<0.023; 60–69 years, p<0.016; ≥70 years, p<0.025.

Comment:
Although there may be issues with validity (including recall bias) and definitions (‘maltreatment’ for example), the results from this study are significant – child maltreatment has a sustained negative impact on health-related quality of life. As the UN Committee on The Rights of the Child has stated, children have the right to be brought up without the use of force including physical punishment, the causing of psychological harm and other degrading measures. The results from this and similar studies have major implications for the prevention of child abuse/neglect, particularly as part of an education programme.
Reference: Am J Public Health. 2008;98:1094-100
Independent commentary by Dr. Matire Hardwood

Dr Matire Harwood (Ngapuhi) has worked in Hauora Māori, primary health and rehabilitation settings as clinician and researcher since graduating from Auckland Medical School in 1994. She also holds positions on a number of boards, committees and advisory groups including the Health Research Council. Matire lives in Auckland with her whānau including partner Haunui and two young children Te Rangiura and Waimarie.

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