A Comparison of Oral Health Outcomes of Self-Reported and Agency-Notified Child Maltreatment in a Population-Based Birth Cohort at 30-Year-Old Follow-Up

OBJECTIVE: Information on the oral health outcomes of childhood maltreatment in adulthood is limited and reliant on retrospective questionnaires that are subject to recall bias. There are no data from prospective studies using maltreatment reports to statutory agencies. We therefore assessed the effect on dental outcomes and oral health care at 30-year follow-up using both prospective agency notifications and retrospective self-reports of child maltreatment in the same birth cohort. METHODS: There were 2456 adults with data on dental outcomes and oral health care at follow-up. Information on self-reported abuse was collected using the Child Trauma Questionnaire and linked to child maltreatment notifications to statutory agencies. RESULTS: The prevalence of self- and agency-reported maltreatment was 599 (24.4%) and 142 (5.8%), respectively. At follow-up, 850 participants (34.6%) had undergone a dental extraction for infection or decay, and 810 had experienced significant dental pain over their lifetime. One-third had not visited a dental clinic in the previous 2 years, and 40% failed to brush their teeth at least twice daily. On adjusted analyses, both self- and agency-reported maltreatment showed significant associations with dental extraction (odds ratio = 1.47 [95% confidence interval = 1.21-1.80] and odds ratio = 1.44 [95% confidence interval = 1.01-2.06], respectively). There were similar results for brushing frequency, whereas self-reported maltreatment was associated with dental pain. However, associations were weaker for dental clinic visits and some child maltreatment subtypes. CONCLUSIONS: Child maltreatment is associated with adverse oral health consequences in adulthood and is thus a dental and wider public health issue

Child abuse · Cohort study · Confidence interval · Environmental health · Injury prevention · Odds ratio · Poison control · Population · Psychiatry · Recall bias · Retrospective cohort study · Child Abuse and Related Trauma · Child Abuse and Trauma · Forensic Anthropology and Bioarchaeology Studies · Medicine

• Association Between Adverse Childhood Experiences and Oral Health in Adulthood

  Open Access•Letícia Regina Morello Sartori, Daniela Haubman Pereira et al.•Journal of Family Violence•2022

  Incluir item

• Poverty and obesity

  Open Access•Adam Drewnowski, SE Specter et al.•American Journal of Clinical…•2004

  Incluir item

• Agreement Between Prospective and Retrospective Measures of Childhood Maltreatment

  Jessie R Baldwin, Aaron Reuben et al.•JAMA Psychiatry•2019

  Incluir item

• Child maltreatment in the “children of the nineties”

  Open Access•Peter Sidebotham, Jon Heron•Child Abuse & Neglect•2006

  Incluir item

• Validity of the Childhood Trauma Questionnaire in an Adolescent Psychiatric Population

  Open Access•David P Bernstein, Taruna Ahluvalia et al.•Journal of the American Academy…•1997

  Incluir item

• Long-term Cognitive, Psychological, and Health Outcomes Associated With Child Abuse and Neglect

  Lane Strathearn, Michele Giannotti et al.•PEDIATRICS•2020

  Incluir item

• Measuring childhood maltreatment to predict early-adult psychopathology

  Open Access•Joanne B Newbury, Louise Arseneault et al.•Journal of Psychiatric Research•2018

  Incluir item

• Long-term Physical Health Consequences of Childhood Sexual Abuse

  Leah Irish, Ihori Kobayashi et al.•Journal of Pediatric Psychology•2010

  Incluir item

• Selective drop-out in longitudinal studies and non-biased prediction of behaviour disorders

  Open Access•Dieter Wolke, Andrea Waylen et al.•The British Journal of Psychiatry•2009

  Incluir item

• Global Burden of Oral Conditions in 1990-2010

  Open Access•Wagner Marcenes, N J Kassebaum et al.•Journal of Dental Research•2013

  Incluir item

• Assessing the Non-Random Sampling Effects of Subject Attrition in Longitudinal Research

  Open Access•Jodi S Goodman, T C Blum•Journal of Management•1996

  Incluir item

• Lest we forget

  Open Access•Aaron Reuben, Terrie E Moffitt et al.•Journal of Child Psychology and…•2016

  Incluir item

• Development and validation of a brief screening version of the Childhood Trauma Questionnaire

  Open Access•David P Bernstein, Judith A Stein et al.•Child Abuse & Neglect•2003

  Incluir item

• The effect of multiple adverse childhood experiences on health

  Open Access•Karen Hughes, Mark A Bellis et al.•The Lancet Public Health•2017

  Incluir item

• Burden and consequences of child maltreatment in high-income countries

  Open Access•Ruth Gilbert, Cathy Spatz Widom et al.•The Lancet•2009

  Incluir item

• Relationship of Childhood Abuse and Household Dysfunction to Many of the Leading Causes of Death in Adults

  Open Access•Vincent J Felitti, Robert F Anda et al.•American Journal of Preventive…•1998

  Incluir item

• Equivalence of the Mediation, Confounding and Suppression Effect

  Open Access•David P Mackinnon, Jennifer L Krull et al.•Prevention Science•2000

  Incluir item

• SPSS and SAS procedures for estimating indirect effects in simple mediation models

  Open Access•Kristopher J Preacher, Andrew F Hayes•Behavior Research Methods,…•2004

  Incluir item

• A Meta-Analytic Review of the Effects of Childhood Abuse on Medical Outcomes in Adulthood

  Holly L Wegman, Cinnamon Stetler•Psychosomatic Medicine•2009

  Incluir item

• Developmental Impacts of Child Abuse and Neglect Related to Adult Mental Health, Substance Use, and Physical Health

  Open Access•Todd I Herrenkohl, Seunghye Hong et al.•Journal of Family Violence•2012

  Incluir item

• Unhealthy food in relation to posttraumatic stress symptoms among adolescents

  Malinauskiene Vilija, Malinauskas Romualdas•Appetite•2014

  Incluir item