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Cited by 59Eating Disorders and BehaviorsChild Abuse and TraumaNutrition, Health and Food Behavior

Associations between childhood maltreatment latent classes and eating disorder symptoms in a nationally representative sample of young adults in the United States

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Hazzard, Vivienne M., Bauer, Katherine W., Mukherjee, Bhramar, Miller, Alison L., Sonneville, Kendrin R.·2019·Child Abuse & Neglect
DOI 10.1016/j.chiabu.2019.104171PMC PMC6885127
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Abstract

Background Childhood maltreatment is associated with eating disorders, but types of childhood maltreatment often co-occur.Objective To examine associations between childhood maltreatment patterns and eating disorder symptoms in young adulthood.Participants and setting Data came from the National Longitudinal Study of Adolescent to Adult Health (N = 14,322).Methods Latent class analysis was conducted, using childhood physical neglect, physical abuse, and sexual abuse as model indicators. Logistic regression models adjusted for demographic covariates were conducted to examine associations between childhood maltreatment latent classes and eating disorder symptoms.Results In this nationally representative sample of U.S. young adults (mean age = 21.82 years), 7.3% of participants reported binge eating-related concerns, 3.8% reported compensatory behaviors, and 8.6% reported fasting/skipping meals. Five childhood maltreatment latent classes emerged: "no/low maltreatment" (78.5% of the sample), "physical abuse only" (11.0% of the sample), "multi-type maltreatment" (7.8% of the sample), "physical neglect only" (2.1% of the sample), and "sexual abuse only" (0.6% of the sample). Compared to participants assigned to the "no/low maltreatment" class, participants assigned to the "multi-type maltreatment" class were more likely to report binge eating-related concerns (odds ratio = 1.97; 95% confidence interval [CI]: 1.52, 2.56) and fasting/skipping meals (OR = 1.85; 95% CI: 1.46, 2.34), and participants assigned to the "physical abuse only" class were more likely to report fasting/skipping meals (OR = 1.35; 95% CI: 1.04, 1.76).Conclusions This study provides evidence that distinct childhood maltreatment profiles are differentially associated with eating disorder symptoms. Individuals exposed to multi-type childhood maltreatment may be at particularly high risk for eating disorders.

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  1. Harris Kathleen Mullan. (2009). The National Longitudinal Study of Adolescent to Adult Health (Add Health), Waves I & II, 1994–1996; Wave III, 2001–2002; Wave IV, 2007–2009 [machine-readable data file and documentation]. Chapel Hill, NC: Carolina Population Center, University of North Carolina at Chapel Hill 10.3886/ICPSR27021.v9 · DOI

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Authors
Hazzard, V. M., Bauer, K. W., Mukherjee, B., Miller, A. L., & Sonneville, K. R.
Affiliations
University of Michigan (US)
Corresponding author
Hazzard, Vivienne M.
ORCID
Venue
Child Abuse & Neglect
Publisher
Elsevier BV
Published
2019-12
Volume
98
Pages
104171
ISSN
0145-2134 (ISSN-L)
DOI
10.1016/j.chiabu.2019.104171
PMC
PMC6885127
OpenAlex
W2974894341
Cited by
59
References
64
Citations by year
2026: 4 · 2025: 8 · 2024: 5 · 2023: 11 · 2022: 13 · 2021: 9 · 2020: 9
FWCI
9.05
Type
journal article
Language
en
Open access
Licence
Locations
  • Child Abuse & Neglect (publishedVersion)
  • PubMed (publishedVersion)
  • PubMed Central (acceptedVersion)
Funders
National Institute of Mental Health
Topics
  • Social Sciences › Psychology › Clinical Psychology › Eating Disorders and Behaviors
  • Social Sciences › Psychology › Clinical Psychology › Child Abuse and Trauma
  • Health Sciences › Nursing › Nutrition and Dietetics › Nutrition, Health and Food Behavior
Keywords
child abuse, eating disorder symptoms, binge eating, compensatory behavior, physical abuse, physical neglect, sexual abuse, young adults, adolescent to adult transition
MeSH terms
Feeding and Eating Disorders, Child, Child Abuse, Female, Humans, Longitudinal Studies, Male, Self Concept, United States, Logistic Models, Odds Ratio, Young Adult

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