Cited by 21Child Abuse and TraumaObesity, Physical Activity, DietEating Disorders and Behaviors

History of child maltreatment and excessive dietary and screen time behaviors in young adults: Results from a nationally representative study

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Cammack, Alison L., Gazmararian, Julie A., Suglia, Shakira F.·2020·Preventive Medicine

Abstract

Child maltreatment is common and has been associated with substance use addictions, yet few studies have examined associations with potentially addictive dietary and screen time behaviors. The goal of this study was to assess associations between retrospectively self-reported child maltreatment (sexual abuse, physical abuse, emotional abuse, and neglect) and excessive self-reported dietary (sugar sweetened beverage and fast food consumption) and screen time behaviors (television/video watching and leisure time computer use) in early adulthood, overall and by sex and race/ethnicity. Associations were examined using data from 10,813 participants 24-32 years old from the National Longitudinal Study of Adolescent to Adult Health. We used predicted marginal proportions accounting for the complex sample design to obtain prevalence ratios (PRs) and adjusted for demographic characteristics and physical activity. In females, exposure to poly-maltreatment (2+ types of child maltreatment) was associated with excessive sugar sweetened beverage consumption, television/video watching, and leisure time computer use; in males, exposure to poly-maltreatment was associated with excessive sugar sweetened beverage consumption, television/video watching, and fast food consumption. Some associations were particularly strong in racial/ethnic minorities, especially Latina females (poly-maltreatment-sugar sweetened beverage association: aPR = 6.14, 95% CI:2.12, 17.75; poly-maltreatment-computer use association: aPR = 3.08, 95% CI:1.44, 6.58). These findings show that child maltreatment is associated with excessive dietary and screen time behaviors into adulthood, and these associations are present in racial/ethnic groups at high risk of cardiometabolic disease. Extension of an addiction paradigm to include dietary and screen time behaviors may inform health risks and disease prevention efforts in child maltreatment survivors.

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Authors
Cammack, A. L., Gazmararian, J. A., & Suglia, S. F.
Affiliations
Emory University (US)
Corresponding author
Cammack, Alison L.
Venue
Preventive Medicine
Publisher
Elsevier BV
Published
2020-10
Volume
139
Pages
106176
ISSN
0091-7435 (ISSN-L)
OpenAlex
W3037804001
Cited by
21
References
75
Citations by year
2026: 2 · 2025: 2 · 2024: 2 · 2023: 3 · 2022: 5 · 2021: 4 · 2020: 3
FWCI
1.50
Type
journal article
Language
en
Open access
Locations
  • Preventive Medicine (publishedVersion)
  • PubMed (publishedVersion)
  • Europe PMC (PubMed Central) (acceptedVersion)
  • PubMed Central (acceptedVersion)
Funders
National Institutes of Health
Topics
  • Social Sciences › Psychology › Clinical Psychology › Child Abuse and Trauma
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Obesity, Physical Activity, Diet
  • Social Sciences › Psychology › Clinical Psychology › Eating Disorders and Behaviors
Keywords
child abuse, sugar-sweetened beverages, fast food consumption, screen time, television viewing, computer use, young adults, sex differences, racial and ethnic minorities, Hispanic women, cardiometabolic risk, childhood abuse and neglect
MeSH terms
Screen Time, Adolescent, Adult, Child, Child Abuse, Diet, Female, Humans, Longitudinal Studies, Male, Retrospective Studies, Young Adult

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