Cited by 73Child Abuse and TraumaMilitary, Security, and Education StudiesSexual Assault and Victimization Studies

Childhood sexual abuse and pervasive problems across multiple life domains: Findings from a five-decade study

Open access
Guiney, Hayley, Caspi, Avshalom, Ambler, Antony, Belsky, Jay, Kokaua, Jesse, Broadbent, Jonathan, Cheyne, Kirsten, Dickson, Nigel +8 more·2024·Development and Psychopathology

Abstract

The aim of this study was to use longitudinal population-based data to examine the associations between childhood sexual abuse (CSA) and risk for adverse outcomes in multiple life domains across adulthood. In 937 individuals followed from birth to age 45y, we assessed associations between CSA (retrospectively reported at age 26y) and the experience of 22 adverse outcomes in seven domains (physical, mental, sexual, interpersonal, economic, antisocial, multi-domain) from young adulthood to midlife (26 to 45y). Analyses controlled for sex, socioeconomic status, prospectively reported child harm and household dysfunction adverse childhood experiences, and adult sexual assault, and considered different definitions of CSA. After adjusting for confounders, CSA survivors were more likely than their peers to experience internalizing, externalizing, and thought disorders, suicide attempts, health risk behaviors, systemic inflammation, poor oral health, sexually transmitted diseases, high-conflict relationships, benefit use, financial difficulties, antisocial behavior, and cumulative problems across multiple domains in adulthood. In sum, CSA was associated with multiple persistent problems across adulthood, even after adjusting for confounding life stressors, and the risk for particular problems incremented with CSA severity. The higher risk for most specific problems was small to moderate, but the cumulative long-term effects across multiple domains reflect considerable individual and societal burden.

Verified 2026-10-09 · 1 reference not checked yet

AI snapshot

Written from the paper’s full text.

TL;DR

In the Dunedin birth cohort followed to age 45, retrospectively reported childhood sexual abuse (CSA) was associated with persistent adverse outcomes across physical, mental, sexual, interpersonal, economic, antisocial, and multi-domain functioning after adjustment for confounders. Effects were generally small to moderate, but cumulative and severity-related, with the strongest association for lifetime suicide attempts.

Key findings

  • CSA prevalence was 19% overall (30% of females, 9% of males); forced intercourse was reported by 6% overall (10% of females, 2% of males).
  • After full adjustment, CSA was significantly associated with higher risk of health risk behaviors (RR 1.32, 95% CI 1.14–1.53), poor oral health (RR 1.54, 1.25–1.91), externalizing disorder (RR 1.44, 1.13–1.82), internalizing disorder (RR 1.40, 1.15–1.70), thought disorder (RR 2.55, 1.45–4.48), suicide attempt (RR 2.64, 1.81–3.86), sexually transmitted disease (RR 1.35, 1.02–1.80), high-conflict relationship (RR 1.43, 1.15–1.78), high benefit use (RR 1.37, 1.08–1.74), financial difficulties (RR 1.36, 1.07–1.74), high delinquency (RR 1.82, 1.43–2.32), and problems in ≥4 domains (RR 1.41, 1.20–1.65).
  • After full adjustment, CSA was not significantly associated with low lung function, no formal qualifications, low socioeconomic status, or criminal conviction; sexual difficulties, risky sex, lack of intimate relationship, and parenting difficulties were not significant even before other controls.
  • Findings were consistent across alternative CSA definitions and tended to increment with severity; for example, suicide attempt RRs ranged from 2.64 for any CSA versus no CSA to 4.22 for forced intercourse versus no CSA, and high delinquency RRs ranged from 1.82 to 2.32.

Methods

  • Dunedin Study representative birth cohort born April 1972–March 1973 in Dunedin, New Zealand: n = 1,037 at birth, 937 with CSA data; followed to age 45, when 94% of living members participated. CSA was retrospectively assessed at age 26; outcomes were repeatedly assessed from ages 26 to 45 (with suicide attempt also queried from age 18).
  • Poisson regression with robust standard errors estimated associations between CSA and 22 adverse outcomes across seven domains; models added covariates stepwise: sex, childhood socioeconomic status, child harm ACEs, household dysfunction ACEs, and adult sexual assault. Secondary analyses used alternative CSA definitions; sensitivity analyses tested linear and binary outcomes and separate assessment phases.

Limitations

  • Stated by the paper: small exposed groups meant sex-specific effects could not be adequately tested and some potentially meaningful effects were not statistically significant; CSA was retrospectively reported at age 26, so recall or reporting bias cannot be ruled out; outcomes were limited to those repeatedly assessed from ages 26 to 45, and mechanisms were not elucidated.
  • Evident from the text: the cohort was primarily New Zealand European/white (93%), which may limit generalizability; the observational design cannot establish causation, as the paper also notes.

Model-written summary. Check it against the paper before relying on it.

Integrity signals

Registry

Crossref · 10.1017/s0954579422001146

Cites

94 of 95 references verified0 citation errors · 0 not checkable

Statistics

Nothing to recompute.

Claims the paper makes

0 of 16 cited sources checked · 0 supported · 0 flagged

  • Findingcitation

    Many associations between CSA and adverse long-term outcomes were not explained by other major childhood risk factors that often coincide with CSA, including socioeconomic adversity and other ACEs.

    “Causation cannot be inferred from the current findings, but they nevertheless indicate that many associations between CSA and adverse long-term outcomes were not explained by other major childhood risk factors that often coincide with CSA, including socioeconomic adversity and other ACEs (Danese, 2020).”
    Quote in the paperSubstantial claim0 of 1 sources checked
    • cites Danese, 2020

      Not checked in the free run.

    • Rests on an assumption: The control variables used (sex, childhood socioeconomic status, child harm and household dysfunction ACEs, and sexual assault in adulthood) adequately account for confounding of the CSA-outcome associations.
  • Findingown data

    The any-CSA group, compared with the no-CSA group, included a higher proportion of people who grew up in lower socioeconomic status families.

    “The any CSA (compared to no CSA) group included higher proportions of people who were female, grew up in lower socioeconomic status families, had more child harm and household dysfunction ACEs, and had reported being sexually assaulted in adulthood (Table 2).”
    Quote in the paperNot a substantial claim
  • Findingown data

    CSA survivors were more likely than their peers to experience high-conflict relationships in adulthood after adjusting for confounders.

    “After adjusting for confounders, CSA survivors were more likely than their peers to experience internalizing, externalizing, and thought disorders, suicide attempts, health risk behaviors, systemic inflammation, poor oral health, sexually transmitted diseases, high-conflict relationships, benefit use, financial difficulties, antisocial behavior, and cumulative problems across multiple domains in”
    Quote in the paperSubstantial claim
    • Rests on an assumption: Retrospective self-reports of CSA at age 26 accurately measure childhood sexual abuse exposure.
    • Rests on an assumption: The covariates included in the models (sex, childhood socioeconomic status, child harm ACEs, household dysfunction ACEs, and adult sexual assault) sufficiently control for confounding of the CSA-outcome associations.
  • Findingown data

    Childhood sexual abuse (any vs no) was associated with increased risk of health risk behaviors in adulthood (RR=1.32, 95% CI 1.14-1.53).

    “| Health risk behaviors | 1.32*** | 1.40*** | 1.44*** | 1.49*** |”
    Quote in the paperSubstantial claim
  • Findingown data

    CSA survivors were more likely than their peers to experience systemic inflammation in adulthood after adjusting for confounders.

    “After adjusting for confounders, CSA survivors were more likely than their peers to experience internalizing, externalizing, and thought disorders, suicide attempts, health risk behaviors, systemic inflammation, poor oral health, sexually transmitted diseases, high-conflict relationships, benefit use, financial difficulties, antisocial behavior, and cumulative problems across multiple domains in”
    Quote in the paperSubstantial claim
    • Rests on an assumption: Retrospective self-reports of CSA at age 26 accurately measure childhood sexual abuse exposure.
    • Rests on an assumption: The covariates included in the models (sex, childhood socioeconomic status, child harm ACEs, household dysfunction ACEs, and adult sexual assault) sufficiently control for confounding of the CSA-outcome associations.
  • May combine two claims. 24
  • The quote only partly states this claim. 5
  • Classified as probably not a substantial claim. 8
  • May combine two claims.

    Findingown data

    After adding childhood socioeconomic status to the model, CSA remained significantly associated with physical (health risk behaviors and poor oral health), mental (externalizing, internalizing, thought disorder, suicide attempts), sexual (sexually transmitted diseases), interpersonal (high-conflict relationships), economic (high benefit use and financial difficulties), antisocial (high delinquency

    “After adding childhood socioeconomic status to the model (Model 2, Table 3), CSA remained significantly associated with the following problems across the assessed domains: physical (health risk behaviors and poor oral health); mental (externalizing disorder, internalizing disorder, thought disorder, and suicide attempts); sexual (sexually transmitted diseases); interpersonal (high-conflict”
    Quote in the paperSubstantial claim
  • May combine two claims.

    Findingown data

    The overall pattern of findings was consistent across the different CSA definitions, with differences in statistical significance due to severity-related differences in effect size and sample size in the exposed group.

    “The first point to note is that the overall pattern of findings was consistent across the different definitions, albeit with some differences in statistical significance due to severity-related differences in effect size (i.e., smaller effect sizes for comparisons with less severe CSA types) and sample size in the exposed group (i.e., smaller sample size and less certain estimates in the”
    Quote in the paperNot a substantial claim
  • May combine two claims.

    Findingown data

    After including household dysfunction ACEs, CSA was no longer significantly associated with criminal convictions, but all other patterns remained the same.

    “After including household dysfunction ACEs (Model 4, Table 3), CSA was no longer significantly associated with criminal convictions, but all other patterns remained the same.”
    Quote in the paperSubstantial claim
  • May combine two claims.

    Findingown data

    The pattern of findings was consistent across different CSA definitions, with small to moderate effect sizes (large for lifetime suicide attempts) that incremented with CSA severity.

    “The pattern of findings was consistent across different CSA definitions, with small to moderate effect sizes (albeit large for lifetime suicide attempts) that incremented with CSA severity.”
    Quote in the paperSubstantial claim
  • May combine two claims.

    Findingown data

    Participants who reported CSA were not significantly more likely than their peers to have low lung function, lack of formal qualifications, low socioeconomic status, and criminal convictions in adulthood after adjusting for all control variables.

    “Against the overall picture of higher risk for problems in multiple domains across adulthood, participants who reported CSA were not significantly more likely than their peers to have low lung function, lack of formal qualifications, low socioeconomic status, and criminal convictions in adulthood after adjusting for all control variables (sex, childhood socioeconomic status, child harm and”
    Quote in the paperSubstantial claim
    • Rests on an assumption: The control variables used (sex, childhood socioeconomic status, child harm and household dysfunction ACEs, and sexual assault in adulthood) adequately account for confounding of the CSA-outcome associations.
  • May combine two claims. The quote only partly states this claim.

    Findingown data

    For all four CSA definitions, participants in the exposed group had significantly higher risk of problems across the assessed domains, including health risk behaviors, poor oral health, externalizing, internalizing, suicide attempts, sexually transmitted diseases, high-conflict relationships, high benefit use, financial difficulties, high delinquency, and multi-domain problems.

    “For all four definitions, participants in the exposed group had significantly higher risk of the following problems across the assessed domains: physical (health risk behaviors 82-2.32]); and multi-domain (RRs 1.41-1.52).”
    Quote in the paperNot a substantial claim
  • May combine two claims.

    Findingown data

    After adjusting for sex only, CSA was associated with low lung function, lack of formal qualifications, low socioeconomic status, and criminal convictions, but after further adjusting for childhood socioeconomic status, CSA was no longer significantly associated with low lung function, lack of formal qualifications, or low socioeconomic status.

    “After adjusting for sex only, CSA was associated with those four outcomes, but after further adjusting for childhood socioeconomic status, CSA was no longer significantly associated with low lung function, lack of formal qualifications, or low socioeconomic status.”
    Quote in the paperSubstantial claim
  • May combine two claims.

    Findingreasoning

    Observed relative risks tended to be larger for analyses focused on forced intercourse than for those focused on any CSA, and larger for forced intercourse versus no CSA than for forced intercourse versus all other participants.

    “For example, the observed relative risks tended to be larger for the analyses that focused on forced intercourse than those that focused on any CSA, and larger for the forced intercourse versus no CSA analyses than the more conservative analyses that compared those who reported forced intercourse to all other participants”
    Quote in the paperNot a substantial claim
  • May combine two claims.

    Findingown data

    After adjusting for sex, CSA was significantly associated with higher risk of problems in physical, mental, sexual, interpersonal, economic, antisocial, and multidomain domains.

    “After adjusting for sex (Model 1, Table 3), CSA was significantly associated with higher risk of the following problems across the assessed domains: physical (health risk behaviors, high systemic inflammation, low lung function, poor oral health); mental (externalizing disorder, internalizing disorder, thought disorder, suicide attempts); sexual (sexually transmitted diseases); interpersonal (high”
    Quote in the paperSubstantial claim
  • May combine two claims.

    Findingown data

    After adjusting for sex, CSA was not significantly associated with metabolic syndrome, sexual difficulties, risky sex, lack of intimate relationships, or parenting difficulties.

    “We did not observe statistically significant associations between CSA and metabolic syndrome, sexual difficulties, risky sex, lack of intimate relationships, and parenting difficulties.”
    Quote in the paperNot a substantial claim
  • May combine two claims.

    Findingown data

    Across CSA definitions, female sex, lower childhood socioeconomic status, and more household dysfunction ACEs were consistently and significantly linked to all four measures of CSA.

    “Regarding participant characteristics, a consistent picture emerged, with female sex, lower childhood socioeconomic status, and more household dysfunction ACEs consistently and significantly linked to all four measures of CSA.”
    Quote in the paperNot a substantial claim
  • May combine two claims.

    Findingown data

    For all four CSA definitions, participants in the exposed groups were not significantly more likely to have low lung function, sexual difficulties, risky sex, lack of intimate partner relationships, parenting difficulties, lack of formal qualifications, low socioeconomic status, or a criminal conviction.

    “Similarly, for all four definitions of CSA, participants in the exposed groups were not significantly more likely to have: low lung function, sexual difficulties, risky sex, lack of intimate partner relationships, parenting difficulties, lack of formal qualifications, low socioeconomic status, or a criminal conviction.”
    Quote in the paperNot a substantial claim
  • The quote only partly states this claim.

    Findingown data

    Childhood sexual abuse (any vs no) was associated with increased risk of high delinquency in adulthood (RR=1.82, 95% CI 1.43-2.32).

    “| High delinquency | 1.82*** | 2.01*** | 2.07*** | 2.32*** |”
    Quote in the paperSubstantial claim
  • The quote only partly states this claim.

    Findingown data

    Childhood sexual abuse (any vs no) was associated with increased risk of suicide attempt in adulthood (RR=2.64, 95% CI 1.81-3.86).

    “| Suicide attempt | 2.64*** | 3.10*** | 3.75*** | 4.22*** |”
    Quote in the paperSubstantial claim
  • The quote only partly states this claim.

    Findingown data

    Childhood sexual abuse (any vs no) was associated with increased risk of externalizing disorder in adulthood (RR=1.44, 95% CI 1.13-1.82).

    “| Externalizing disorder | 1.44** | 1.51** | 1.56** | 1.59** |”
    Quote in the paperSubstantial claim
  • The quote only partly states this claim.

    Findingown data

    Childhood sexual abuse (any vs no) was associated with increased risk of poor oral health in adulthood (RR=1.54, 95% CI 1.25-1.91).

    “| Poor oral health | 1.54*** | 1.61*** | 1.50** | 1.67*** |”
    Quote in the paperSubstantial claim
  • May combine two claims.

    Study design and conductown data

    Relatively small numbers in the exposed groups meant the study could not adequately test whether CSA effects differed for males and females, and some potentially meaningful effects were not statistically significant.

    “First, the relatively small numbers in the exposed groups meant that we could not adequately test whether CSA effects were different for males and females, and that some potentially meaningful effects (see Figure 2) were not statistically significant.”
    Quote in the paperNot a substantial claim
  • May combine two claims.

    Study design and conductown data

    The study observed relationships between CSA and objectively measured outcomes as well as self-reported ones, helping to avoid issues with common method variance.

    “For example, we observed relationships between CSA and objectively measured outcomes as well as self-reported ones, helping to avoid issues with common method variance.”
    Quote in the paperSubstantial claim
  • May combine two claims.

    Study design and conductown data

    Repeating analyses using different definitions of CSA showed consistent patterns of effects that varied according to severity in expected ways.

    “Second, we repeated our analyses using different definitions of CSA and showed consistent patterns of effects that varied according to severity in expected ways: a pattern that is consistent with other similar studies, including the Christchurch Health and Development Study (Fergusson et al., 2013).”
    Quote in the paperSubstantial claim0 of 1 sources checked
    • cites Fergusson et al., 2013

      Not checked in the free run.

  • Probably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.

    Study design and conductnone given

    All analyses were conducted using Stata/IC 16 and checked via independent replication by a second analyst.

    “All analyses were conducted using Stata/IC 16 (HG) and checked via independent replication by a second analyst (JK).”
    Quote in the paperNot a substantial claim
  • May combine two claims.

    Study design and conductown data

    Supplementary analyses showed that the overall pattern of findings was consistent across linear as well as binary outcome measures, and four separate ages in adulthood.

    “Third, our supplementary analyses showed that the overall pattern of findings was consistent across linear as well as binary outcome measures, and four separate ages in adulthood.”
    Quote in the paperNot a substantial claim
  • May combine two claims.

    Premisecitation

    Previous literature on the relationships between CSA and sexual outcomes, and between CSA and parenting, is mixed and often depends on how the sample was selected.

    “Guidance from the previous literature is limited as findings on the relationships between CSA and sexual outcomes, and between CSA and parenting, are mixed and often depend on how the sample was selected (Bigras et al., 2020;Greene et al., 2020).”
    Quote in the paperSubstantial claim0 of 2 sources checked
    • cites Bigras et al., 2020

      Not checked in the free run.

    • cites Greene et al., 2020

      Not checked in the free run.

  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Study design and conductown data

    The study considered different definitions of CSA in secondary analyses.

    “Analyses controlled for sex, socioeconomic status, prospectively reported child harm and household dysfunction adverse childhood experiences, and adult sexual assault, and considered different definitions of CSA.”
    Quote in the paperNot a substantial claim
  • Probably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.

    Study design and conductnone given

    The New Zealand Health and Disability Ethics Committee approved the study, and informed written consent was obtained from all participants.

    “The New Zealand Health and Disability Ethics Committee approved the study, and informed written consent was obtained from all participants.”
    Quote in the paperNot a substantial claim
  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Study design and conductown data

    At age 45, 94% (n = 938) of the 997 participants still alive took part.

    “when 94% (n = 938) of the 997 participants still alive took part.”
    Quote in the paperNot a substantial claim
  • May combine two claims.

    Study design and conductcitation

    The cohort represented the full range of socioeconomic status in the general population of New Zealand's South Island and as adults matched the New Zealand National Health and Nutrition Survey on key adult health indicators and the New Zealand Census of citizens of the same age on educational attainment.

    “The cohort represented the full range of socioeconomic status in the general population of New Zealand's South Island and as adults matched the New Zealand National Health and Nutrition Survey on key adult health indicators and the New Zealand Census of citizens of the same age on educational attainment (Poulton et al., 2006;Richmond-Rakerd et al., 2020).”
    Quote in the paperNot a substantial claim0 of 2 sources checked
    • cites Poulton et al., 2006

      Not checked in the free run.

    • cites Richmond-Rakerd et al., 2020

      Not checked in the free run.

  • May combine two claims.

    Study design and conductown data

    Sensitivity analyses confirmed a consistent pattern of effects across linear and binary outcome measures and four separate ages in adulthood, although some problems were more evident earlier or later in adulthood.

    “Sensitivity analyses confirmed a consistent pattern of effects across linear and binary outcome measures (Supplement section 4.1), and four separate ages in adulthood, although some problems were more evident earlier or later in adulthood (Supplement section 4.2).”
    Quote in the paperNot a substantial claim
  • Classified as probably not a substantial claim. May combine two claims.

    Study design and conductnone given

    Although all other measures were collected prospectively, exposure to CSA was recorded retrospectively at age 26 years.

    “Third, although all other measures were collected prospectively, exposure to CSA was recorded retrospectively at age 26 years.”
    Quote in the paperSubstantial claim
  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Study design and conductnone given

    The current findings do not elucidate the likely complex mechanisms by which CSA could lead to problems in multiple domains across adulthood.

    “Finally, the current findings do not elucidate the likely complex mechanisms by which CSA could lead to problems in multiple domains across adulthood.”
    Quote in the paperNot a substantial claim
  • May combine two claims.

    Interpretationown data

    Some CSA-outcome links might be better explained by other coinciding adversities, underscoring the importance of adjusting for prospectively measured covariates in CSA outcomes research.

    “These findings indicate that some CSA-outcome links might be better explained by other coinciding adversities, and underscore the importance of adjusting for prospectively measured covariates in CSA outcomes research.”
    Quote in the paperSubstantial claim
  • May combine two claims.

    Premisereasoning

    Methodological limitations and a narrow focus on mental health outcomes in much of the existing literature mean that we do not yet have good quality population-based evidence about the links between CSA and adverse outcomes across multiple life domains, how strong those links are, and whether they persist across adulthood.

    “However, methodological limitations and a narrow focus on mental health outcomes in much of the existing literature mean that we do not yet have good quality population-based evidence about the links between CSA and adverse outcomes across multiple life domains, how strong those links are, and whether they persist across adulthood.”
    Quote in the paperNot a substantial claim
  • Classified as probably not a substantial claim.

    Study design and conductown data

    Analyses controlled for sex, socioeconomic status, prospectively reported child harm and household dysfunction adverse childhood experiences, and adult sexual assault.

    “Analyses controlled for sex, socioeconomic status, prospectively reported child harm and household dysfunction adverse childhood experiences, and adult sexual assault, and considered different definitions of CSA.”
    Quote in the paperSubstantial claim
  • Probably not a substantial claim: may not pass S2 (checkable).

    Premisereasoning

    Good quality longitudinal studies that adjust for potential confounding factors can help researchers get closer to understanding the relationship.

    “good quality longitudinal studies that adjust for potential confounding factors can help researchers get closer to understanding the relationship.”
    Quote in the paperNot a substantial claim
33 of 33
  • The paper relies on this without support.

    Retrospective self-reports of CSA at age 26 accurately measure childhood sexual abuse exposure.

    “we focused on retrospective reports of CSA provided by participants at the age 26 assessment.”
  • The paper relies on this without support.

    The covariates included in the models (sex, childhood socioeconomic status, child harm ACEs, household dysfunction ACEs, and adult sexual assault) sufficiently control for confounding of the CSA-outcome associations.

    “To understand the influence of potential confounding factors, sex, childhood socioeconomic status, child harm ACEs, household dysfunction ACEs, and sexual assault in adulthood were entered into the regression models in a stepwise fashion”
  • The paper relies on this without support.

    The Dunedin Study birth cohort is representative of the general population of New Zealanders born in 1972-73.

    “population-based birth cohort”
  • The paper relies on this without support.

    The control variables used (sex, childhood socioeconomic status, child harm and household dysfunction ACEs, and sexual assault in adulthood) adequately account for confounding of the CSA-outcome associations.

    “After adjusting for all control variables in the final model (Model 5, Table 3), CSA was significantly associated with the following problems across the assessed domains”
4 of 4

Claims other papers make about this one

Each is checked against this paper’s own text: does it say what the citing paper says it does?

  • Since negative affective states are a characteristic of PTSD and are more common among individuals with a history of childhood trauma, a meditation-related amplification of such states could result in a relationship between trauma history and meditation-related hyperarousal.

    “Since negative affective states are a characteristic of PTSD and are more common among individuals with a history of childhood trauma [64], a meditation-related amplification of such states could result in a relationship between trauma history and meditation-related hyperarousal.”

    From Childhood trauma and subclinical PTSD symptoms predict adverse effects and worse outcomes across two mindfulness-based programs for active depression (2025) · cites this paper as [64]

    Split into 2 atoms — 0 confirmed, 2 partially supported, 0 disputed, 0 misattributed, 0 unverifiable. Expand the claim to see per-atom verdicts.

    Experimental — accuracy not yet measured

Self-check

Percentages, sums and reported differences re-computed from the paper’s own numbers.

Each contradiction between two passages listed here was confirmed by an independent check.

  • Discussion lists systemic inflammation among adjusted findings despite nonsignificant primary result

    Minor

    The discussion includes high systemic inflammation among problems associated with CSA after adjustment. In the primary analysis's fully adjusted Model 5, however, its relative risk is 1.32 with a 95% confidence interval of 0.97-1.79, which includes 1; the results section also omits it from the significant Model 5 outcomes.

1 of 1

Cites

Flagged first, then by citations

Research works printed but not linked: 5

  1. Zhang, 2021, Natural history of human lung function. (Doctor of Philosophy)
  2. Davis, 2003, New Zealand Socio-economic Index 1996: An Uupdate and Rrevision of the New Zealand Socio-economic Index of Occupational Status
  3. Robins, 1995, Diagnostic interview schedule for DSM-IV
  4. Dean, L. ‘Blood groups and red cell antigens 2005, https://www.ncbi.nlm.nih.gov/books/NBK2261/.
  5. 2017, Final Report: Volume 3, Impacts, 3

Cited by

Sorted by citations

Authors
Guiney, H., Caspi, A., Ambler, A., Belsky, J., Kokaua, J., Broadbent, J., Cheyne, K., Dickson, N., Hancox, R. J., Harrington, H., Hogan, S., Ramrakha, S., Righarts, A., Thomson, W. M., Moffitt, T. E., & Poulton, R.
Affiliations
  • University of Otago (NZ)
  • Duke University (US)
  • King's College London (GB)
  • University of California, Davis (US)
Corresponding author
Guiney, Hayley
Venue
Development and Psychopathology
Published
2022-12-23
Volume
36
Issue
1
Pages
219-235
ISSN
  • 0954-5794 (ISSN-L)
  • 1469-2198
OpenAlex
W4312155742
Cited by
64
References
94
Citations by year
2026: 27 · 2025: 21 · 2024: 10 · 2023: 6
FWCI
8.45
Type
journal article
Language
en
Open access
Locations
  • Development and Psychopathology (publishedVersion, cc-by)
  • PubMed (publishedVersion)
  • PubMed Central (acceptedVersion)
  • Research Portal (King's College London) (submittedVersion, cc-by)
Funders
  • University of Otago
  • Ministry of Business, Innovation and Employment (MR/P005918/1)
  • Medical Research Council (MR/P005918, P005918, R01AG032282, MR/P005918/1, P005918/1)
  • National Institute on Aging (MR/P005918/1, R01AG032282, R01AG049789)
Topics
  • Social Sciences › Psychology › Clinical Psychology › Child Abuse and Trauma
  • Social Sciences › Sociology and Political Science › Military, Security, and Education Studies
  • Social Sciences › Gender Studies › Sexual Assault and Victimization Studies
Keywords
child sexual abuse, long-term outcomes, cumulative adversity, internalizing disorders, externalizing disorders, thought disorder, suicide attempts, health risk behaviors, systemic inflammation, oral health, sexually transmitted infections, financial hardship, antisocial behavior, adverse childhood experiences, abuse severity
MeSH terms
Adolescent, Adult, Child, Child Abuse, Sexual, Child, Preschool, Female, Humans, Infant, Infant, Newborn, Male, Middle Aged, Retrospective Studies, Sexual Behavior, Social Class, Suicide, Attempted, Young Adult

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