An observational study of type, timing, and severity of childhood maltreatment and preterm birth
Open accessAbstract
Background: Childhood maltreatment has been linked to preterm birth (<37 weeks gestation) in some studies, but these findings have been inconsistent, and it remains unclear whether type, timing or severity of maltreatment are associated with risk of preterm birth. The aim of this observational study was to explore type of maltreatment (child and adolescent physical and sexual abuse and harsh parenting) as risk factors for preterm birth. Methods: We examined these associations in a cross-sectional analysis of the Nurses’ Health Study II cohort of female nurses. Women completed a questionnaire about experiences of sexual abuse, physical abuse or harsh parenting, along with pregnancy outcomes. Logistic regression models adjusted for relevant covariates including age, race, alcohol and cigarette use during pregnancy, age at menarche, marital status, adult income, body mass index (kg/m 2) at age 18, physical abuse in pregnancy, and childhood socioeconomic position. Results: Among 51 434 first births, 4110 were preterm (8% of births). Forced sexual activity in childhood or adolescence was associated with a 22% increased odds of preterm birth (OR=1.22, 95% CI 1.10 to 1.35). Maltreatment involving sexual touch, physical abuse or harsh parenting was not associated with preterm birth in this sample. Conclusions: Women who experience forced sexual activity in childhood or adolescence may have an increased likelihood of delivering preterm in adulthood.
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The findings support prior work linking childhood parental death and childhood forced sexual activity to preterm birth.
“These findings do lend support to previous work linking, for example, childhood parental death and childhood forced sexual activity to PTB (Selk et al., 2016; Vagero and Rajaleid, 2017)”
From Childhood stress and birth timing among African American women: cortisol as biological mediator (2017) · cites this paper as Selk et al., 2016
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- Selk SC, et al. J Epidemiol Community Health 2016;70:589-595. doi:10.1136/jech-2015-206304 Other topics on August 1, 2023 by guest. Protected by copyright. http://jech.bmj.com/ J Epidemiol Community Health: first published as 10.1136/jech-2015-206304 on 8 March 2016. Downloaded from
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- Authors
- Selk, S. C., Rich-Edwards, J. W., Koenen, K., & Kubzansky, L. D.
- Affiliations
- Harvard University (US)
- Brigham and Women's Hospital (US)
- Department of Epidemiology, Columbia Mailman School of Public Health, Boston, Massachusetts, USA
- Corresponding author
- Selk, Sabrina C
- Venue
- Journal of Epidemiology and Community Health
- Publisher
- BMJ
- Published
- 2016-03-08
- Volume
- 70
- Issue
- 6
- Pages
- 589-595
- ISSN
- 0141-7681 (ISSN-L)
- 0143-005X
- 1470-2738
- OpenAlex
- W2302927198
- Cited by
- 36
- References
- 39
- Citations by year
- 2026: 1 · 2025: 1 · 2024: 4 · 2023: 5 · 2022: 4 · 2021: 6 · 2020: 2 · 2019: 2 · 2018: 5 · 2017: 5 · 2016: 1
- FWCI
- 5.80
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Journal of Epidemiology & Community Health (publishedVersion)
- PubMed (publishedVersion)
- HighWire Press Open Archive (submittedVersion)
- Funders
- National Cancer Institute (UM1CA176726)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Child Abuse and Trauma
- Social Sciences › Health › Intimate Partner and Family Violence
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Maternal Mental Health During Pregnancy and Postpartum
- Keywords
- child abuse, preterm birth, child sexual abuse, adolescent sexual abuse, physical abuse, harsh parenting, pregnancy outcomes, Nurses' Health Study II
- MeSH terms
- Adolescent, Adult, Child, Child Abuse, Child Abuse, Sexual, Female, Humans, Longitudinal Studies, Surveys and Questionnaires, Severity of Illness Index, Sex Offenses, Socioeconomic Factors, Stress, Psychological, Cohort Studies, Logistic Models, Parenting, Crime Victims, Premature Birth
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