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Childhood abuse and common complaints in pregnancy.

机译：童年时期的虐待和怀孕期间的常见投诉。

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BACKGROUND: Childhood abuse affects adult health. The objective of this study was to examine the prevalence of emotional, physical, and sexual childhood abuse within a large Norwegian cohort of pregnant women and its association with common complaints in pregnancy. METHODS: This study is based on the Norwegian Mother and Child Cohort Study (MoBa) conducted by the Norwegian Institute of Public Health. Regression analyses were used to examine associations of childhood abuse and 16 common complaints in pregnancy. RESULTS: Eighteen percent (10,363/55,776) of the women reported some type of childhood abuse. Of all women, 3,870 (6.9%) reported sexual abuse, 3,075 (5.5%) physical abuse, and 7,619 (13.6%) emotional abuse as a child. Of those reporting childhood abuse, 31 percent reported two or more types of abuse. All 16 common complaints in pregnancy were associated with reported childhood abuse. Women reporting three types of childhood abuse reported 5.4 common complaints in pregnancy (mean) compared with 3.7 for women without childhood abuse (p < 0.001). Women reporting childhood abuse are more likely to report seven or more common complaints in pregnancy: adjusted odds ratio (AOR) 1.7 (95% CI 1.6-1.9) for emotional abuse; AOR 2.5 (95% CI 2.0-3.1) for combined physical and sexual abuse; and AOR 3.5 (95% CI 3.0-4.0) for all three kinds of abuse. Sociodemographic characteristics and other risk factors did not explain this graded association. CONCLUSIONS: Abuse in childhood is associated with increased reporting of common complaints of pregnancy. Clinicians should consider the possible role of childhood abuse when treating women with many common complaints in pregnancy.
机译：背景：虐待儿童会影响成人健康。这项研究的目的是研究挪威大批孕妇中情绪，身体和性方面儿童期虐待的发生率，以及其与孕妇常见病的关系。方法：本研究是基于由挪威公共卫生学院进行的挪威母婴队列研究（MoBa）。回归分析用于检查儿童期虐待和怀孕期间16种常见不适的关联。结果：18％（10,363 / 55,776）妇女报告了某种类型的童年虐待。在所有妇女中，有3,870名（6.9％）报告称遭受过性虐待，其中3,075名（5.5％）遭受了身体虐待，而7,619名（13.6％）遭受了儿童虐待。在报告了童年虐待的儿童中，有31％的人报告了两种或两种以上的虐待类型。怀孕期间所有16种常见的抱怨都与儿童期虐待有关。报告三种类型的虐待儿童的妇女在怀孕（平均）中报告了5.4项常见投诉（平均值），而没有虐待儿童的妇女则为3.7项（p <0.001）。报告童年虐待的妇女更有可能报告七个或更多的怀孕常见投诉：情绪虐待的调整后优势比（AOR）为1.7（95％CI 1.6-1.9）; AOR 2.5（95％CI 2.0-3.1），涉及身体和性虐待;以及针对这三种滥用行为的AOR 3.5（95％CI 3.0-4.0）。社会人口统计学特征和其他危险因素不能解释这种分级关联。结论：童年时期的虐待与对怀孕常见投诉的报道增多有关。当治疗孕妇中有许多常见不适的妇女时，临床医生应考虑儿童期虐待的可能作用。

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