{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T17:47:03Z","timestamp":1777484823805,"version":"3.51.4"},"reference-count":41,"publisher":"SAGE Publications","issue":"7","license":[{"start":{"date-parts":[[2023,9,28]],"date-time":"2023-09-28T00:00:00Z","timestamp":1695859200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Childhood Obesity"],"published-print":{"date-parts":[[2023,10,1]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>The relationship between childhood sexual abuse (CSA) and childhood obesity (CO) is unclear with studies reporting conflicting results in female populations. This study aims to assess the association between suspected CSA and current emergency department (ED) weight status when compared with trauma patients.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>This is a single-center retrospective case\u2013control study that utilized pediatric ED data (2016\u20132018) from identified female patients (6\u201317 years old) with a chief complaint of sexual assault and trauma registry patients. Focus was on female patients for literary comparisons. Two weight measurements were calculated based on available height data: BMI-for-age and weight-for-age. Nonparametric testing and binary logistic regression were utilized.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      There were 2044 study participants: 1454 (71.1%) cases and 590 (28.9%) controls. Cases were older, underrepresented minorities (URMs), and carried public insurance (all\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      -values &lt;0.001). Using BMI-for-age, patients with a sexual assault complaint had a 67% increased odds for CO after adjusting for age, URM status, and insurance type [adjusted odds ratio (aOR)\u2009=\u20091.67 (95% confidence intervals [CIs] 1.07\u20132.62);\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      -value\u2009=\u20090.03], whereas the weight-for-age metric increased the aOR odds by 58% [aOR\u2009=\u20091.58 (95% CI 1.14\u20132.17);\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      -value\u2009=\u20090.01] when compared with pediatric trauma patients. Similar results were found in a sensitivity analysis using patients matched on age and URM.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Our data demonstrated an association between suspected CSA and CO. More research is needed to identify the biopsychosocial implications for this relationship and the potential to augment clinical care.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1089\/chi.2022.0099","type":"journal-article","created":{"date-parts":[[2022,10,7]],"date-time":"2022-10-07T11:38:35Z","timestamp":1665142715000},"page":"443-451","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["Current Weight Status of Sexually Assaulted Pediatric Female Patients in an Emergency Department Setting"],"prefix":"10.1177","volume":"19","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5359-3557","authenticated-orcid":false,"given":"Elizabeth A.","family":"Camp","sequence":"first","affiliation":[{"name":"Division of Emergency Medicine, Department of Pediatrics, Baylor College of Medicine, Texas Children's Hospital, Houston, TX, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Christopher S.","family":"Greeley","sequence":"additional","affiliation":[{"name":"Division of Public Health and Child Abuse Pediatrics, and Baylor College of Medicine, Texas Children's Hospital, Houston, TX, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marcella","family":"Donaruma","sequence":"additional","affiliation":[{"name":"Division of Public Health Pediatrics, Baylor College of Medicine, Texas Children's Hospital, Houston, TX, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Reena","family":"Isaac","sequence":"additional","affiliation":[{"name":"Division of Public Health Pediatrics, Baylor College of Medicine, Texas Children's Hospital, Houston, TX, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2023,9,28]]},"reference":[{"key":"e_1_3_4_2_2","unstructured":"Fryar CD Carroll MD Afful J . 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