{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,25]],"date-time":"2026-09-25T19:46:28Z","timestamp":1790365588268,"version":"4.1.0"},"reference-count":48,"publisher":"American Public Health Association","issue":"6","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Am J Public Health"],"published-print":{"date-parts":[[2012,6]]},"abstract":"<jats:p>Objectives. We investigated whether abused and neglected children are at risk for negative physical health outcomes in adulthood.<\/jats:p><jats:p>Methods. Using a prospective cohort design, we matched children (aged 0\u201311 years) with documented cases of physical and sexual abuse and neglect from a US Midwestern county during 1967 through 1971 with nonmaltreated children. Both groups completed a medical status examination (measured health outcomes and blood tests) and interview during 2003 through 2005 (mean age\u2009=\u200941.2 years).<\/jats:p><jats:p>Results. After adjusting for age, gender, and race, child maltreatment predicted above normal hemoglobin, lower albumin levels, poor peak airflow, and vision problems in adulthood. Physical abuse predicted malnutrition, albumin, blood urea nitrogen, and hemoglobin A1C. Neglect predicted hemoglobin A1C, albumin, poor peak airflow, and oral health and vision problems, Sexual abuse predicted hepatitis C and oral health problems. Additional controls for childhood socioeconomic status, adult socioeconomic status, unhealthy behaviors, smoking, and mental health problems play varying roles in attenuating or intensifying these relationships.<\/jats:p><jats:p>Conclusions. Child abuse and neglect affect long-term health status\u2014increasing risk for diabetes, lung disease, malnutrition, and vision problems\u2014and support the need for early health care prevention.<\/jats:p>","DOI":"10.2105\/ajph.2011.300636","type":"journal-article","created":{"date-parts":[[2012,4,19]],"date-time":"2012-04-19T19:54:30Z","timestamp":1334865270000},"page":"1135-1144","source":"Crossref","is-referenced-by-count":311,"title":["A Prospective Investigation of Physical Health Outcomes in Abused and Neglected Children: New Findings From a 30-Year Follow-Up"],"prefix":"10.2105","volume":"102","author":[{"given":"Cathy Spatz","family":"Widom","sequence":"first","affiliation":[{"name":"Cathy Spatz Widom and Sally J. Czaja are with the Psychology Department, John Jay College, City University of New York, New York, NY. Tyrone Bentley is with the Department of Pediatrics, New Jersey Medical School, University of Medicine and Dentistry of New Jersey, Newark. Mark S. Johnson is with the Department of Family Medicine, New Jersey Medical School, University of Medicine and Dentistry of New Jersey."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sally J.","family":"Czaja","sequence":"additional","affiliation":[{"name":"Cathy Spatz Widom and Sally J. Czaja are with the Psychology Department, John Jay College, City University of New York, New York, NY. Tyrone Bentley is with the Department of Pediatrics, New Jersey Medical School, University of Medicine and Dentistry of New Jersey, Newark. Mark S. Johnson is with the Department of Family Medicine, New Jersey Medical School, University of Medicine and Dentistry of New Jersey."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tyrone","family":"Bentley","sequence":"additional","affiliation":[{"name":"Cathy Spatz Widom and Sally J. Czaja are with the Psychology Department, John Jay College, City University of New York, New York, NY. Tyrone Bentley is with the Department of Pediatrics, New Jersey Medical School, University of Medicine and Dentistry of New Jersey, Newark. Mark S. Johnson is with the Department of Family Medicine, New Jersey Medical School, University of Medicine and Dentistry of New Jersey."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mark S.","family":"Johnson","sequence":"additional","affiliation":[{"name":"Cathy Spatz Widom and Sally J. Czaja are with the Psychology Department, John Jay College, City University of New York, New York, NY. Tyrone Bentley is with the Department of Pediatrics, New Jersey Medical School, University of Medicine and Dentistry of New Jersey, Newark. Mark S. 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