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Published on: August 25, 2017
Violence exposure, a chronic psychosocial stressor, and childhood lung function
Shakira Franco Suglia1, Louise Ryan, Francine Laden
1Harvard School of Public Health, Department of Environmental Health, Landmark 415W, 401 Park Drive, Boston, MA 02215, USA. sfranco@hsph.harvard.edu
Insights
Childhood exposure to interparental conflict and community violence negatively impacts lung function. Verbal aggression and community violence were linked to reduced lung capacity in children, independent of other factors.
Area of Science:
- Environmental Health
- Pediatric Health
- Psychosocial Stressors
Background:
- Chronic psychosocial stressors, such as violence, can affect child development and physiology.
- Understanding the impact of violence on children's respiratory health is crucial for public health interventions.
Purpose of the Study:
- To investigate the relationship between exposure to community violence and interparental conflict and lung function in urban children.
- To explore potential gender differences in the association between violence exposure and lung function.
Main Methods:
- A prospective birth cohort study of 313 urban children aged 6-7 years was conducted.
- Mothers reported on children's lifetime exposure to community violence (ETV) and interparental conflict (Conflict Tactics Scale - CTS).
- Lung function was assessed using spirometry, measuring forced expiratory volume (FEV1) and forced vital capacity (FVC).
Main Results:
- Girls exposed to high levels of verbal aggression (CTS) showed significantly reduced FEV1 and FVC.
- Boys exposed to high levels of community violence (ETV) showed reduced FEV1 and FVC, though not statistically significant.
- Interparental conflict and community violence were associated with decreased lung function, independent of socioeconomic status, smoke exposure, birthweight, and medical history.
Conclusions:
- Interparental verbal aggression and community violence are linked to diminished lung function in children.
- Observed gender differences in response to violence exposure warrant further investigation.
- Findings highlight the importance of addressing violence exposure to protect children's respiratory health.
Objective:
Chronic psychosocial stressors, including violence, and neuropsychological and behavioral development in children as well as physiologic alterations that may lead to broader health effects.
Methods:
We studied the relationship between violence and childhood lung function in a prospective birth cohort of 313 urban children (age range = 6-7 years). Mothers reported on their child's lifetime exposure to community violence (ETV) and interparental conflict in the home (Conflict Tactics Scale (CTS)) within 1 year of the lung function assessment.
Results:
In linear regression analyses, adjusting for maternal education, child's age, race, birthweight, tobacco smoke exposure, and medical history, girls in the highest CTS verbal aggression tertile had a 5.5% (95% confidence interval (CI) = -9.6, -1.5) decrease in percent predicted forced expiratory volume (FEV(1)) and a 5.4% (95% CI = -9.7, -1.1) decrease in forced vital capacity (FVC) compared with girls in the lowest tertile. The CTS verbal aggression subscale was associated with lung function among boys in the same direction, albeit this was not statistically significant. Boys in the highest ETV tertile had a 3.4% (95% CI = -8.0, 1.1) lower FEV(1) and 5.3% lower FVC (95% CI = -10.2, -0.4) compared with boys in the lowest tertile. The ETV score was not a significant predictor of girls' lung function.
Conclusions:
Interparental conflict, specifically verbal aggression, and ETV were associated with decreased childhood lung function independent of socioeconomic status, tobacco smoke exposure, birthweight, and respiratory illness history. Gender differences were noted based on the type of violence exposure, which may warrant further exploration.
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