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Related Experiment Video

Updated: Jun 12, 2025

Assessment of Child Anthropometry in a Large Epidemiologic Study
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Does child abuse predict a population segment with large economic burden?

Jana Runze1, Geertjan Overbeek1, Annemarie I Luik2

  • 1Research Institute of Child Development and Education, University of Amsterdam, the Netherlands.

Public Health
|September 19, 2024
PubMed
Summary
This summary is machine-generated.

A small segment of the population incurs most societal costs. Early intervention and prevention strategies should target individuals with a history of child abuse to mitigate these high-cost outcomes.

Keywords:
Child maltreatmentChildhood traumaEpidemiologyHealthMental disordersPopulation-based study

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Area of Science:

  • Public Health
  • Epidemiology
  • Mental Health Research

Background:

  • Societal costs of mental health disorders and unhealthy behaviors are significant.
  • Early intervention is crucial for prevention.
  • Identifying high-cost population segments is key for targeted prevention.

Purpose of the Study:

  • Identify the population segment responsible for the majority of economically costly outcomes.
  • Investigate if child abuse before age 16 predicts membership in these high-cost segments.
  • Examine the risk of belonging to multiple high-cost segments.

Main Methods:

  • Epidemiological cohort study using the Netherlands Mental Health Survey and Incidence Study-2 (NEMESIS-2).
  • Analysis of data from 6646 adults (18-64 years) across four time points (2007-2018).
  • Cumulative distributions to identify high-cost segments; Poisson regressions to assess child abuse as a predictor.

Main Results:

  • A 20% segment accounted for 42-100% of economically costly outcomes.
  • Child abuse exposure predicted membership in high-cost segments, though with small effect sizes.
  • Child abuse also predicted membership in multiple high-cost segments.

Conclusions:

  • Findings inform policy for early intervention and prevention.
  • Focus should be on identifying individuals at risk of multiple high-cost outcomes.
  • Prevention efforts targeting those with a history of child abuse may be effective.