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Related Experiment Video

Updated: Jul 15, 2026

Rapid Fractionation and Isolation of Whole Blood Components in Samples Obtained from a Community-based Setting
11:31

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Published on: November 30, 2015

Childhood Maltreatment and Adult Multimorbidity.

Rosa S Wong1,2, Keith T S Tung2, Jason C Yam3

  • 1Department of Special Education and Counselling, The Education University of Hong Kong, Hong Kong SAR, China.

JAMA Network Open
|July 14, 2026
PubMed
Summary

Child maltreatment significantly increases the risk of developing multiple adult health conditions, including mental and behavioral disorders. Early prevention and trauma-informed care are crucial for affected children to mitigate lifelong health consequences.

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Published on: August 13, 2015

Area of Science:

  • Public Health
  • Epidemiology
  • Psychiatry

Background:

  • Child maltreatment is a global public health issue with known psychological impacts.
  • Its long-term physical health consequences, particularly multimorbidity, are less understood.

Purpose of the Study:

  • To investigate the association between childhood maltreatment and adult multimorbidity.
  • Utilized electronic health records in Hong Kong for a population-based cohort study.

Main Methods:

  • A cohort study of 32,674 individuals (7,137 exposed to maltreatment) using Hong Kong electronic health records (2001-2024).
  • Cox proportional hazards models assessed risks of 16 disease categories and multimorbidity patterns after age 19.
  • Analyses were stratified by pre-existing childhood conditions.

Main Results:

  • Childhood maltreatment was linked to increased risks across 13 adult diagnostic categories.
  • Highest risks observed for mental/behavioral disorders (HR 2.78), ear diseases (HR 1.88), injuries (HR 1.81), and blood diseases (HR 1.67).
  • Maltreatment associated with higher risk and earlier onset of complex multimorbidity (HR 1.96).

Conclusions:

  • Childhood maltreatment is associated with elevated risks for multiple adult health conditions.
  • Findings highlight the need for early intervention and sustained, trauma-informed healthcare.
  • Addressing maltreatment can reduce the risk of lifelong multimorbidity.