Familial Abuse During Childhood and Later-Life Health: Exploring the Role of Victim–Perpetrator Relationships

Author:

Lee Chioun1ORCID,Park Soojin2,Lee Juha1

Affiliation:

1. Department of Sociology, University of California , Riverside, Riverside, California , USA

2. School of Education, University of California , Riverside, Riverside, California , USA

Abstract

Abstract Objectives Childhood abuse has been extensively studied in relation to later-life health, yet relatively little attention has been given to understanding the nuanced dynamics across victim–perpetrator relationships. This study addresses this gap by identifying typologies of familial perpetrators of childhood abuse in a national sample and examining their associations with various health outcomes, including physical and mental health as well as substance abuse. Methods We used 2 waves of data from the Midlife in the US Study (n = 6,295, mean age = 46.9 at baseline). The analysis was completed in 3 stages. Using Latent Class Analysis (LCA), we identified subpopulations of victims with distinct familial perpetrator histories. With assigned LCA memberships and propensity score weighting, we investigated the extent to which specific victim–perpetrator relationships are associated with health outcomes measured at baseline and a 10-year follow-up adjusting for other early-life risks. We evaluated whether the observed associations differ across the waves. Results Parental and sibling abuse commonly co-occur, surpassing the occurrence of single perpetrators. Although minimal health disparities are evident between sibling-only abuse and no/little abuse groups at baseline, parent-only abuse is associated with compromised health outcomes. Severe abuse from both siblings and parents is linked to the most adverse health outcomes. At the follow-up survey, the associations between familiar abuse and health outcomes weakened, particularly for substance abuse. Discussion This study, delving into family relationships, family violence, and health disparities, provides new evidence to augment our comprehension of the enduring link between childhood abuse and health within the family context.

Funder

National Science Foundation

Publisher

Oxford University Press (OUP)

Reference51 articles.

1. Chronic disease at midlife: Do parent–child bonds modify the effect of childhood SES;Andersson;Journal of Health and Social Behavior,2016

2. Auxiliary variables in mixture modeling: Three-step approaches using Mplus;Asparouhov;Structural Equation Modeling: A Multidisciplinary Journal,2014

3. An introduction to propensity score methods for reducing the effects of confounding in observational studies;Austin;Multivariate Behavioral Research,2011

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