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The robust association between childhood physical abuse and osteoarthritis in adulthood: Findings from a representative community sample
Arthritis Care and Research , 11/05/09

Fuller-Thomson E et al. – Research suggests a role of early-life trauma in the development of arthritis. This study investigated the relationship between childhood physical abuse and osteoarthritis (OA) while controlling for age, sex, race, and socioeconomic status (SES), in addition to the following types of risk factors for OA: 1) concurrent childhood stressors, 2) adult health behaviors, and 3) depression. The association between childhood physical abuse and OA remained significant, even after controlling for many risk factors that may mediate the relationship.

• Data from provinces of Manitoba and Saskatchewan selected from 2005 Canadian Community Health Survey
• Respondents with missing arthritis data or with arthritis types other than OA excluded
• Of 11,108 remaining respondents, 6.9% reported childhood physical abuse by someone close to them, and 10.1% reported that they had been diagnosed with OA
• Regional-level response rate 84%

• When adjusting for all 3 types of risk factors, significant association between childhood physical abuse and OA found
• In contrast, when adjusting for age, sex, race, and SES only, OR was 1.99

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