View Entire Collection
By Clinical Topic
By State Requirement
Diabetes – Summer 2012
Future of Nursing Initiative
Heart Failure - Fall 2011
Influenza - Winter 2011
Nursing Ethics - Fall 2011
Trauma - Fall 2010
Traumatic Brain Injury - Fall 2010
Fluids & Electrolytes
FRIDAY, Nov. 12 (HealthDay News) -- Moderate to severe physical and sexual abuse in childhood and adolescence appears to increase the risk for type 2 diabetes in adult women, partly because of the higher body mass index in women who were abused as children, according to a study published online Nov. 9 in the American Journal of Preventive Medicine.
Janet W. Rich-Edwards, of Brigham and Women's Hospital in Boston, and colleagues analyzed data on physical and sexual abuse suffered in childhood and adolescence among 67,853 women in the Nurses' Health Study II, then associated lifetime abuse to the incidence of diabetes during 1989 to 2005.
Compared to subjects with no physical abuse, the researchers found that the increased risk of diabetes was low for those reporting mild physical abuse (hazard ratio [HR], 1.03), somewhat higher for those reporting moderate physical abuse (HR, 1.26), and higher still for those reporting severe physical abuse (HR, 1.54). Compared with women who reported no sexual abuse, the risks followed a similar trend: HR, 1.16 for unwanted sexual touching; HR, 1.34 for one episode of forced sexual activity; and HR, 1.69 for repeated forced sex. Adult body mass index, which has known associations with childhood abuse and diabetes, explained 60 percent of the association of physical abuse and 64 percent of the association of sexual abuse with diabetes.
"A more precise description of the physiologic and psychological mechanisms through which abuse leads to overweight and obesity would focus prevention efforts. Weight control interventions designed specifically for survivors of abuse may help to reduce the risk of diabetes," the authors write.
Sign up for our free enewsletters to stay up-to-date in your area of practice - or take a look at an archive of prior issues
Join our CESaver program to earn up to 100 contact hours for only $34.95
Explore a world of online resources
Back to Top