Childhood exposure to violence is associated with risk for mental disorders and adult's weight status: a community-based study in Tunisia.

Journal: Journal of public health (Oxford, England)

Volume: 41

Issue: 3

Year of Publication: 2020

Affiliated Institutions:  Department of Preventive and Community Medicine, University Hospital Tahar Sfar, Mahdia, Tunisia. Department of Family Medicine and Biobehavioral Health, University of Minnesota Medical School, Duluth, MN, USA. Department of Community Medicine, Faculty of Medicine, University of Monastir, Monastir,Tunisia.

Abstract summary 

We sought to investigate the relationship between social violence and adult overweight/obesity and the role of common mental disorders (CMD) in mediating this relationship.A cross-sectional study was conducted from January to June 2016 in Tunisia. Participants were selected from randomly selected Primary Health Care Centers. The Arabic version of the Adverse Childhood Experiences-International Questionnaire (ACE-IQ) was used.A total of 2120 participants were included. Women exposed to social ACEs had higher rates of overweight/obesity than men (13.5 versus 9.5%; P = 0.004). For women, statistically significant partial mediation effects of CMD were observed for exposure to community violence (% mediated = 17.7%). For men, partial mediation was found for the exposure to peer violence (% mediated = 12.5%).Our results provide evidence of the independent increase of overweight/obesity after exposure to social ACEs. Efforts to uncover and address underlying trauma in health care settings may increase the effectiveness of obesity interventions.

Authors & Co-authors:  El Mhamdi Sana S Lemieux Andrine A Abroug Hela H Ben Salah Arwa A Bouanene Ines I Ben Salem Kamel K al'Absi Mustafa M

Study Outcome 

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Statistics
Citations :  World Health Organization. Obesity and Overweight [Internet]. [cité 6 mars 2017]. http://www.who.int/mediacentre/factsheets/fs311/en/.
Authors :  7
Identifiers
Doi : 10.1093/pubmed/fdy149
SSN : 1741-3850
Study Population
Men,Women
Mesh Terms
Adult
Other Terms
Tunisia;adverse childhood experiences;common mental disorders;obesity;overweight;social violence
Study Design
Cross Sectional Study
Study Approach
Country of Study
Tunisia
Publication Country
England