Classes of Lifetime Adversity in Emerging Adult Women and Men and Their Associations with Weight Status

Overview

Journal Prev Med

Specialty Public Health

Date 2021 Feb 26

PMID 33636192

Citations 3

Authors

N Jeanie Santaularia

Majel R Baker

Darin Erickson

Patricia Frazier

Melissa N Laska

Katherine Lust

Susan M Mason

Affiliations

Soon will be listed here.

Abstract

The aim of this paper was to better understand how child and adult adversities cluster together into classes, and how these classes relate to body weight and obesity. Analyses included 2015 and 2018 data from emerging adults (18-25 years old) who participated in a state surveillance system of 2- and 4-year college students in Minnesota (N = 7475 in 2015 and N = 6683 in 2018). Latent Class Analyses (LCA) of 12 child and adult adversities were run stratified by gender and replicated between 2015 and 2018. The distal outcome procedure and three-step Bolck-Croon-Hagenaars approach were used to estimate predicted BMI means and predicted probabilities of obesity for each class, adjusted for covariates. The LCA identified seven classes in women and 5 in men. In women, BMI ranged from 23.9 kg/m in the lowest-BMI class ("Adult Adversities and Childhood Household Dysfunction"; 95% CI: 22.6-25.1) to 27.3 kg/m in the highest-BMI class ("High Lifetime Adversities"; 95% CI: 25.9-28.7), a statistically significant difference of 3.4 kg/m. In men, the adjusted BMIs ranged from 24.6 kg/m ("Low Adversities"; 95% CI: 24.3-25.0) to 26.0 kg/m ("Childhood Household Mental Illness"; 95% CI: 25.1-26.9), a statistically significant difference of 1.4 kg/m. The pattern was similar for obesity. These results indicate that specific classes of child and adult adversities are strongly associated with BMI and obesity, particularly in women. A key contribution of LCA appeared to be identification of small classes at high risk for excess weight.

Citing Articles

Emerging adult college students' descriptions of exposure to childhood emotional abuse and associated factors: A qualitative exploration.

Dadi D, Bonilla Z, Beckstrand M, Frazier P, Gerlach A, Huber K Child Abuse Negl. 2023; 146:106516.

PMID: 37922619 PMC: 10842179. DOI: 10.1016/j.chiabu.2023.106516.

Classes of lifetime adversities among emerging adult women by race/ethnicity and their associations with weight status in the United States.

Pando C, Santaularia N, Erickson D, Lust K, Mason S Prev Med. 2021; 154:106880.

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The influence of childhood and early adult adversities on substance use behaviours in racial/ethnically diverse young adult women: a latent class analysis.

Friedman J, Santaularia N, Dadi D, Erickson D, Lust K, Mason S Int J Inj Contr Saf Promot. 2021; 29(1):3-14.

PMID: 34581243 PMC: 8958174. DOI: 10.1080/17457300.2021.1982990.

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