POTENTIALLY TRAUMATIC EVENTS AND THE RISK OF SIX PHYSICAL HEALTH CONDITIONS IN A POPULATION-BASED SAMPLE
Article first published online: 11 MAR 2013
© 2013 Wiley Periodicals, Inc.
Depression and Anxiety
Volume 30, Issue 5, pages 451–460, May 2013
How to Cite
Keyes, K. M., McLaughlin, K. A., Demmer, R. T., Cerdá, M., Koenen, K. C., Uddin, M. and Galea, S. (2013), POTENTIALLY TRAUMATIC EVENTS AND THE RISK OF SIX PHYSICAL HEALTH CONDITIONS IN A POPULATION-BASED SAMPLE. Depress. Anxiety, 30: 451–460. doi: 10.1002/da.22090
- Issue published online: 25 APR 2013
- Article first published online: 11 MAR 2013
- Manuscript Accepted: 8 FEB 2013
- Manuscript Revised: 23 JAN 2013
- Manuscript Received: 26 JUL 2012
- National Institutes of Health. Grant Numbers: DA022720, DA022720-S1, MH088283, MH078152, MH082729, MH070627, MH078928, MH092526
- traumatic events;
- chronic disease;
- physical health;
- African Americans
Potentially traumatic events (PTEs) are common in the population, yet, the impact of total burden and specific types of PTEs on physical health has not been systematically investigated.
Data were drawn from the Detroit Neighborhood Health Study, a community sample of predominately African Americans living in Detroit, Michigan, interviewed in 2008–2009 (N = 1,547) and in 2009–2010 (N = 1,054). Kaplan–Meier and Cox proportional hazards models were used.
Respondents with the highest levels of PTE exposure (8+ events) had an average age of adverse physical health condition diagnosis that was 15 years earlier than respondents with no exposure. There was a monotonic relation between number of PTEs and arthritis risk. Compared to those who reported no lifetime events, respondents with 1–2, 3–4, 5–7, and 8+ traumatic events had 1.06, 1.12, 1.73, and 2.44 times the hazard of arthritis. Assaultive violence (HR = 1.7; 95% CI 1.2–2.3) and other threats to physical integrity (HR = 1.5, 95% CI 1.1–2.1) were particularly strong risk factors for arthritis.
These results provide novel evidence linking PTEs, particularly those involving violence and threat to life, to elevated risk for arthritic conditions. Efforts to prevent or mitigate traumatic event exposures may have a broad range of benefits for health.