A 40-Year Prospective Study of Adversity Over the Early Life Course Predicting Hospital Morbidity Using Linked Administrative Health Data

Not Applicable

Completed

• Conditions: Health consequences of childhood adversity and behavioural problems; Public Health - Epidemiology; Mental Health - Depression; Mental Health - Other mental health disorders; Public Health - Health service research; Injuries and Accidents - Fractures; Injuries and Accidents - Other injuries and accidents; Emergency medicine - Other emergency care; Metabolic and Endocrine - Diabetes; Metabolic and Endocrine - Metabolic disorders

• Registration Number: ACTRN12622000870752
• Lead Sponsor: Metro South Addiction & Mental Health Services

Brief Summary

Out of the 6087 people who took part in the study, 10.1% had experienced some form of child maltreatment that had been reported to the statutory authorities. By the 40-year follow-up, 72 participants (1.2% of the total) had been admitted for non-affective psychosis. When the data were analysed while adjusting for other factors, it was found that all types of child maltreatment that were reported and confirmed, such as neglect, physical, sexual, or emotional abuse, as well as cases involving multiple types of maltreatment, were associated with higher rates of admissions for non-affective psychosis.

Detailed Description

Not available

Study Timeline

• Results First Posted: 1900-01-01
• Study Start: 2022-06-20
• Study Completion: 2022-06-23
• Last Update Posted: 13 June 2023

Recruitment & Eligibility

• Status: Completed
• Sex: All
• Target Recruitment: 6087

Inclusion Criteria

All participants in the Mater-University of Queensland Study of Pregnancy (MUSP), a 30-year longitudinal birth cohort study from Brisbane, which examined a variety of environmental risk factors for cognitive, psychological and behavioural health outcomes for 7223 participants born from 1983 -1984 at the Mater Hospital

Exclusion Criteria

None.

Study & Design

• Study Type: Observational
• Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
All discharge diagnoses from public hospitals & private hospitals in Queensland as captured by the Queensland Hospital Admitted Patients’ Data Collection (QHAPDC) and linked to the MUSP birth cohort . [All separations from 1 January 2010 for public hospitals and 1 July 2007 for private hospitals up till 31 December 2019];All community contacts with Queensland Health mental health services as captured by Consumer Integrated Mental Health Application (CIMHA) database of attendances at state-run community-based or outpatient mental health services in the State and linked to the MUSP birth cohort . [All episodes and provisions of service for the identified cohort from 1 January 2010 till 31 December 2019];Diagnoses from all Emergency Department presentations as captured by the Emergency Data Collection (EDC) of all Emergency Department visits state-wide and linked to the MUSP birth cohort . [From 1 July 2008 till 31 December 2019]

Secondary Outcome Measures

Name	Time	Method
engths of stay for each admission as captured by the Queensland Hospital Admitted Patients’ Data Collection (QHAPDC) and linked to the MUSP birth cohort . [From 1 January 2010 for public hospitals and 1 July 2007 for private hospitals up till 31 December 2019];All diagnoses from community contacts with Queensland Health mental health services as captured by Consumer Integrated Mental Health Application (CIMHA) database of attendances at state-run community-based or outpatient mental health services in the State and linked to the MUSP birth cohort . [From 1 January 2010 till 31 December 2019]