Evidence map›Paper›PMID 32665362›Full record

ArticleHeart (British Cardiac Society)2020

Sex differences in the association between childhood maltreatment and cardiovascular disease in the UK Biobank.

Ana Luiza Gonçalves Soares, Gemma Hammerton, Laura D Howe, Janet Rich-Edwards, Sarah Halligan, Abigail Fraser

Open access · hybridAbstract readComparative Study
In one paragraph

Article in Heart (British Cardiac Society), 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 44 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
44citing papers in PubMed, 2 pooled it
3.6field-weighted citation impact, top 5% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

44 citing papers in PubMed, 2 syntheses or guidelines pooled it, 83 citations in OpenAlex.

  1. Pooled it
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  3. Observational
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  13. Sexual identity, child maltreatment, mental health, and substance use among emerging adults aged 18 to 23 years.Canadian journal of public health = Revue canadienne de sante publique · 2025
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  18. Role of Sex, Anxiety, and Resilience in the Association Between Adverse Childhood Experiences and Irritable Bowel Syndrome.Clinical gastroenterology and hepatology : the official clinical practice journal of the American Gastroenterological Association · 2025
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors at 3 institutions in 3 countries.

Ana Luiza Gonçalves SoaresPopulation Health Sciences, Bristol Medical School, University of Bristol, Bristol, UK analuiza.soares@bristol.ac.uk.ORCID 0000-0003-2763-4647
Gemma HammertonPopulation Health Sciences, Bristol Medical School, University of Bristol, Bristol, UK.
Laura D HowePopulation Health Sciences, Bristol Medical School, University of Bristol, Bristol, UK.
Janet Rich-EdwardsDepartment of Medicine, Harvard Medical School, Boston, Massachusetts, USA.
Sarah HalliganDepartment of Psychology, University of Bath, Bath, UK.
Abigail FraserPopulation Health Sciences, Bristol Medical School, University of Bristol, Bristol, UK.
University of Bristol · GBBrigham and Women's Hospital · USUniversity of Cape Town · ZA

Funding

Medical Research Council MC_PC_17228Medical Research Council MC_QA137853Medical Research Council MC_UU_00011/6Medical Research Council MR/M009351/1Medical Research Council MR/M020894/1Wellcome TrustWellcome Trust 209138/Z/17/Z
6 · The paper itself

Abstract

objectivesTo assess and compare associations between childhood maltreatment and cardiovascular disease (CVD) in men and women in the UK. In secondary analyses, we also explored possible age differences and associations with early onset CVD (<50 years).

methodsWe included 157 311 participants from the UK Biobank who had information on physical, sexual or emotional abuse, emotional or physical neglect. CVD outcomes were defined as any CVD, hypertensive disease, ischaemic heart disease (IHD) and cerebrovascular disease. These were extracted from self-report, blood pressure measurements, hospital register and death register. The associations between maltreatment and CVD were assessed using Poisson regression with robust variance to estimate risk ratios, stratified by sex and adjusted for socioeconomic and demographic factors.

resultsAll types of maltreatment were associated with increased risk of CVD and IHD in both sexes. Additionally, in women all types of maltreatment were associated with higher risk of hypertensive disease, and all, except emotional neglect, were associated with cerebrovascular disease. In men, all but sexual abuse, were associated with higher risk of hypertensive disease, and all, except physical and sexual abuse, were associated with cerebrovascular disease. Associations were generally stronger in women, and individuals who were younger at baseline had stronger associations of childhood maltreatment with any CVD and IHD, but age differences were less evident when only early onset CVD was considered.

conclusionsChildhood maltreatment was consistently associated with CVD and stronger associations were generally observed in women and seemed to be stronger for early onset CVD.

Indexed as

Adult Survivors of Child AbuseChild AbuseAdolescentAdultAgedAge of OnsetCardiovascular DiseasesChildChild Abuse, SexualEmotional AbuseFemaleHealth StatusHumansHypertensionMaleMiddle Agedcardiac risk factors and preventionepidemiologyheart disease

Identifiers

PMID32665362
PMCPMC7476280
OpenAlexW3042699923

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.