Evidence map›Paper›PMID 42018504›Full record

ArticlePloS one2026

Casting a long shadow: Exploring the link between childhood maltreatment and cancer in adulthood.

Matthew Robert Langiano, Carmine Malfitano, Esme Fuller-Thomson

Abstract read
In one paragraph

Article in PloS one, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Matthew Robert LangianoFactor-Inwentash Faculty of Social Work, University of Toronto, Toronto, Ontario, Canada.ORCID https://orcid.org/0009-0008-5857-576X
Carmine MalfitanoFactor-Inwentash Faculty of Social Work, University of Toronto, Toronto, Ontario, Canada.
Esme Fuller-ThomsonFactor-Inwentash Faculty of Social Work, University of Toronto, Toronto, Ontario, Canada.ORCID https://orcid.org/0000-0002-9705-6216

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Childhood adversities, including physical abuse, sexual abuse, and exposure to parental domestic violence (PDV), have been linked to negative health outcomes in adulthood, yet their specific association with cancer in older Canadians remains understudied. The current study investigated the associations between these specific childhood adversities and cancer in Canadian older adults. We conducted a secondary analysis of the nationally representative cross-sectional 2022 Canadian Mental Health and Access to Care Survey (MHACS). The sample size was 2,636 Canadians aged 65 and older. Bivariate and logistic regression models assessed the relationship between self-reported cancer diagnoses and self-reported childhood adversities - childhood sexual abuse (CSA) (including unwanted touch/fondling and Childhood Sexual Violence with Coercion (CSVC)), childhood physical abuse (CPA), and PDV. Logistic regression analyses controlled for demographic characteristics, socioeconomic status, health behaviors, chronic pain, mental health conditions, and psychosocial factors. In the bivariate analyses, those who had experienced childhood adversities had a significantly (p < 0.05) higher prevalence of cancer than those who had not (CPA 28% vs. 20.7%; PDV 26.5% vs. 20.6%; CSVC 35.5%; unwanted touch/fondling 25.5%, no CSA 20%). After comprehensive adjustment for demographic, socioeconomic, behavioral, and psychosocial factors, CSVC was associated with double the odds of cancer diagnosis (odds ratio = 2.05; 95% confidence interval 1.41-2.98), but the other forms of childhood adversity no longer reached statistical significance. Childhood adversities are associated with an elevated prevalence of cancer in later life, and the association between CSVC and cancer remained significant even after adjustments for most of the known risk factors for cancer. Further longitudinal research exploring stress-induced biological changes and immune dysregulation is needed among those with a history of childhood adversities. These findings lend support to the integration of trauma-informed care into oncology services.

Indexed as

Adult Survivors of Child AbuseAdverse Childhood ExperiencesChild AbuseNeoplasmsAgedCanadaChildChild Abuse, SexualCross-Sectional StudiesFemaleHumansMalePrevalenceRisk Factors

Identifiers

PMID42018504
PMCPMC13102189

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.