Familial Abuse during Childhood and Later-life Health: Exploring the Role of Victim-Perpetrator Relationships.

OBJECTIVES: Childhood abuse has been extensively studied in relation to later-life health, yet relatively little attention has been given to understanding the nuanced dynamics across victim-perpetrator relationships. This study addresses this gap by identifying typologies of familial perpetrators of childhood abuse in a national sample and examining their associations with various health outcomes, including physical and mental health as well as substance abuse. METHODS: We used two waves of data from the Midlife in the US Study (n=6,295, mean age=46.9 at baseline). The analysis was completed in three stages. Using Latent Class Analysis (LCA), we identified subpopulations of victims with distinct familial perpetrator histories. With assigned LCA memberships and propensity score weighting, we investigated the extent to which specific victim-perpetrator relationships are associated with health outcomes measured at baseline and a 10-year follow-up adjusting for other early-life risks. We evaluated whether the observed associations differ across the waves. RESULTS: Parental and sibling abuse commonly co-occur, surpassing the occurrence of single perpetrators. While minimal health disparities are evident between sibling-only abuse and no/little abuse groups at baseline, parent-only abuse is associated with compromised health outcomes. Severe abuse from both siblings and parents is linked to the most adverse health outcomes. At the follow-up survey, the associations between familiar abuse and health outcomes weakened, particularly for substance abuse. DISCUSSION: This study, delving into family relationships, family violence, and health disparities, provides new evidence to augment our comprehension of the enduring link between childhood abuse and health within the family context.

Family arrangements, identity verification, and happiness.

We study how the family structural arrangements individuals inhabit, the cultural meanings that accompany these structures, and individuals' experiences of identity verification within these structures are related to their general happiness. We use data (N = 1304) from the 2014 General Social Survey Identity Module to study the normative and non-normative family arrangements in which individuals reside, their experience of verification of the parent/non-parent identity, and their happiness. We find that parent/non-parent identity verification is positively associated with happiness for normative family arrangements but not non-normative family arrangements. We discuss how social structural arrangements and a culture that supports them may assist the identity verifying outcome of happiness, while structural arrangements and a culture that is not as supportive of certain family forms may undermine the identity verifying outcome of happiness. The findings provide insights into how social structure and culture at the macro level coalesce with the identity verification process at the micro level in affecting the emotional tenor of people's lives.

Gendered racial disparities in health of parents with children with developmental disabilities.

Background: There is little information on (1) how adverse experiences in early life are associated with the risk of having a child with health problems and (2) whether the health of racial and gender minority groups would be particularly compromised if they have developmentally disabled (DD) children. Objective: By integrating life-course perspectives and the intersectionality framework, we examine (1) the extent to which parents' early-life adversities (ELAs) are associated with having children with DD or other health issues and (2) whether the association between having DD children and parental (physical and mental) health varies across race-gender groups after accounting for ELAs. Methods: Using data from Black and White parents from the Midlife in the US Study (n = 7,425; 18% Black), we employed (1) multinomial logistic regression models to investigate the degree to which ELAs are associated with parenting types (having a child with DD, a child with recent illness, or a child without these health issues) and (2) multiple regression models with a three-way interaction term to investigate whether the gender-parenting type association differs by race. Results: With more adversities, the probability of having children with health issues increases for all race-gender groups, but most dramatically for Black women. Having DD children is associated with more chronic illnesses and functional limitations for women than men, with the largest burden for Black women, yet neither gender nor racial differences in depressive symptoms. Our results highlight that while raising children with DD takes a toll on the health of all parents, the strain might be larger for Black mothers. Conclusion: The adverse effects of parenting a child with DD is more pronounced for Black women than for other race-gender groups indicating opportunities to promote community-based programs for these parents.