@article{ref1,
title="Double disadvantage: health impacts of parenting a child with a disability for parents with prior exposure to childhood maltreatment",
journal="Child abuse and neglect",
year="2020",
author="Homan, Kristin J. and Kong, Jooyoung",
volume="106",
number="",
pages="e104505-e104505",
abstract="BACKGROUND: Parenting a child with a disability has been shown to take a toll on physical health in mid to late life. However, the additional impact of a history of childhood maltreatment has not been explored. <br><br>OBJECTIVE: This study examined the moderating effect of exposure to childhood maltreatment on the longitudinal associations between parenting a child with a disability and physical health. We also examined whether this interaction was conditional on parent gender. <br><br>METHODS: Data were obtained from 3178 participants in the Midlife in the United States (MIDUS) study. We used linear mixed modeling to estimate the independent and interactive effects of a history of childhood maltreatment, parenting a child with a disability, and parent gender on physical health over three waves of assessment spanning nearly two decades. We used three distinct measures of health including a composite based on two self-rated health items, chronic conditions, and functional limitations. <br><br>RESULTS: Key results showed that a history of childhood maltreatment exacerbated the adverse health effect of parenting a child with a disability for mothers, but not fathers. <br><br>CONCLUSIONS: Findings suggest that a history of early maltreatment may create a context that makes it more difficult to cope with the demands of caring for a child with a disability, and the accompanying stress has a detrimental effect on health.<br><br>Copyright © 2020 Elsevier Ltd. All rights reserved.<p /> <p>Language: en</p>",
language="en",
issn="0145-2134",
doi="10.1016/j.chiabu.2020.104505",
url="http://dx.doi.org/10.1016/j.chiabu.2020.104505"
}