title: Child maltreatment and adult socioeconomic well-being.
abstract: OBJECTIVE
  Little empirical research has examined the impact that child maltreatment may have on victims' long-term socioeconomic well-being. The current study sought to address this gap by exploring the relationship between childhood experiences of abuse and neglect and several indicators of socioeconomic well-being in adulthood.
  
  
  METHODS
  Data from the nationally representative National Comorbidity Survey (NCS) (n=5004) were analyzed using logistic regression models to examine whether maltreatment in childhood (any maltreatment, physical abuse, sexual abuse, severe neglect, and multiple types of maltreatment) affected employment status, income, and health care coverage in adulthood. Several potential confounds of this relationship were included as covariates in the models, including race, sex, age, and several indicators of childhood socioeconomic status (SES).
  
  
  RESULTS
  The results show that adults who had experienced maltreatment differed significantly from non-maltreated adults across each of the socioeconomic domains examined. Effects were additionally found to differ depending on the number of types of maltreatment experienced.
  
  
  CONCLUSIONS
  Increased rates of unemployment, poverty, and Medicaid usage indicate the significant long-term personal impact of early victimization. They also suggest a substantial societal cost from this problem through lost economic productivity and tax revenue, and increased social spending. Low socioeconomic status among parents has also been identified as a salient risk factor for the perpetration of maltreatment, and, as such, these results indicate a potential mechanism in the intergenerational transmission of violence.
  
  
  CONCLUSIONS
  The findings from this study suggest that victims of child maltreatment are at increased risk for financial and employment-related difficulties in adulthood. Approximately one million children are identified each year by state agencies as victims of maltreatment in the United States. Many maltreated children, furthermore, go undetected by protective service agencies, indicating the high prevalence of this problem, and underscoring its large economic costs to society. By highlighting the long-term socioeconomic costs of maltreatment, this research should encourage policy makers to focus on improving prevention, intervention, and treatment efforts for victims of abuse and neglect.
authors.affiliation: National Institute of Mental Health, Bethesda, MD 20852, USA.
authors.forename: David S
authors.initials: DS
authors.lastname: Zielinski
mesh_terms: D000328:Adult; D002648:Child; D002649:Child Abuse; D003625:Data Collection; D004651:Employment; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D012923:Social Class