Childhood Sex Abuse May Be Associated with the Risk of Heart Disease in Women: Study Reveals
By Indrani Bhattacharyya | July 18, 2014 1:39 PM EST
An interesting study reveals that middle-aged women who got sexually abused during their childhood may show premature symptoms of heart ailment.
"Early life adversities may have implications for the development of risk factors for heart disease during midlife," said lead researcher Rebecca Thurston, director of the Women's Biobehavioral Health Laboratory at the University of Pittsburgh.
Naseema Dar (R), a 40-year-old "half-widow", sits next to her 14-year-old daughter Shabnum Mehraj and a photo of her husband Mehraj-ud-Din Dar in their house in Srinagar March 4, 2011. Naseema, a mother of two, is one of Kashmir's hundreds of "half-widows" -- women whose husbands have disappeared in 22 years of armed conflict with New Delhi. The Association for Parents of Disappeared Persons (APDP), an independent group fighting for the whereabouts of these missing relatives, says more than 8,000 people have gone missing, most of them following their arrests by Indian security forces in the troubled Kashmir region since a rebellion broke out at the end of 1989. Indian authorities, however, deny the allegations and argue that most of the missing persons have crossed the heavily militarised Line of Control, which divides Kashmir between India and Pakistan, for arms training. At least 2,000 of these disappeared people were married and nearly all were male and young at the time of their disappearances, the APDP adds. Most "half-widows" are from lower-income Muslim families and according to Islamic rules cannot remarry for at least seven years after their husbands go missing. "Many such women ... have been forced to leave their in-laws' homes and some of them returned to their parents," says Parveena Ahanger, a founder of APDP. "And others are lonely, struggling hard to rebuild their lives. Even after seven years of long wait men hesitate to marry such women. Many of them (men) fear their husbands may return one day."
The work was pubished online on July 17 in the journal Stroke.
A collective data of 1,400 white, black, Hispanic and Chinese women who were aged between 42 and 52 was analysed to come to that conclusion.
It was observed that women who were sexually abused during childhood represented signs of hardening of the arteries in their neck, a marker that signals onset of heart disease. It was absent in women who weren't sexually abused.
This report specified that the study doesn't prove that child sexual abuse directly causes heart disease but there is an association between the two aspects.
"To prove cause-and-effect, you would have to have a randomized trial assigning some girls to abuse and others not, which obviously one would not do. "All research around child abuse and health outcomes are purely associational," Thurston explained.
To date, it remains unclear what factors are responsible for the association, there may be changes in the nervous system or an excess of stress hormones. Also some of these women may indulge in riskier health behaviours.
"It's a question of safeness a woman feels with her doctors. This is a very sensitive area, and there has to be trust when a woman discusses these issues with her doctor. But if she has that kind of trust, it would be worth mentioning," she suggested.
Every doctor should know the importance of psychosocial risk factors while understanding the risk of heart disease in women.
Experts feel, it is not surprising for the woman who experienced something as traumatic as sexual abuse during childhood to suffer from increased cardiovascular risk as the trauma did leave them with a life time damage.
In the study, the participants were asked if they had suffered any physical or sexual abuse. They were tested annually for a number of risk factors for heart disease.
“About 16 percent of all the women said they had been sexually abused. Among black women, up to 20 percent reported being sexually abused,” the researchers said.
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