Sexual abuse, physical abuse, and cumulative physical and sexual abuse in childhood and/or adolescence and the multivariate HR and 95% CI for adult hypertension
| Number of cases (person-years) | Age- and race-adjusted model | Full model without BMI* | Full model with BMI† | |
| HR (95% CI) | HR (95% CI) | HR (95% CI) | ||
| Sexual abuse | ||||
| No sexual abuse | 7130 (544 875) | 1.00 (referent) | 1.00 (referent) | 1.00 (referent) |
| Touched as a child or teen | 2556 (179 304) | 1.05 (1.00 to 1.09) | 1.03 (0.99 to 1.08) | 0.97 (0.93 to 1.01) |
| Forced sex as child or teen | 1041 (68 047) | 1.15 (1.07 to 1.22) | 1.14 (1.06 to 1.21) | 1.02 (0.98 to 1.09) |
| Forced sex as child and teen | 421 (21 184) | 1.47 (1.33 to 1.62) | 1.44 (1.31 to 1.59) | 1.20 (1.08 to 1.32) |
| Physical abuse | ||||
| No physical abuse | 4948 (382 503) | 1.00 (referent) | 1.00 (referent) | 1.00 (referent) |
| Mild to moderate abuse | 5057 (365 642) | 1.06 (1.02 to 1.10) | 1.07 (1.03 to 1.11) | 1.02 (0.98 to 1.06) |
| Severe abuse as child or teen | 541 (30 522) | 1.34 (1.22 to 1.46) | 1.35 (1.24 to 1.48) | 1.22 (1.11 to 1.33) |
| Severe abuse as child and teen | 653 (37 602) | 1.27 (1.17 to 1.38) | 1.30 (1.19 to 1.41) | 1.14 (1.05 to 1.24) |
| Cumulative abuse‡ | ||||
| Level 1 | 3595 (284 067) | 1.00 (referent) | 1.00 (referent) | 1.00 (referent) |
| Level 2 | 4055 (304 470) | 1.04 (0.99 to 1.08) | 1.04 (1.00 to 1.09) | 0.99 (0.94 to 1.03) |
| Level 3 | 1829 (123 380) | 1.12 (1.06 to 1.19) | 1.13 (1.06 to 1.19) | 1.02 (0.96 to 1.08) |
| Level 4 | 901 (61 805) | 1.13 (1.05 to 1.21) | 1.13 (1.05 to 1.22) | 0.99 (0.92 to 1.07) |
| Level 5 | 418 (23 297) | 1.35 (1.22 to 1.50) | 1.36 (1.23 to 1.51) | 1.16 (1.05 to 1.28) |
| Level 6 | 337 (15 621) | 1.59 (1.42 to 1.78) | 1.60 (1.43 to 1.80) | 1.28 (1.14 to 1.44) |
↵* Full model is adjusted for age in years, race (Caucasian, African–American, Hispanic, Asian, and other), smoking (current, past, and never), alcohol use (no alcohol, 0.1 to <5 g/day, 5 to <15 g/day, and >15 g/day), history of hypertension (in any first degree relative), exercise (in metabolic equivalents per week), oral contraceptive use (current, past, or never) and child somatogram score.
↵† Full model with BMI is adjusted for the variables above, as well as continuous BMI.
↵‡ See table 1 for detailed explanation of cumulative abuse levels.