You should definitely receive a response which may alleviate your concern of disclosures or assist you in developing a strategy to
reduce adverse exposure.
«These findings highlight the importance of preventing both early
life adverse exposures that could lead to poorer lung growth, and adult risk factors contributing to accelerated lung decline.
Certain disabilities, chronic health problems, and prematurity increase the risk that a child will be maltreated.43 - 45 Although we might postulate that these health problems would be evenly distributed among families with and
without adverse exposures, we have no information that supports that hypothesis.
As is the current standard in evaluation of
adverse exposures in pregnancy, this study looks only at gross birth outcomes and not at longitudinal neurodevelopmental, metabolic, or carcinogenic risks that may have been seeded by toxic preconception and antenatal influences.
Almost half of the southern participants had
no adverse exposures, while 92.4 % of the northwest participants had 1 or more adverse exposures (χ216 = 174.04, P <.05).
The effect of
adverse exposures at this early age may manifest as psychosocial problems rather than physical health problems, 42 or the model of adverse exposures may not be the most useful construct in younger age groups.
Two thirds of the sample had experienced at least 1
adverse exposure.
A strength of our study is that we prospectively documented the presence of
the adverse exposures.