center for victim research repository

Childhood Adversity and Adult Chronic Disease (Article in Press)

Show simple item record Gilbert, Leah Breiding, Matthew Merrick, Melissa Thompson, William Ford, Derek Dhingra, Satvinder Parks, Sharyn 2017-11-20T20:39:03Z 2017-11-20T20:39:03Z 2014
dc.identifier.citation Gilbert, Leah; Breiding, Matthew; Merrick, Melissa; Thompson, William; Ford, Derek; Dhingra, Satvinder; Parks, Sharyn. (2014). Childhood Adversity and Adult Chronic Disease. American Journal of Preventive Medicine: 48 (3), 345-349. en_US
dc.description.abstract Adverse childhood experiences (ACEs), including child abuse and family dysfunction, are linked to leading causes of adult morbidity and mortality. Most prior ACE studies were based on a nonrepresentative patient sample from one Southern California HMO. Purpose: To determine if ACE exposure increases the risk of chronic disease and disability using a larger, more representative sample of adults than prior studies. Methods: Ten states and the District of Columbia included an optional ACE module in the 2010 Behavioral Risk Factor Surveillance Survey, a national cross-sectional, random-digit-dial telephone survey of adults. Analysis was conducted in November 2012. Respondents were asked about nine ACEs, including physical, sexual, and emotional abuse and household member mental illness, alcoholism, drug abuse, imprisonment, divorce, and intimate partner violence. An ACE score was calculated for each subject by summing the endorsed ACE items. After controlling for sociodemographic variables, weighted AORs were calculated for self-reported health conditions given exposure to zero, one to three, four to six, or seven to nine ACEs. Results: Compared to those who reported no ACE exposure, the adjusted odds of reporting myocardial infarction, asthma, fair/poor health, frequent mental distress, and disability were higher for those reporting one to three, four to six, or seven to nine ACEs. Odds of reporting coronary heart disease and stroke were higher for those who reported four to six and seven to nine ACEs; odds of diabetes were higher for those reporting one to three and four to six ACEs. Conclusions: These findings underscore the importance of child maltreatment prevention as a means to mitigate adult morbidity and mortality. (Author Abstract) en_US
dc.language.iso en_US en_US
dc.publisher American Journal of Preventive Medicine en_US
dc.subject Survey Results en_US
dc.subject Children Exposed to Violence en_US
dc.subject Family Violence en_US
dc.subject Children en_US
dc.subject Long Term Effects en_US
dc.subject Chronic Illness en_US
dc.subject Health Consequences en_US
dc.subject Child Sexual Abuse en_US
dc.subject Verbal Abuse en_US
dc.subject Child Maltreatment en_US
dc.subject Incarcerated Caregivers en_US
dc.subject Domestic Violence en_US
dc.subject Single Parents en_US
dc.subject Separated en_US
dc.title Childhood Adversity and Adult Chronic Disease (Article in Press) en_US
dc.type Working Paper en_US

Files in this item

Files Size Format View

There are no files associated with this item.

This item appears in the following Collection(s)

Show simple item record



My Account