The intersection of adverse childhood experiences and neighborhood determinants of health: An exploratory spatial analysis.

Autor:	Skiendzielewski K; Department of Nursing, College of Public Health, Temple University., Forke CM; Perelman School of Medicine, University of Pennsylvania., Sarwer DB; Department of Social and Behavioral Sciences, College of Public Health, Center for Obesity Research and Education, Temple University., Noll JG; Department of Human Development and Family Studies, College of Health and Human Development, Pennsylvania State University., Wheeler DC; Department of Biostatistics, School of Medicine, Virginia Commonwealth University., Henry KA; Department of Geography and Urban Studies, College of Liberal Arts, Temple University., Schroeder K; Department of Nursing, College of Public Health, Temple University.
Jazyk:	angličtina
Zdroj:	Psychological trauma : theory, research, practice and policy [Psychol Trauma] 2024 Apr; Vol. 16 (Suppl 1), pp. S125-S132. Date of Electronic Publication: 2022 Jul 14.
DOI:	10.1037/tra0001320
Abstrakt:	Objective: Adverse childhood experiences (ACEs) are associated with elevated risk for poor physical and psychological health outcomes. Nearly all of the literature on the association between ACEs and poor health focuses on the individual and family level; the potential role of neighborhood environment is overlooked. Understanding the relationship between ACEs and characteristics of the neighborhood environment is a necessary first step in determining if and how place-based, trauma-informed interventions might mitigate the negative effects of ACEs. The purpose of this exploratory study was to describe the neighborhood environment of adults who have experienced ≥ 4 versus ≤ 3 ACEs. Method: An exploratory secondary analysis of cross-sectional and geospatial data was conducted during 2021. Data sources included 2011/2012 Philadelphia ACE Survey data, a telephone survey of 1,784 randomly sampled Philadelphia adults, linked with geospatial data on 21 neighborhood-level determinants of health. Neighborhood was defined as participant's home census tract at the time of survey. The sample for this secondary analysis included the 1,679 Philadelphia ACE Survey participants for whom home census tract was available. Bivariate logistic regression examined differences between groups (≤ 3 ACEs vs. ≥ 4 ACEs). Results: Individuals with ≥ 4 ACEs lived in neighborhoods with higher neighborhood poverty rates, less socioeconomic resources, worse food access, poorer perceived physical and mental health, more substance overdose deaths, higher crime, and less green space. Conclusions: Findings suggest future work may benefit from considering neighborhood environments when examining and intervening upon the association between ACEs and poor physical and psychological health. (PsycInfo Database Record (c) 2024 APA, all rights reserved).
Databáze:	MEDLINE
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