Adverse Childhood Experiences (ACE) among American Indians in South Dakota and Associations with Mental Health Conditions, Alcohol Use, and Smoking
| Autor: | Donald Warne, Melinda M. Davis, K. John McConnell, Margaret Spurlock, Kristen Dulacki, Bill J. Wright, Thomas H. A. Meath |
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| Rok vydání: | 2017 |
| Předmět: |
Adult
Male Gerontology Adolescent Alcohol Drinking Cross-sectional study media_common.quotation_subject Neglect Odds Life Change Events Young Adult 03 medical and health sciences 0302 clinical medicine 030225 pediatrics Environmental health Prevalence Humans Medicine 030212 general & internal medicine Young adult Depression (differential diagnoses) Aged media_common business.industry Mental Disorders Smoking Public Health Environmental and Occupational Health Health Status Disparities Middle Aged Health Surveys Mental health Health equity South Dakota Indians North American Anxiety Female medicine.symptom business |
| Zdroj: | Journal of Health Care for the Poor and Underserved. 28:1559-1577 |
| ISSN: | 1548-6869 |
| Popis: | Objectives. To assess the prevalence of Adverse Childhood Experiences (ACEs) and their association with behavioral health in American Indian (AI) and non-AI populations in South Dakota. Methods. We included the validated ACE questionnaire in a statewide health survey of 16,001 households. We examined the prevalence of ACEs and behavioral health conditions in AI and non-AI populations and associations between ACEs and behavioral health. Results. Compared with non-AIs, AIs displayed higher prevalence of ACEs including abuse, neglect, and household dysfunction and had a higher total number of ACEs. For AIs and non-AIs, having six or more ACEs significantly increased the odds for depression, anxiety, PTSD, severe alcohol misuse, and smoking compared with individuals with no ACEs. Conclusions. American Indians in South Dakota experience more ACEs, which may contribute to poor behavioral health. Preventing and mitigating the effects of ACEs may have a significant impact on health disparities in AI populations. |
| Databáze: | OpenAIRE |
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