The impact of adverse childhood experiences on the health and health behaviors of young Australian women
| Autor: | Natalie Townsend, Alemu Sufa Melka, Peta M. Forder, Catherine Chojenta, Deborah Loxton, Elizabeth G. Holliday, Dominic Cavenagh |
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| Rok vydání: | 2020 |
| Předmět: |
Child abuse
Gerontology Adult Male 050103 clinical psychology Health Behavior Sexually Transmitted Diseases Anxiety Suicide prevention Occupational safety and health Suicidal Ideation Young Adult Adverse Childhood Experiences Surveys and Questionnaires Injury prevention Developmental and Educational Psychology Prevalence Medicine Humans 0501 psychology and cognitive sciences Child Abuse Longitudinal Studies Child Reproductive health business.industry 05 social sciences Australia medicine.disease Mental health Substance abuse Psychiatry and Mental health Mental Health Sexual abuse Pediatrics Perinatology and Child Health Women's Health Female business 050104 developmental & child psychology |
| Zdroj: | Child abuseneglect. 111 |
| ISSN: | 1873-7757 |
| Popis: | Background Adverse childhood experiences have been linked to poor health and adverse health behavior in adulthood. Objective This study aimed to estimate the prevalence of adverse childhood experiences among young Australian women (aged 20–25) and examine associations between adverse childhood experiences and adult health behaviors and physical and mental health. Participants and Settings Data were from the 1989−95 cohort of the Australian Longitudinal Study on Women’s Health, who completed the Adverse Childhood Experiences Scale at Survey 3 in 2015 (N = 8609). Methods Outcomes included: self-rated health, sexual health, psychological distress, depression, anxiety, suicide ideation, self-harm, substance abuse (drinking, smoking, illicit drugs), severe obesity, and exercise. Prevalence of childhood adversities were presented, with the association between childhood adversity and outcomes evaluated using log-binomial multivariable regressions (99% CI). Results While 59% of women reported experiencing at least one childhood adversity, 10% of participants reported adverse childhood experiences across four or more categories, indicating a significant burden of risk for young Australian women. Women reporting four or more categories had higher rates of poor physical health (adjPR = 1.79, 99% CI = 1.51–2.12), sexually transmitted infections (adjPR = 1.36, 99% CI = 1.11–1.67), and poor mental health (adjPR = 2.78, 99% CI = 2.34–3.32), and increased rates of severe obesity (adjPR = 2.14, 99% CI = 1.61–2.86) and smoking (adjPR = 2.23, 99% CI = 1.89–2.64). Conclusion Using nationally representative data, this study shows adverse childhood experiences directly impact physical and mental health, and health behaviors in adulthood among young Australian women. The management of health and wellbeing in adulthood should look beyond the contemporaneous factors, incorporating a focus on how childhood adversity may negatively influence health behavior, health and wellbeing in later life. |
| Databáze: | OpenAIRE |
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