Adverse Childhood Experiences among Adults in North Carolina, USA: Influences on Risk Factors for Poor Health across the Lifespan and Intergenerational Implications
| Autor: | Maggie Bennett, Peyton Attaway, Manan Roy, Adam Hege, Kellie Reed-Ashcraft, Erin D. Bouldin |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2020 |
| Předmět: |
Adult
Male Health Toxicology and Mutagenesis lcsh:Medicine Historical Trauma Overweight Article adverse childhood experiences (ACEs) 03 medical and health sciences Mental distress Behavioral Risk Factor Surveillance System Behavioral Risk Factor Surveillance System (BRFSS) 0302 clinical medicine Adverse Childhood Experiences Risk Factors Environmental health medicine North Carolina Humans 030212 general & internal medicine Social determinants of health Child health disparities 030505 public health business.industry lcsh:R Public Health Environmental and Occupational Health medicine.disease Obesity Health equity United States Cross-Sectional Studies Health social determinants of health Residence Female medicine.symptom 0305 other medical science business Appalachia |
| Zdroj: | International Journal of Environmental Research and Public Health Volume 17 Issue 22 International Journal of Environmental Research and Public Health, Vol 17, Iss 8548, p 8548 (2020) |
| ISSN: | 1660-4601 |
| DOI: | 10.3390/ijerph17228548 |
| Popis: | Adverse childhood experiences (ACEs) are a critical determinant and predictor of health across the lifespan. The Appalachian region of the United States, particularly the central and southern portions, experiences worse health outcomes when compared to the rest of the nation. The current research sought to understand the cross-sectional relationships between ACEs, social determinants of health and other health risk factors in one southcentral Appalachian state. Researchers used the 2012 and 2014 North Carolina Behavioral Risk Factor Surveillance System (BRFSS) for analyses. An indicator variable of Appalachian county (n = 29) was used to make comparisons against non-Appalachian counties (n = 71). Analyses further examined the prevalence of ACEs in households with and without children across Appalachian and non-Appalachian regions, and the effects of experiencing four or more ACEs on health risk factors. There were no statistically significant differences between Appalachian and non-Appalachian counties in the prevalence of ACEs. However, compared with adults in households without children, those with children reported a higher percentage of ACEs. Reporting four or more ACEs was associated with higher prevalence of smoking (prevalence ratio [PR] = 1.56), heavy alcohol consumption (PR = 1.69), overweight/obesity (PR = 1.07), frequent mental distress (PR = 2.45), and food insecurity (PR = 1.58) in adjusted models and with fair or poor health only outside Appalachia (PR = 1.65). Residence in an Appalachian county was independently associated with higher prevalence of food insecurity (PR = 1.13). Developing programs and implementing policies aimed at reducing the impact of ACEs could improve social determinants of health, thereby helping to reduce health disparities. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|