Population vs Individual Prediction of Poor Health From Results of Adverse Childhood Experiences Screening

Background: Homelessness is rising in the United Kingdom, despite investment in measures to eradicate it made by the government and charity organisations. Aim: The aim is to examine the stories of homeless people in order to document their perceptions of their social status, the reasons that led to their homelessness, and propose a conceptual explanation. Method: We conducted 26 semi-structured interviews in three centres for homeless people in Cheshire, North West of England. Results: Three categories—education, employment, and health—emerged from the data and provided a theoretical explanation for the reasons that led to their homelessness. These are vital not only for the successful negotiation of one’s way out of homelessness, but also for achieving other social goods, including social connections, social mobility, and engaging in positive social relationships. Conclusion: Participants catalogued the adverse childhood experiences, which they believe limited their capacity to meaningfully engage with the social institution for social goods, such as education, social services, and institutions of employment. Since not all people who have misfortunes of poor education, poor health, and loss of job end up being homeless, we contend that a combination of these with multiple adverse childhood experiences may have weakened their resilience to traumatic life changes, such as loss of job and poor health.

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Faculty Opinions recommendation of Population vs individual prediction of poor health from results of adverse childhood experiences screening.

Faculty Opinions – Post-Publication Peer Review of the Biomedical Literature ◽

10.3410/f.739427740.793587596 ◽

2021 ◽

Author(s):

Sara Jaffee

Keyword(s):

Adverse Childhood Experiences ◽

Poor Health ◽

Childhood Experiences ◽

Adverse Childhood

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The Association of Adverse Childhood Experiences and Resilience With Health Outcomes in Adolescents: An Observational Study

Global Pediatric Health ◽

10.1177/2333794x20982433 ◽

2021 ◽

Vol 8 ◽

pp. 2333794X2098243

Author(s):

Ashleigh Hall ◽

Alberly Perez ◽

Xandria West ◽

Maryilyn Brown ◽

Ella Kim ◽

...

Keyword(s):

Health Outcome ◽

Health Outcomes ◽

Adverse Childhood Experiences ◽

Poor Health ◽

Bivariate Analysis ◽

Childhood Experiences ◽

Poor Health Outcome ◽

Adverse Childhood ◽

Obesity Hypertension ◽

The Relationship

The relationship between Adverse childhood experiences (ACEs), resilience, and health outcomes has not been as thoroughly studied in adolescents. Adolescents completed the ACEs Questionnaire and a validated resilience measure (Child Youth Resilience Measure, or CYRM). Poor health outcome was having 1 or more: obesity, hypertension, and/or depression. 34.5% of teens had a poor health outcome, 38.6% had ACE scores of 4 or more, and resilience ranged from 45 to 84 (mean = 74.6). By univariate and bivariate analysis, ACEs (OR = 1.11, 95% CI = 1.03-1.19, P = .0039; OR = 1.08, 95% CI = 1.0-1.16, P = .045) and resilience (OR = 0.95, 95% CI = 0.92-0.98, P = .0016; OR = 0.96, 95% CI = 0.93-0.99, P = .016) were significantly associated with poor health outcome. Resilience relationship subscale was significantly associated with reduced health risk (OR = 0.85, 95%CI = 0.75-0.95, P = .005). ACEs are associated with poor health outcomes in adolescents, resilience is inversely related, and the caregiver relationship may be the driving force.

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Adverse childhood experiences and the association with initiating Alcohol, and chat Consumption before age of 18, in school going adolescents, Ethiopia: cross sectional study

10.21203/rs.3.rs-24816/v1 ◽

2020 ◽

Author(s):

Mekonnen Tsehay ◽

Mogese Necho ◽

Asmare Belete

Keyword(s):

Alcohol Use ◽

Health Outcomes ◽

Adverse Childhood Experiences ◽

Cross Sectional Study ◽

Poor Health ◽

Health Concern ◽

Sectional Study ◽

Cross Sectional ◽

Childhood Experiences ◽

Adverse Childhood

Abstract Background : Adverse childhood experiences (ACEs) were associated with poor health outcomes and health-threatening behaviors later in life. The objective of the present study was to investigate associations between adverse childhood experiences (ACEs) and early initiation of alcohol and chat use among school going adolescents.Methods : A cross-sectional study was performed with 546 school going adolescents. The ACE International Questionnaire (ACE-IQ) was used to assess ACEs, including emotional, physical, and sexual forms of abuse and neglect, as well as household dysfunction. Alcohol and chat use was assessed by questions prepared by authors. Multiple logistic regression models were used to examine the associations between overall ACE score and alcohol use and the potential moderating effects of confounders.Results : prevalence of chat chewing behavior was 26.6% followed by alcohol use 20%, and small number of student’s use cigarette smoking and other illicit drug users (0.9%) (ganja and Shisha) each. A total of 66.2% of participants reported at least one ACE, and 5.93% reported four or more ACEs. Increased ACE scores were associated with increased risks of drinking (adjusted odds ratio [AOR] = 1.09, 95% confidence intervals [CI]: 1.00–1.09), chronic disease (AOR =1.17, 95% CI: 1.06–1.28), depression (AOR = 1.37, 95% CI: 1.27–1.48), and posttraumatic stress disorder (AOR = 1.32, 95% CI: 1.23–1.42) in adulthood. After adjusting for confounding factors, the individual ACE components had different impacts on risk behavior and health, particularly on poor mental health outcomes in adulthood.Conclusions : Alcohol and Chat use was prevalent and public health concern among school going adolescents. ACEs were significantly associated with risk behaviors, alcohol and chat use may lead poor health and educational outcomes among adolescent students and numbers of ACEs have graded association. Social support, sex, residence, parent educational status and current level of depressive symptoms were significant modulating factors, which parents, school teachers, psychologists and adolescent health care providers should give concern to decrease the effect on school going adolescents.

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Determinants of Poor Health among Workers in Criminal Justice, Community and Social Services, and Healthcare: Adverse Childhood Experiences, Workplace Trauma Exposure, and Gender Differences

Women & Criminal Justice ◽

10.1080/08974454.2021.2019653 ◽

2021 ◽

pp. 1-17

Author(s):

Kelly E. Knight ◽

Colter Ellis ◽

Joshua Neu ◽

Tristan Miller ◽

Amy K. Talcott

Keyword(s):

Gender Differences ◽

Criminal Justice ◽

Social Services ◽

Adverse Childhood Experiences ◽

Trauma Exposure ◽

Poor Health ◽

Childhood Experiences ◽

Workplace Trauma ◽

Adverse Childhood ◽

And Gender

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Adverse Childhood Experiences and Physical and Mental Health of Adults: Assessing the Mediating Role of Cumulative Life Course Poverty

American Journal of Health Promotion ◽

10.1177/0890117120982407 ◽

2020 ◽

pp. 089011712098240

Author(s):

Ying Huang ◽

Han Liu ◽

Muntasir Masum

Keyword(s):

Psychological Distress ◽

Life Course ◽

Health Outcomes ◽

Adverse Childhood Experiences ◽

Well Being ◽

Poor Health ◽

Childhood Experiences ◽

Adverse Childhood ◽

Increased Risk ◽

The Impact

Objectives: Research has linked adverse childhood experiences (ACEs) to a host of negative health outcomes in adulthood. However, most existing studies focused on traumatic ACEs and used samples collected from a specific geographic unit (e.g., region, city, or state). This study examines the association between non-traumatic ACEs and health outcomes (i.e., self-rated health and psychological well-being) in adulthood, and assesses the extent to which the cumulative life course poverty accounts for these associations between ACEs and health. Data Source: Public and de-identified data from Panel Study of Income Dynamics (PSID) (1968-2013) and its Childhood Retrospective Circumstances Study (CRCS) (2014) ( N = 7,126) were used. Episode and severity of childhood adversities of respondents were determined by using comprehensive retrospective circumstance measures. Methods: Multivariate regression models were used to analyze the associations between ACEs and adult health. Mediation analysis was employed to assess the extent to which the associations were explained by cumulative life course poverty. Data analysis was carried out in 2019 using STATA 15. Results: We found that episode and severity of ACEs were associated with increased risk of poor health and psychological distress. Compared to individuals with no ACEs, one unit increase in the ACE index is associated with 8 and 18 percent increase in the risk of poor health and psychological distress, respectively. A small proportion (4%) of the impact of early adversities on health is attributable to the proportion of adult lifetime spent in poverty. Conclusions: Non-traumatic ACEs are associated with increased risk for poor health and psychological distress. Life course cumulative experience in poverty accounts for a small portion of the associations. Providing support to prevent ACEs may have long-term health benefits.

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