Separate and cumulative effects of adverse childhood experiences in predicting adult health and health care utilization

2010 ◽  
Vol 34 (6) ◽  
pp. 454-464 ◽  
Author(s):  
Mariette J. Chartier ◽  
John R. Walker ◽  
Barbara Naimark
2019 ◽  
Vol 30 (2) ◽  
pp. 749-767 ◽  
Author(s):  
Margaret K. Hargreaves ◽  
Charles P. Mouton ◽  
Jianguo Liu ◽  
Yuan E. Zhou ◽  
William J. Blot

2018 ◽  
Vol 30 (6) ◽  
pp. 582-591 ◽  
Author(s):  
Paraniala Silas C. Lui ◽  
Michael P. Dunne ◽  
Philip Baker ◽  
Verzilyn Isom

Compared with many parts of the world, there has been little research in Pacific Island nations into the effects of adverse childhood experiences (ACEs) on adult health. This is a significant gap for local evidence-based child protection. We describe findings from a survey of 400 men aged 18 to 70 years recruited from randomly sampled households in Honiara city, Solomon Islands. Most men reported multiple adversities during childhood (80.7% 3 or more; 46% 5 or more), such as exposure to community and domestic violence, bullying, physical maltreatment, and sexual abuse. Men with multiple ACEs had significantly lower well-being and more psychological distress, recent stressful life events, and health risk behaviors. This study reports the first observation that betel quid chewing increased as a function of multiple ACEs. In comparison with recent East Asian studies, the Solomon Islands data suggest that the collective geographic category of “Asia-Pacific” masks significant intraregional differences in childhood adversities.


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