An examination of the relationships between professional quality of life, adverse childhood experiences, resilience, and work environment in a sample of human service providers

2015 ◽  
Vol 57 ◽  
pp. 141-148 ◽  
Author(s):  
Amanda R. Hiles Howard ◽  
Sheri Parris ◽  
Jordan S. Hall ◽  
Casey D. Call ◽  
Erin Becker Razuri ◽  
...  
2018 ◽  
Vol 2018 ◽  
pp. 1-15 ◽  
Author(s):  
Amy Chanlongbutra ◽  
Gopal K. Singh ◽  
Curt D. Mueller

Exposure to adverse childhood experiences (ACEs) is associated with increased odds of high‐risk behaviors and adverse health outcomes. This study examined whether ACE exposure among individuals living in rural areas of the United States is associated with adult activity limitations, self‐reported general poor health status, chronic diseases, and poor mental health. Data from the 2011 and 2012 Behavioral Risk Factor Surveillance System (BRFSS) (N=79,810) from nine states were used to calculate the prevalence of ACEs in rural and urban areas. ACE scores were determined by summing 11 survey items. Multiple logistic regression was used to examine the association between ACE scores and health outcomes, including self‐reported general health status, chronic diseases, and health‐related quality of life. Approximately 55.4% of rural respondents aged ≥18 years reported at least one ACE and 14.7% reported experiencing ≥4 ACEs in their childhood, compared to 59.5% of urban residents who reported at least one ACE and 15.5% reporting ≥4 ACEs. After adjusting for sociodemographic covariates, compared to rural respondents who never reported an ACE, rural respondents who experienced ≥1 ACEs had increased odds of reporting fair/poor general health, activity limitations, and heart disease, which is consistent with previous studies. The odds of experiencing a heart attack were higher for rural residents reporting 2 and ≥4 ACEs; the odds of diabetes were higher for those with 3 ACEs; and the odds of ever having asthma or poor mental health was higher for those with ≥3 ACEs. Although individuals in rural areas are less likely to experience ACEs, over half of rural respondents reported experiencing an ACE in childhood. Programs aimed at preventing ACEs, including child maltreatment, can benefit rural areas by reducing adult morbidity and increasing quality of life.


2020 ◽  
Vol 3 (3) ◽  
pp. 24-32
Author(s):  
Yanro Judd C. Ferrer ◽  
Roy Moore

This paper aimed to determine the prevalence of Adverse Childhood Experiences (ACEs) in Payatas, an urban poor community in Quezon City, Philippines. In total, 260 people were surveyed in two areas of Payatas. The results of these surveys were then compared with existing ACE Surveys in other communities. Results found that ACEs were reported at significantly higher levels than in existing surveys, which were typically made of Middle-Class populations. The discrepancy grew at higher ACE Scores. Moderate childhood trauma, ACE Scores of 4 or more, was reported as two to five times more common in our Payatas populations than in the existing survey populations. Severe childhood trauma Scores are less available; however, these trends appear to grow at higher ACE Scores. These results suggest that ACEs are far more common in urban poor communities. That ACE Scores are higher in poorer communities is not a surprising finding. However, the scale of the problem is highly significant. As ACEs are a major root cause of many social problems, including, but not limited to, addiction, teen pregnancy, domestic violence, depression, attempted suicide, and drug abuse, it does indicate a strong area for effective support. The potential for improving the well-being, quality of life, and life expectancy through this framework is large, provided appropriate investment is made in these communities.  


2019 ◽  
Vol 95 ◽  
pp. 104051 ◽  
Author(s):  
Remy M. Vink ◽  
Paula van Dommelen ◽  
Sylvia M. van der Pal ◽  
Iris Eekhout ◽  
Fieke D. Pannebakker ◽  
...  

Author(s):  
Lourdes M. Perez ◽  
◽  
Eva María Moya ◽  
Yok-Fong Paat ◽  
Maissa Khatib ◽  
...  

The life complexities of women experiencing homelessness warrants further exploration as there is insufficient information on their life’s interpersonal and structural challenges. The aim of this study is multifold: to explore the experiences of unhoused women in El Paso, Texas, a city that borders with Ciudad Juarez Mexico, to identify barriers to health and social services, to promote agency, and improve access to care. Recruitment of participants was done through partner agencies in selecting a sample of 15 Hispanic and 15 Non-Hispanic women who were experiencing homelessness and residing in local shelters in the spring of 2019. The Beck Depression Inventory II, General Self-Efficacy (GSE), and Adverse Childhood Experiences (ACE) scales were administered to enhance understanding and knowledge on the characteristics of women with a lived experience of homelessness to learn about their interpersonal and adverse experiences and future outlook. Feminist perspective was employed as part of the theoretical framework to further explore the interpersonal and structural realities of women experiencing homelessness. Three major themes emerged: relational adversity and intimate partner violence; lack of social support; and challenges related to transitioning out of homelessness. Implications highlighted in the findings will inform health and human service providers, and decision makers about the needs of women and the importance of person-centered carer for this population. It is critical that social workers, human service practitioners, policy makers, researchers, and the general public pause, listen and understand the realities that women experiencing homelessness face and their resiliency to ensure quality services to support them transition and end homelessness.


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