scholarly journals Addressing adverse childhood experiences and health risk behaviors among low-income, Black primary care patients: Testing feasibility of a motivation-based intervention

2019 ◽  
Vol 56 ◽  
pp. 1-8 ◽  
Author(s):  
Ellen Goldstein ◽  
James Topitzes ◽  
Jen Birstler ◽  
Richard L. Brown
2017 ◽  
Vol 38 (5) ◽  
pp. 661-680 ◽  
Author(s):  
Edward F. Garrido ◽  
Lindsey M. Weiler ◽  
Heather N. Taussig

Adverse childhood experiences (ACEs) are associated with health-risk behaviors in general samples of adults and adolescents. The current study examined the association between ACEs and these behaviors among a high-risk sample of early adolescents. Five hundred fifteen 9- to 11-year-old children placed in foster care due to maltreatment were interviewed about their engagement in violence, substance use, and delinquency. A multi-informant ACEs score was derived based on exposure to six adverse experiences. Regression analyses examined the relationship between ACEs and risk behaviors and the potential moderating effects of age, sex, and minority status. ACE scores were predictive of risk behaviors after controlling for age, sex, and minority status. Although males and older youth were more likely to engage in risk behaviors, none of the demographic characteristics moderated the ACE-risk behavior association. This study extends previous research by demonstrating an association between ACEs and risk behaviors in extremely vulnerable early adolescents.


2020 ◽  
Vol 43 (3) ◽  
pp. 187-199
Author(s):  
Ellen Goldstein ◽  
Susan Flowers Benton ◽  
Bruce Barrett

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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