scholarly journals Association of adverse childhood experiences with lifetime mental and substance use disorders among men and women aged 50+ years

2016 ◽  
Vol 29 (3) ◽  
pp. 359-372 ◽  
Author(s):  
Namkee G. Choi ◽  
Diana M. DiNitto ◽  
C. Nathan Marti ◽  
Bryan Y. Choi
Keyword(s):  
Gender Differences ◽  
Substance Abuse ◽  
Substance Use ◽  
Logistic Regression ◽  
Physical Abuse ◽  
Substance Use Disorders ◽  
Adverse Childhood Experiences ◽  
Childhood Experiences ◽  
Men And Women ◽  
Adverse Childhood

ABSTRACTBackground:Given growing numbers of older adults with mental and substance use disorders (MSUDs), this study examined the association between ten types of adverse childhood experiences (ACEs) and lifetime MSUDs among those aged 50+.Methods:Data (N = 14,738 for the 50+ age group) came from the 2012 to 2013 National Epidemiologic Survey on Alcohol and Related Conditions. Using multivariable binary logistic regression analyses, we examined relationships between ten ACEs and six lifetime MSUDs (major depressive disorder (MDD) and anxiety, post-traumatic stress, alcohol use, drug use, and nicotine use disorders). Gender differences were examined using tests of interaction effects and gender-separate logistic regression models.Results:Of the sample, 53.2% of women and 50.0% of men reported at least one ACE. For both genders, parental/other adult's substance abuse was the most prevalent (22.6%), followed by physical abuse, and emotional neglect. Child abuse and neglect and parental/other adult's mental illness and substance abuse had small but consistently significant associations with MSUDs (e.g., odds ratio = 1.28, 95% CI = 1.12–1.46 for parental/other adult's substance misuse and MDD). Although the relationship between total number of ACEs and MSUDs was cumulative for both men and women, the associations of physical abuse, sexual abuse, emotional neglect, and parental separation/divorce with MSUDs were stronger among men.Conclusions:This study underscores the significant yet modest association between ACEs and lifetime MSUDs in late life. More research is needed to investigate why ACEs seem to have greater effects on older men and to discern the sources of gender differences in ACEs’ effects.

scholarly journals Adverse childhood experiences and consumption of alcohol, tobacco and illicit drugs among adolescents of a Brazilian birth cohort

2016 ◽  
Vol 32 (10) ◽  
Author(s):  
Helen Gonçalves ◽  
Ana Luiza Gonçalves Soares ◽  
Ana Paula Gomes dos Santos ◽  
Camila Garcez Ribeiro ◽  
Isabel Oliveira Bierhals ◽  
...  
Keyword(s):  
Substance Use ◽  
Birth Cohort ◽  
Family Environment ◽  
Adverse Childhood Experiences ◽  
Illicit Drugs ◽  
Childhood Experiences ◽  
Men And Women ◽  
Adverse Childhood ◽  
The Family ◽  
Brazilian Cohort

Abstract: The objective of this study was to investigate the association between adverse childhood experiences (ACEs) and the use of alcohol, tobacco and illicit drugs among adolescents from a Brazilian cohort. The occurrence of five ACEs, the use of alcohol and tobacco and trying illicit drugs were investigated in the 1993 Pelotas birth cohort at the age of 15 (n = 4,230). A score was created for the ACEs and their association with the use of substances was evaluated. Around 25% of adolescents consumed alcohol, 6% smoked and 2.1% reported having used drugs at least once in their lives. The ACEs were associated with the use of alcohol, tobacco and illicit drugs. A dose-response relation between the number of ACEs and the substance use was found, particularly with regard to illicit drugs. The occurrence of ACEs was positively associated with the use of alcohol, tobacco and illicit drugs among adolescents and the risk may be different for men and women. These results point to the fact that strategies for preventing the use of substances should include interventions both among adolescents and within the family environment.

Associations of Adverse Childhood Experiences with Past‐Year DSM‐5 Psychiatric and Substance Use Disorders in Older Adults

2019 ◽  
Vol 67 (10) ◽  
pp. 2085-2093 ◽  
Author(s):  
Taeho Greg Rhee ◽  
Lisa C. Barry ◽  
George A. Kuchel ◽  
David C. Steffens ◽  
Samuel T. Wilkinson
Keyword(s):  
Older Adults ◽  
Substance Use ◽  
Substance Use Disorders ◽  
Adverse Childhood Experiences ◽  
Childhood Experiences ◽  
Dsm 5 ◽  
Adverse Childhood

scholarly journals Adverse Childhood Experiences Predict Common Neurodevelopmental and Behavioral Health Conditions among U.S. Children

Children ◽  
2021 ◽  
Vol 8 (9) ◽  
pp. 761
Author(s):  
Kasra Zarei ◽  
Guifeng Xu ◽  
Bridget Zimmerman ◽  
Michele Giannotti ◽  
Lane Strathearn
Keyword(s):  
Substance Abuse ◽  
Logistic Regression ◽  
Behavioral Health ◽  
Adverse Childhood Experiences ◽  
Health Conditions ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Childhood Experiences ◽  
Variable Effect ◽  
Adverse Childhood

Objective: Adverse childhood experiences (ACEs) can have a significant but variable effect on childhood neurodevelopment. The purpose of this study was to quantify and compare the associations between “household challenge” ACEs and common childhood neurodevelopmental and behavioral health conditions, using nationally representative U.S. data. Method: This study used data from the 2016–2019 National Survey of Children’s Health, a nationwide, population-based, cross-sectional survey. Seven household challenge ACEs (not including child maltreatment) were reported by parents/guardians: parental death, incarceration, divorce/separation, family violence, mental illness, substance abuse, and poverty. Logistic regression with sample weights was used to estimate the odds ratio (OR) for 15 parent-reported neurodevelopmental and behavioral health conditions, by the number of reported ACEs. A dose-response relationship was examined by applying tests of orthogonal polynomial contrasts to fitted logistic regression models. Results: Down syndrome, Tourette syndrome and cerebral palsy were not associated with household challenge ACEs, whereas behavior/conduct problems, depression, and substance abuse were strongly associated, with adjusted ORs ranging from 6.36 (95% confidence interval (CI) 5.53, 7.32) to 9.19 (95% CI 7.79, 10.84). Other neurodevelopmental conditions not traditionally associated with childhood adversity showed moderate yet robust associations with ACEs, including autism (adjusted OR 2.15, 95% CI 1.64, 2.81), learning disability (adjusted OR 3.26, 95% CI 2.80, 3.80), and attention deficit hyperactivity disorder (adjusted OR 3.95, 95% CI 3.44, 4.53). The ORs increased with the number of ACEs, showing significant positive linear trends. Conclusion: We found significant dose-dependent or cumulative associations between ACEs and multiple neurodevelopmental and behavioral conditions.

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