Do adverse childhood experiences lead to poorer health outcomes?

Nursing ◽  
2021 ◽  
Vol 51 (10) ◽  
pp. 15-17
Author(s):  
Kristina Balneg ◽  
Kayliana Van Winkle
Keyword(s):  
Health Outcomes ◽  
Adverse Childhood Experiences ◽  
Childhood Experiences ◽  
Adverse Childhood

Systematic Review of Pediatric Health Outcomes Associated with Adverse Childhood Experiences (aces)*

2018 ◽  
Author(s):  
Debora L. Oh ◽  
Petra Jerman ◽  
Sara Silvério Marques ◽  
Kadiatou Koita ◽  
Allison Ipsen ◽  
...  
Keyword(s):  
Systematic Review ◽  
Health Outcomes ◽  
Adverse Childhood Experiences ◽  
Childhood Experiences ◽  
Pediatric Health ◽  
Adverse Childhood

scholarly journals Adverse Childhood Experiences Ontology for Mental Health Surveillance, Research, and Evaluation: Advanced Knowledge Representation and Semantic Web Techniques

10.2196/13498 ◽  
2019 ◽  
Vol 6 (5) ◽  
pp. e13498 ◽  
Author(s):  
Jon Hael Brenas ◽  
Eun Kyong Shin ◽  
Arash Shaban-Nejad
Keyword(s):  
Mental Health ◽  
Semantic Web ◽  
Knowledge Representation ◽  
Health Outcomes ◽  
Adverse Childhood Experiences ◽  
Childhood Experiences ◽  
Ontology Language ◽  
Health Community ◽  
Adverse Childhood ◽  
Advanced Knowledge

Background Adverse Childhood Experiences (ACEs), a set of negative events and processes that a person might encounter during childhood and adolescence, have been proven to be linked to increased risks of a multitude of negative health outcomes and conditions when children reach adulthood and beyond. Objective To better understand the relationship between ACEs and their relevant risk factors with associated health outcomes and to eventually design and implement preventive interventions, access to an integrated coherent dataset is needed. Therefore, we implemented a formal ontology as a resource to allow the mental health community to facilitate data integration and knowledge modeling and to improve ACEs’ surveillance and research. Methods We use advanced knowledge representation and semantic Web tools and techniques to implement the ontology. The current implementation of the ontology is expressed in the description logic ALCRIQ(D), a sublogic of Web Ontology Language (OWL 2). Results The ACEs Ontology has been implemented and made available to the mental health community and the public via the BioPortal repository. Moreover, multiple use-case scenarios have been introduced to showcase and evaluate the usability of the ontology in action. The ontology was created to be used by major actors in the ACEs community with different applications, from the diagnosis of individuals and predicting potential negative outcomes that they might encounter to the prevention of ACEs in a population and designing interventions and policies. Conclusions The ACEs Ontology provides a uniform and reusable semantic network and an integrated knowledge structure for mental health practitioners and researchers to improve ACEs’ surveillance and evaluation.

scholarly journals Adverse Childhood Experiences Ontology for Mental Health Surveillance, Research, and Evaluation: Advanced Knowledge Representation and Semantic Web Techniques (Preprint)

2019 ◽  
Author(s):  
Jon Hael Brenas ◽  
Eun Kyong Shin ◽  
Arash Shaban-Nejad
Keyword(s):  
Mental Health ◽  
Semantic Web ◽  
Knowledge Representation ◽  
Health Outcomes ◽  
Adverse Childhood Experiences ◽  
Childhood Experiences ◽  
Ontology Language ◽  
Health Community ◽  
Adverse Childhood ◽  
Advanced Knowledge

BACKGROUND Adverse Childhood Experiences (ACEs), a set of negative events and processes that a person might encounter during childhood and adolescence, have been proven to be linked to increased risks of a multitude of negative health outcomes and conditions when children reach adulthood and beyond. OBJECTIVE To better understand the relationship between ACEs and their relevant risk factors with associated health outcomes and to eventually design and implement preventive interventions, access to an integrated coherent dataset is needed. Therefore, we implemented a formal ontology as a resource to allow the mental health community to facilitate data integration and knowledge modeling and to improve ACEs’ surveillance and research. METHODS We use advanced knowledge representation and semantic Web tools and techniques to implement the ontology. The current implementation of the ontology is expressed in the description logic ALCRIQ(D), a sublogic of Web Ontology Language (OWL 2). RESULTS The ACEs Ontology has been implemented and made available to the mental health community and the public via the BioPortal repository. Moreover, multiple use-case scenarios have been introduced to showcase and evaluate the usability of the ontology in action. The ontology was created to be used by major actors in the ACEs community with different applications, from the diagnosis of individuals and predicting potential negative outcomes that they might encounter to the prevention of ACEs in a population and designing interventions and policies. CONCLUSIONS The ACEs Ontology provides a uniform and reusable semantic network and an integrated knowledge structure for mental health practitioners and researchers to improve ACEs’ surveillance and evaluation.

Abstract 16774: Adverse Childhood Experiences Reported by Adults With Congenital Heart Disease

Circulation ◽  
2020 ◽  
Vol 142 (Suppl_3) ◽  
Author(s):  
Marshall A Taunton ◽  
Sheldon Levy ◽  
Adrienne H Kovacs ◽  
Abigail M Khan
Keyword(s):  
Quality Of Life ◽  
Congenital Heart Disease ◽  
Heart Disease ◽  
Health Outcomes ◽  
Adverse Childhood Experiences ◽  
Congenital Heart ◽  
Childhood Experiences ◽  
Adverse Childhood ◽  
The Impact

Introduction: Adverse childhood experiences (ACEs), such as witnessing domestic abuse or experiencing physical/sexual abuse, are associated with poorer long-term health outcomes, including acquired cardiovascular disease. This study offers the first investigation of ACEs in adults with congenital heart disease (CHD). Methods: In this cross-sectional study, adult CHD outpatients completed the ACE Questionnaire, the Relationship Scales Questionnaire, the Perceived Stress Scale, and a 0 - 100 linear analogue scale of quality of life. Total scores on the ACE Questionnaire range from 0 - 10 (a point for each ACE reported) and scores ≥ 4 are associated with poorest health outcomes. We performed correlations, t-tests, and analyses of variance to explore relationships between ACE Questionnaire scores and demographics, medical variables, and other survey scores. Results: A total of 100 patients were enrolled in the study (40 ± 13 years; 60% female). Ninety percent had defects of moderate or great complexity and 79% were categorized as American Heart Association anatomy + physiology stage B, C or D (i.e., some degree of symptoms and/or functional impairment). Total scores on the ACE Questionnaire ranged from 0 - 9, with a mean of 2.6 ± 2.5; 30% reported ≥ 4 ACEs. The most frequently reported ACEs were parental divorce (46%), emotional abuse (42%), and parental substance abuse problem (32%). ACE Questionnaire scores did not differ as a function of age, sex, defect complexity, or anatomy + physiology stage. However, total ACE score was significantly correlated with all 4 relationship styles (secure, preoccupied, dismissive and fearful; p-values < 0.05). Quality of life scores were lower among those with elevated ACEs, although this did not reach statistical significance (69 vs. 76, p = 0.07). Conclusion: It is well accepted that adults with CHD face many health-related challenges throughout their lives. This study serves as an important reminder to providers that many patients will also experience other significant (and potentially traumatic) stressors in childhood. Further research is needed to determine whether the impact of ACEs on adults with CHD extends beyond relationship and stress outcomes and also includes cardiac morbidity and mortality.

Household and community-level Adverse Childhood Experiences and adult health outcomes in a diverse urban population

2016 ◽  
Vol 52 ◽  
pp. 135-145 ◽  
Author(s):  
Roy Wade ◽  
Peter F. Cronholm ◽  
Joel A. Fein ◽  
Christine M. Forke ◽  
Martha B. Davis ◽  
...  
Keyword(s):  
Health Outcomes ◽  
Adverse Childhood Experiences ◽  
Urban Population ◽  
Community Level ◽  
Adult Health ◽  
Childhood Experiences ◽  
Adverse Childhood

scholarly journals Adverse childhood experiences, childhood relationships and associated substance use and mental health in young Europeans

2019 ◽  
Vol 29 (4) ◽  
pp. 741-747 ◽  
Author(s):  
Karen Hughes ◽  
Mark A Bellis ◽  
Dinesh Sethi ◽  
Rachel Andrew ◽  
Yongjie Yon ◽  
...  
Keyword(s):  
Substance Use ◽  
Alcohol Use ◽  
Suicide Attempt ◽  
Health Outcomes ◽  
Adverse Childhood Experiences ◽  
Childhood Experiences ◽  
Adverse Childhood ◽  
Problem Alcohol Use ◽  
Childhood Relationships ◽  
Problem Alcohol

Abstract Background Adverse childhood experiences (ACEs) can increase risks of health-harming behaviours and poor health throughout life. While increases in risk may be affected by resilience resources such as supportive childhood relationships, to date few studies have explored these effects. Methods We combined data from cross-sectional ACE studies among young adults (n = 14 661) in educational institutions in 10 European countries. Nine ACE types, childhood relationships and six health outcomes (early alcohol initiation, problem alcohol use, smoking, drug use, therapy, suicide attempt) were explored. Multivariate modelling estimated relationships between ACE counts, supportive childhood relationships and health outcomes. Results Almost half (46.2%) of participants reported ≥1 ACE and 5.6% reported ≥4 ACEs. Risks of all outcomes increased with ACE count. In individuals with ≥4 ACEs (vs. 0 ACEs), adjusted odds ratios ranged from 2.01 (95% CIs: 1.70–2.38) for smoking to 17.68 (95% CIs: 12.93–24.17) for suicide attempt. Supportive childhood relationships were independently associated with moderating risks of smoking, problem alcohol use, therapy and suicide attempt. In those with ≥4 ACEs, adjusted proportions reporting suicide attempt reduced from 23% with low supportive childhood relationships to 13% with higher support. Equivalent reductions were 25% to 20% for therapy, 23% to 17% for problem drinking and 34% to 32% for smoking. Conclusions ACEs are strongly associated with substance use and mental illness. Harmful relationships are moderated by resilience factors such as supportive childhood relationships. Whilst ACEs continue to affect many children, better prevention measures and interventions that enhance resilience to the life-long impacts of toxic childhood stress are required.

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