scholarly journals State Legislators’ Opinions About Adverse Childhood Experiences as Risk Factors for Adult Behavioral Health Conditions

2019 ◽  
Vol 70 (10) ◽  
pp. 894-900 ◽  
Author(s):  
Jonathan Purtle ◽  
Félice Lê-Scherban ◽  
Xi Wang ◽  
Emily Brown ◽  
Mariana Chilton
Keyword(s):  
Risk Factors ◽  
Behavioral Health ◽  
Adverse Childhood Experiences ◽  
State Legislators ◽  
Health Conditions ◽  
Childhood Experiences ◽  
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.

scholarly journals Adverse Childhood Experiences and Mental and Behavioral Health Conditions During Pregnancy: The Role of Resilience

2019 ◽  
Vol 28 (4) ◽  
pp. 452-461 ◽  
Author(s):  
Kelly C. Young-Wolff ◽  
Amy Alabaster ◽  
Brigid McCaw ◽  
Nicole Stoller ◽  
Carey Watson ◽  
...  
Keyword(s):  
Behavioral Health ◽  
Adverse Childhood Experiences ◽  
Health Conditions ◽  
Childhood Experiences ◽  
Adverse Childhood

scholarly journals Parents’ Adverse Childhood Experiences and Their Children’s Behavioral Health Problems

PEDIATRICS ◽  
2018 ◽  
Vol 142 (2) ◽  
pp. e20180023 ◽  
Author(s):  
Adam Schickedanz ◽  
Neal Halfon ◽  
Narayan Sastry ◽  
Paul J. Chung
Keyword(s):  
Behavioral Health ◽  
Adverse Childhood Experiences ◽  
Health Problems ◽  
Childhood Experiences ◽  
Adverse Childhood

scholarly journals Adverse Childhood Experiences among Adults in North Carolina, USA: Influences on Risk Factors for Poor Health across the Lifespan and Intergenerational Implications

2020 ◽  
Vol 17 (22) ◽  
pp. 8548
Author(s):  
Adam Hege ◽  
Erin Bouldin ◽  
Manan Roy ◽  
Maggie Bennett ◽  
Peyton Attaway ◽  
...  
Keyword(s):  
Risk Factors ◽  
North Carolina ◽  
Health Risk ◽  
Food Insecurity ◽  
Social Determinants Of Health ◽  
Social Determinants ◽  
Adverse Childhood Experiences ◽  
Health Risk Factors ◽  
Childhood Experiences ◽  
Adverse Childhood

Adverse childhood experiences (ACEs) are a critical determinant and predictor of health across the lifespan. The Appalachian region of the United States, particularly the central and southern portions, experiences worse health outcomes when compared to the rest of the nation. The current research sought to understand the cross-sectional relationships between ACEs, social determinants of health and other health risk factors in one southcentral Appalachian state. Researchers used the 2012 and 2014 North Carolina Behavioral Risk Factor Surveillance System (BRFSS) for analyses. An indicator variable of Appalachian county (n = 29) was used to make comparisons against non-Appalachian counties (n = 71). Analyses further examined the prevalence of ACEs in households with and without children across Appalachian and non-Appalachian regions, and the effects of experiencing four or more ACEs on health risk factors. There were no statistically significant differences between Appalachian and non-Appalachian counties in the prevalence of ACEs. However, compared with adults in households without children, those with children reported a higher percentage of ACEs. Reporting four or more ACEs was associated with higher prevalence of smoking (prevalence ratio [PR] = 1.56), heavy alcohol consumption (PR = 1.69), overweight/obesity (PR = 1.07), frequent mental distress (PR = 2.45), and food insecurity (PR = 1.58) in adjusted models and with fair or poor health only outside Appalachia (PR = 1.65). Residence in an Appalachian county was independently associated with higher prevalence of food insecurity (PR = 1.13). Developing programs and implementing policies aimed at reducing the impact of ACEs could improve social determinants of health, thereby helping to reduce health disparities.

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