scholarly journals Adverse childhood experiences and poor birth outcomes in a diverse, low-income sample

2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Joshua P. Mersky ◽  
ChienTi Plummer Lee
Keyword(s):  
Preterm Birth ◽  
Birth Outcomes ◽  
Low Income ◽  
Adverse Childhood Experiences ◽  
Pregnancy Loss ◽  
Low Birthweight ◽  
Childhood Adversity ◽  
Risk Models ◽  
Childhood Experiences ◽  
Adverse Childhood

Abstract Background Adverse childhood experiences (ACE) are associated with an array of health consequences in later life, but few studies have examined the effects of ACEs on women’s birth outcomes. Methods We analyzed data gathered from a sample of 1848 low-income women who received services from home visiting programs in Wisconsin. Archival program records from a public health database were used to create three birth outcomes reflecting each participant’s reproductive health history: any pregnancy loss; any preterm birth; any low birthweight. Multivariate logistic regressions were performed to test the linear and non-linear effects of ACEs on birth outcomes, controlling for age, race/ethnicity, and education. Results Descriptive analyses showed that 84.4% of women had at least one ACE, and that 68.2% reported multiple ACEs. Multivariate logistic regression analyses showed that cumulative ACE scores were associated with an increased likelihood of pregnancy loss (OR = 1.12; 95% CI = 1.08–1.17), preterm birth (OR = 1.07; 95% CI = 1.01–1.12), and low birthweight (OR = 1.08; 95% CI = 1.03–1.15). Additional analyses revealed that the ACE-birthweight association deviated from a linear, dose-response pattern. Conclusions Findings confirmed that high levels of childhood adversity are associated with poor birth outcomes. Alongside additive risk models, future ACE research should test interactive risk models and causal mechanisms through which childhood adversity compromises reproductive health.

Maternal adverse childhood experiences and postpartum depressive symptoms in young, low-income women

2021 ◽  
Vol 296 ◽  
pp. 113679
Author(s):  
Sunny H. Shin ◽  
Gabriela Ksinan Jiskrova ◽  
Tiffany Kimbrough ◽  
Karen Tabb Dina ◽  
Elizabeth Overall Lee ◽  
...  
Keyword(s):  
Depressive Symptoms ◽  
Low Income ◽  
Adverse Childhood Experiences ◽  
Childhood Experiences ◽  
Postpartum Depressive Symptoms ◽  
Adverse Childhood ◽  
Low Income Women

scholarly journals 592 Adverse childhood experiences and preterm birth

2021 ◽  
Vol 224 (2) ◽  
pp. S372-S373
Author(s):  
Emily S. Miller ◽  
Oriana Fleming ◽  
William A. Grobman
Keyword(s):  
Preterm Birth ◽  
Adverse Childhood Experiences ◽  
Childhood Experiences ◽  
Adverse Childhood

scholarly journals Adverse Childhood Experiences and Health Care Utilization in a Low-Income Population

2019 ◽  
Vol 30 (2) ◽  
pp. 749-767 ◽  
Author(s):  
Margaret K. Hargreaves ◽  
Charles P. Mouton ◽  
Jianguo Liu ◽  
Yuan E. Zhou ◽  
William J. Blot
Keyword(s):  
Health Care ◽  
Health Care Utilization ◽  
Low Income ◽  
Adverse Childhood Experiences ◽  
Care Utilization ◽  
Childhood Experiences ◽  
Low Income Population ◽  
Adverse Childhood

Including Adverse Childhood Experiences Content in the HBSE Course for BSW Students

2019 ◽  
Vol 24 (1) ◽  
pp. 153-166
Author(s):  
Lisa S. Panisch ◽  
Karen A. Randolph ◽  
Shamra Boel-Studt
Keyword(s):  
Social Work ◽  
Adverse Childhood Experiences ◽  
Childhood Adversity ◽  
Social Work Students ◽  
Childhood Experiences ◽  
Standard Requirement ◽  
Adverse Childhood ◽  
History Of ◽  
Generalist Practice ◽  
Work Education

Adverse childhood experiences (ACEs) negatively affect biopsychosocial development and functioning across the lifespan. Social workers in generalist practice are likely to serve individuals with a history of childhood adversity. Currently, there is no standard requirement for the topic of ACEs to be addressed in baccalaureate social work education. Our teaching note addresses this gap in the curriculum by establishing a need for baccalaureate social work students to receive trauma-specific education early in their academic careers. Human Behavior in the Social Environment is proposed as a course in which this content can be easily incorporated. Recommendations for future directions are provided.

scholarly journals The relationship between childhood adversity and food insecurity: ‘It’s like a bird nesting in your head’

2015 ◽  
Vol 18 (14) ◽  
pp. 2643-2653 ◽  
Author(s):  
Mariana Chilton ◽  
Molly Knowles ◽  
Jenny Rabinowich ◽  
Kimberly T Arnold
Keyword(s):  
Food Security ◽  
Food Insecurity ◽  
Adverse Childhood Experiences ◽  
Emotional Health ◽  
Childhood Adversity ◽  
Household Food Security ◽  
Childhood Experiences ◽  
Household Food ◽  
Adverse Childhood ◽  
The Impact

AbstractObjectiveAdverse childhood experiences, including abuse, neglect and household instability, affect lifelong health and economic potential. The present study investigates how adverse childhood experiences are associated with food insecurity by exploring caregivers’ perceptions of the impact of their childhood adversity on educational attainment, employment and mental health.DesignSemi-structured audio-recorded in-person interviews that included (i) quantitative measures of maternal and child health, adverse childhood experiences (range: 0–10) and food security using the US Household Food Security Survey Module; and (ii) qualitative audio-recorded investigations of experiences with abuse, neglect, violence and hunger over participants’ lifetimes.SettingHouseholds in Philadelphia, PA, USA.SubjectsThirty-one mothers of children <4 years old who reported low or very low household food security.ResultsTwenty-one caregivers (68 %) reported four or more adverse childhood experiences, and this severity was significantly associated with reports of very low food security (Fisher’s exact P=0·021). Mothers reporting emotional and physical abuse were more likely to report very low food security (Fisher’s exact P=0·032). Qualitatively, participants described the impact of childhood adverse experiences with emotional and physical abuse/neglect, and household substance abuse, on their emotional health, school performance and ability to maintain employment. In turn, these experiences negatively affected their ability to protect their children from food insecurity.ConclusionsThe associations between mothers’ adverse experiences in childhood and reports of current household food security should inspire researchers, advocates and policy makers to comprehensively address family hardship through greater attention to the emotional health of caregivers. Programmes meant to address nutritional deprivation and financial hardship should include trauma-informed approaches that integrate behavioural interventions.

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