scholarly journals How Medicaid and Managed Care Can Support Evidence-Based Treatment in North Carolina That is Informed by Adverse Childhood Experiences

2018 ◽  
Vol 79 (2) ◽  
pp. 119-123
Author(s):  
Robert A. Murphy
Keyword(s):  
North Carolina ◽  
Managed Care ◽  
Adverse Childhood Experiences ◽  
Evidence Based ◽  
Childhood Experiences ◽  
Evidence Based Treatment ◽  
Adverse Childhood ◽  
Support Evidence

scholarly journals Associations between adverse childhood experiences and acquired brain injury, including traumatic brain injuries, among adults: 2014 BRFSS North Carolina

2018 ◽  
Vol 25 (6) ◽  
pp. 514-520 ◽  
Author(s):  
Angie S Guinn ◽  
Katie A Ports ◽  
Derek C Ford ◽  
Matt Breiding ◽  
Melissa T Merrick
Keyword(s):  
Mental Illness ◽  
North Carolina ◽  
Sexual Abuse ◽  
Brain Injury ◽  
Adverse Childhood Experiences ◽  
Acquired Brain Injury ◽  
Childhood Experiences ◽  
Adverse Childhood ◽  
Race Ethnicity ◽  
The Relationship

Adverse childhood experiences (ACEs) can negatively affect lifelong health and opportunity. Acquired brain injury (ABI), which includes traumatic brain injury (TBI) as well as other causes of brain injury, is a health condition that affects millions annually. The present study uses data from the 2014 North Carolina Behavioral Risk Factor Surveillance System to examine the relationship between ACEs and ABI. The study sample included 3454 participants who completed questions on both ABI and ACEs. Multivariable logistic regression models were used to determine the relationship between ACEs and ABI as well as ACEs and TBI. Sexual abuse, emotional abuse, physical abuse, household mental illness and household substance abuse were significantly associated with ABI after adjusting for age, race/ethnicity, gender and employment. Compared with those reporting no ACEs, individuals reporting three ACEs had 2.55 times the odds of having experienced an ABI; individuals reporting four or more ACEs had 3.51 times the odds of having experienced an ABI. Examining TBI separately, those who experienced sexual abuse, physical abuse, household mental illness and had incarcerated household members in childhood had greater odds of reported TBI, after adjusting for age, race/ethnicity, gender and income. Respondents reporting three ACEs (AOR=4.16, 95% CI (1.47 to 11.76)) and four or more ACEs (AOR=3.39, 95% CI (1.45 to 7.90)) had significantly greater odds of reporting TBI than respondents with zero ACEs. Prevention of early adversity may reduce the incidence of ABI; however, additional research is required to elucidate the potential pathways from ACEs to ABI, and vice versa.

Health Status of Children Enrolled in a Family Navigator Program to Eliminate Intergenerational Poverty

2019 ◽  
Vol 58 (6) ◽  
pp. 647-655
Author(s):  
Samantha Schilling ◽  
Shaundreal Jamison ◽  
Charles Wood ◽  
Eliana Perrin ◽  
Coby Jansen Austin ◽  
...  
Keyword(s):  
North Carolina ◽  
Child Health ◽  
Medical Records ◽  
Adverse Childhood Experiences ◽  
Correlation Coefficients ◽  
Parent Perception ◽  
Childhood Experiences ◽  
Adverse Childhood ◽  
Outcomes For Children ◽  
The Impact

In 2014, Family Success Alliance (FSA) was formed as a place-based initiative to build a pipeline of programs to reduce the impact of poverty on outcomes for children living in Orange County, North Carolina. In this study, FSA parents’ perception of child health, parent and child adverse childhood experiences (ACEs), and resilience were obtained by parent interview. Receipt of recommended health services were abstracted from primary care medical records of FSA children. Correlation coefficients investigated relationships among health, ACEs, and resilience. Among 87 parent-child dyads, 65% were Spanish speaking. At least 1 of the 7 ACEs measured was reported in 37% of children and 70% of parents. Parent perceptions of child health were lower than national averages. Routine preventive services included the following: autism screening at 18 months (15%) and 24 months (31%); ≥4 fluoride varnish applications (10%); lead screening (66%); and receipt of immunizations (94%). Parent perception of child health was moderately correlated with resilience.

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.

Adverse childhood experiences and obesity over time

2021 ◽  
pp. 1-13
Author(s):  
Miriam Schiff ◽  
Jess Helton ◽  
John Fu
Keyword(s):  
Adverse Childhood Experiences ◽  
Child Protective Services ◽  
Well Being ◽  
Longitudinal Survey ◽  
Protective Services ◽  
Childhood Experiences ◽  
Obesity Status ◽  
Adverse Childhood ◽  
Different Types ◽  
Support Evidence

Abstract Objective: The effects of Adverse Childhood Experiences (ACE) on children and adolescents’ health status such as obesity is understudied. This study addressed the effect of ACEs on obesity status during childhood utilizing multiple waves of national panel data. Design Longitudinal survey Setting: Data were drawn from three waves of the second cohort of the National Survey of Child and Adolescent Well-Being (NSCAW II). NSCAW II study sampled cases from Child Protective Services (CPS) investigations that were closed between February 2008 and April 2009 nationwide. We measured ACE cumulatively and as separate events, and stratified by gender. Participants: 3,170 youth birth to 14 years of age at baseline. Results: A count measure of ACE is indeed associated with greater odds of obesity during childhood. Differential effects for different types of ACE were also found, most notably neglect. For girls, physical and psychological neglect increased odds of obesity. Conclusions: Findings support evidence for the importance of using both a count measure of ACE as well as separating out single events by gender.

scholarly journals Psychological Flexibility Mediates Wellbeing for People with Adverse Childhood Experiences during COVID-19

2022 ◽  
Vol 11 (2) ◽  
pp. 377
Author(s):  
Angela Browne ◽  
Owen Stafford ◽  
Anna Berry ◽  
Eddie Murphy ◽  
Laura K. Taylor ◽  
...  
Keyword(s):  
Psychological Distress ◽  
Adverse Childhood Experiences ◽  
Psychological Impact ◽  
Psychological Flexibility ◽  
Evidence Based ◽  
Childhood Experiences ◽  
Health And Wellbeing ◽  
Adverse Childhood ◽  
The Relationship ◽  
Over Time

Background: The psychological impact of COVID-19 is multifaceted, both acute and chronic, and has not affected everyone equally. Method: This longitudinal study compared those with and without Adverse Childhood Experiences (ACEs) on measures of psychological distress and wellbeing over time. Results: All groups (No ACE, Low ACE, and High ACE) had similar levels of distress at Time 1, with significant increases in psychological distress for those with ACEs over time, but not for those without. Psychological Flexibility was strongly and significantly associated with decreases in psychological distress and improved wellbeing. It significantly mediated the relationship between ACE and wellbeing. Conclusions: Those with ACEs report significantly increased psychological distress over time, compared to those without ACE during the COVID-19 pandemic. Evidence-based interventions using Psychological Flexibility may improve mental health and wellbeing to help further mediate its effects.

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