Racial/Ethnic Differences in Adverse Childhood Experiences and Health-Related Outcomes: A Scoping Review

Trauma Violence & Abuse, Journal Year: 2024, Volume and Issue: 26(1), P. 103 - 117

Published: Sept. 23, 2024

Racial and ethnic differences have been observed across patterns of substance use exposure to adverse childhood experiences (ACEs). The goal this review was summarize the current evidence on ACE health outcomes racial groups in United States. A scoping literature following Preferred Reporting Items for Systematic Reviews Meta- Analysis Scoping Review (PRISMA-ScR) guideline performed. Using predetermined search terms parameters, an electronic database peer-reviewed between 1997 2022 Forty-five articles met inclusion exclusion criteria. Thirteen focused behavior education outcomes, fifteen reported physical eighteen mental outcomes. Relatively race/ethnicity appeared play a less significant role relationship behavioral or There stronger that may moderate relationships Across behavior, health, domains, suggests is not uniform different groups. These findings highlight need future research uncover how cultural, societal, developmental factors interact shape context adversity.

Language: Английский

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The impact of adverse childhood experiences on health outcomes of indigenous populations over the life course: A systematic review

Public Health, Journal Year: 2025, Volume and Issue: 243, P. 105724 - 105724

Published: April 12, 2025

Adverse childhood experiences (ACEs) are recognised as a strong risk factor affecting health outcomes. This systematic review seeks to synthesize evidence from global studies, investigating the associations of ACEs with development various issues beyond in Indigenous populations. Systematic review. We systematically searched for research articles published up February 2024, databases peer-reviewed literature. on different types recorded and their associated problematic outcomes populations across world. Observational studies administrative linkage study design were eligible inclusion. Summary results individual variations ACE measuring tools presented. further explored potential link between by constructing an acyclic graph based available evidence. screened 2468 articles, 56 included our Although diverse, most used either CDC-Kaiser tool or Bernstein et al. which developed mainstream population. No Indigenous-specific was found that assess The assessed several ACEs, sexual abuse physical being common. All reported significant association adverse where mental more examined than issues. As we there no validated population, it is crucial develop measurement tailored can capture trauma events related unique history cultural context. Considering higher prevalence problems, especially cardiovascular metabolic diseases this should be conducted identify links ACEs.

Language: Английский

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Lifestyle behaviors and mental health of health professional students during COVID-19, as measured by the CDC’s BRFSS, for the HOLISTIC cohort study

PLOS mental health., Journal Year: 2025, Volume and Issue: 2(4), P. e0000302 - e0000302

Published: April 21, 2025

The World Health Organization estimates a 25% increase in anxiety and depression prevalence during the COVID-19 pandemic. 50% of surveyed US healthcare workers reported increased anxiety, 27% Chinese health professional students psychological distress. mental their coping mechanisms, especially an adverse time such as pandemic, is less well understood. This study examined students’ lifestyle behaviors association with poor days. 890 across seven sciences colleges 2020 and/or 2021 were recruited using convenience sampling. Participants completed socio-demographic questions items from U.S. Centers for Disease Control Prevention’s (CDC) Behavioral Risk Factor Surveillance System (BRFSS) 2019 survey. participants median 7 days (IQR: 3-15 days) past 30 Female sex (OR 1.70, 95% CI [1.21, 2.38]), Asian race 1.47, [1.06, 2.06]), childhood events 2.01, [1.45-2.78]), frequent cannabis use = 2.03, [1.14-3.61]) each associated risk Exercise 0.64, [0.42-0.97]) was found to be protective factor COVID-19. These results indicate need design, implement, evaluate support services students, particularly among certain demographic groups. Students who are users or have significant trauma more likely and, such, may benefit additional support. A psychiatry approach overall wellness offer valuable holistic mechanisms that incorporate known positively impact health.

Language: Английский

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The mediating role of frequent mental distress in the relationship between adverse childhood experiences and cognitive disability in emerging adults

Scientific Reports, Journal Year: 2024, Volume and Issue: 14(1)

Published: Nov. 29, 2024

Adverse Childhood Experiences (ACEs) may have an impact on cognitive disability through multiple pathways. Frequent Mental Distress (FMD) could result in different aspects, but the potential mediating role of FMD associations remained unclear. So we aimed to investigate not only association between self-reported ACEs and disability, also effect disability. A cross-sectional analysis respondents aged 18–25 years old 2020 2021 Behavioral Risk Factor Surveillance System (BRFSS) was performed. Weighted multivariate logistic regression models were used assess with Mediation effects as mediation emerging adults. Among 10,309 respondents, prevalence 15.8%, 71.6% them experienced ACEs. We found ACEs, significantly associated 4.05 5.61 times increased risk respectively. The more types experienced, higher risks And mediated Our study indicated a strong Furthermore, plays associations.

Language: Английский

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Are adverse childhood experiences associated with trajectories of healthy aging? Evidence from China

SSM - Population Health, Journal Year: 2023, Volume and Issue: 24, P. 101501 - 101501

Published: Aug. 26, 2023

Adverse childhood experiences (ACEs) have life-course impact and may be associated with healthy ageing. This study aimed to explore the association between ACEs aging trajectories among middle- older-aged adults in China. The data were obtained from China Health Retirement Longitudinal Study 2011 2018. A total of 8906 respondents enrolled analysis. Through latent growth mixture model, five categories ageing trajectories, defined as 'stable type high starting point', at middle level', low 'rapid descending medium point' identified. Based on multinomial logistic regression, significantly (stable level/stable point: relative risk reduction [RRR] = 1.19; P < 0.01; 95% CI 1.16–1.23; stable point/stable RRR 1.35; 95%CI 1.21–1.51; rapid 1.09; 0.1; 0.99–1.19; 1.30; 1.23–1.38). When treating a categorical variable, trajectory point was not affected by any ACE groups. Further analysis relationship each reveals that parental disability, household mental illness, domestic violence, physical abuse, unsafe neighbourhood bullying had significant impacts almost every developmental unhealthy aging. government should promote realisation perspective entire population life cycle, intervene early life, avoid occurrence much possible, minimise harm done possible.

Language: Английский

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Adverse childhood experiences and trauma informed care for chiropractors: a call to awareness and action

Chiropractic & Manual Therapies, Journal Year: 2023, Volume and Issue: 31(1)

Published: Aug. 14, 2023

Trauma is an emotional response to distressing events where coping and subsequent recovery are absent. Adverse Childhood Experiences (ACEs) traumas, occurring before the age of 18 years, such as child abuse or neglect, caregiver instability, household dysfunction. Sixty-four percent U.S. population report experiencing at least one ACE, with over 1 billion children neglect annually worldwide. Chronic exposure stressful circumstances multiple traumatic has negative physiologic impacts. Persons who experience 3 more ACEs in childhood greater risk poor mental health outcomes may be likely engage high-risk behaviors, predisposing them long-term impacts, metabolic diseases, anxiety, depression, substance use, chronic pain. informed care (TIC) a recommended approach healthcare delivery across professions, especially when trauma history suspected. This commentary aims increase awareness impact on introduce TIC concepts they apply chiropractic for adults ACEs.This reviews introductory model (4R's: realize, recognize, respond, resist re-traumatization) framework used by practitioners. Prior can lessen trust, alter perceptions physical touch, hands-on examinations treatments trigger stress responses. Using after appropriate training, includes referrals multidisciplinary providers address trauma-related concerns outside scope chiropractic, screening if deemed appropriate. Creating safe spaces, communicating clearly, avoiding victimizing language, explaining procedures, asking consent contact, giving patients choice control their own avoid triggering prior traumas.Given high worldwide prevalence persons ACEs, principles practical adaptations use many patient populations. As emerging within students practitioners encouraged undertake additional training better understand these complex sensitive topics. Exploratory research incidence, presentation, impacts various types, including support adoption settings essential.

Language: Английский

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Non-response to ACE items is associated with demographic variables and health indicators in the 2021 Behavioral Risk Factor Surveillance System

Preventive Medicine Reports, Journal Year: 2024, Volume and Issue: 42, P. 102749 - 102749

Published: May 3, 2024

Adverse childhood experiences (ACE) encompass traumatic events occurring before age 18, with lasting impacts on health. While ACE disclosure is important for understanding these effects, some individuals decline to respond ACE-related survey items due sensitivity, privacy concerns, or psychological distress. This study explores the relationship between non-response and health outcomes, shedding light implications those who choose not disclose. We performed a secondary analysis of 2021 Behavioral Risk Factor Surveillance System (BRFSS)—a national telephone querying behaviors conditions. Sociodemographic factors, exposure, were analyzed. Individuals exhibit similar patterns conditions as reporting exposure. Non-response linked both healthier (lifetime HIV testing) riskier (higher odds smoking e-cigarette use). Moreover, non-responders have higher being underweight obese, experiencing concentration difficulties, poor self-rated health, multiple diagnoses including depression, diabetes, high blood pressure, heart attack, stroke. The underscores need address disparities associated ACE, regardless status. Healthcare interventions should target respondents non-respondents screeners, tailoring strategies promote coping mechanisms mitigate maladaptive behaviors. These results emphasize importance trauma-informed care, early intervention, targeted public initiatives affected by irrespective their choices.

Language: Английский

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Longitudinal association of adverse childhood experiences with cognitive function trajectories among middle-aged and older adults: group-based trajectory modeling

Frontiers in Psychiatry, Journal Year: 2024, Volume and Issue: 15

Published: Aug. 6, 2024

Adverse childhood experiences (ACEs) impact cognitive function, but the relationship remains unclear. We aim to identify function trajectories and scrutinize correlation between ACEs function.

Language: Английский

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The mediating role of neuroticism and anxiety sensitivity in the relationship between childhood trauma and panic disorder severity

Frontiers in Psychiatry, Journal Year: 2024, Volume and Issue: 15

Published: Oct. 14, 2024

Objective Despite advancements in understanding panic disorder (PD), its etiology and pathogenesis remain elusive, particularly concerning the influence of psychosocial factors. This study aims to explore mediating roles neuroticism anxiety sensitivity (AS) relationship between childhood trauma PD severity. Methods We conducted a cross-sectional analysis involving 84 individuals diagnosed with 112 age- gender-matched healthy controls (HC). Childhood was assessed using validated Trauma Questionnaire (CTQ), while levels were measured Anxiety Sensitivity Index-3 (ASI-3). Neuroticism evaluated Chinese Big Five Personality Inventory (CBF-PI-B). The severity determined Panic Disorder Severity Scale (PDSS). Statistical encompassed both correlation mediation techniques thoroughly examine relationships among trauma, neuroticism, AS, Results Individuals exhibited significantly higher CTQ, ASI-3, scores compared HC (all P&lt;0.05). Within group, strong positive correlations found CTQ scores, ASI-3 levels, PDSS coefficients ranging from 0.336 0.504 P&lt;0.001). Additionally, our results indicated that AS acted as factors PD, 95% confidence interval for indirect effects 0.028 0.116. Conclusion highlights patients exhibit HC. Furthermore, indirectly influences through chain AS. These findings suggest importance psychological moderating impact early adverse experiences on development progression PD.

Language: Английский

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The mediating role of frequent mental distress in the relationship between adverse childhood experiences and cognitive disability in emerging adults

Research Square (Research Square), Journal Year: 2023, Volume and Issue: unknown

Published: Nov. 28, 2023

Abstract Background Adverse Childhood Experiences (ACEs) may have an impact on cognitive disability through multiple pathways. Frequent Mental Distress (FMD) usually makes people more susceptible to dysfunction different aspects. Methods A cross-sectional analysis of aged 18–25 years in the 2020 and 2021 Behavioral Risk Factor Surveillance System (BRFSS) was performed. Weighted multivariate logistic regression models were used assess association ACEs with FMD disability. Mediation effects investigate as mediation between emerging adulthood. Results Among 10,309 respondents, prevalence 15.2% (n = 1567), 73.5% 7578) total respondents experienced ACEs. In model 2 without mediation, significantly associated (OR: 4.05, 95%CI: 2.47, 6.66). After adjusted for covariates 3.08, 1.84, 5.17) 5.61, 4.33, 7.28) also Conclusion Our study indicated a strong It demonstrated that which be linked

Language: Английский

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