Adverse childhood experiences and future self-rated health: a prospective cohort study

Jahn, Alexander; Rysgaard, Timmi K.; Andersen, Johan Hviid; Winding, Trine Nøhr

doi:10.1186/s12889-021-10941-3

Cited by 8 publications

(6 citation statements)

References 28 publications

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“…It is intended that prospective research on ACEs in association with other mental health problems will be pursued in this population. The Young HUNT 3 study will then be the largest prospective, population-based, cross-sectional Scandinavian study focusing on ACEs [33]. Because of the used population, the results of this study can be generalized in western world countries as Norway.…”

Section: Strengths and Limitationsmentioning

confidence: 99%

Prevalence of adverse childhood experiences and their co-occurrence in a large population of adolescents: a Young HUNT 3 study

Broekhof

Nordahl

Bjørnelv

et al. 2022

Soc Psychiatry Psychiatr Epidemiol

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Purpose Studies of adverse childhood experiences (ACEs) undertaken at the time of adolescence in the general population are not common. The aim of this study was to determine the prevalence and co-occurrence of the individual ACEs and sub-types of ACEs in a large population of adolescents. Methods Data were used from the Young Nord-Trøndelag Health (Young HUNT 3) study, a population-based study of young adolescents. ACEs were operational defined as sexual, physical and/or emotional abuse; physical and/or emotional neglect; and/or household dysfunction. Co-occurrence was measured as the accumulation of ACEs and as an overlap analysis. Results Of the 8199 evaluable adolescents, 65.8% had experienced at least one ACE and 28% of those had experienced more than one ACE. Household dysfunction was the most prevalent ACE subtype. The biggest overlaps among the three ACE sub-types were seen in those reporting neglect or abuse. Conclusion There was a high degree of overlap between the three ACE sub-types and the individual ACEs, indicating that ACEs should be assessed together as a whole rather than separately. This study provides an opportunity to assess ACEs and their co-occurrences in relation to outcomes later in life.

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Section: Strengths and Limitationsmentioning

confidence: 99%

Prevalence of adverse childhood experiences and their co-occurrence in a large population of adolescents: a Young HUNT 3 study

Broekhof

Nordahl

Bjørnelv

et al. 2022

Soc Psychiatry Psychiatr Epidemiol

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show abstract

“…In this prospective cohort study of ACE exposure, ACEs were tracked at varying age groups and SRH values were also recorded for comparison. There was a proportional increase in ACE and SRH scores [32], suggesting a substantial degree of correlation. A better understanding of ACEs may lead to more accurate approaches for predicting future health effects of ACEs and, Contemporary Developments and Perspectives in International Health Security -Volume 3 therefore, may help in the development of earlier and more effective interventions.…”

Section: Adverse Childhood Experiences: Focus On Long-term Sequelaementioning

confidence: 85%

“…Another 2021 study published in BMC Public Health showed a correlation between ACEs and self-rated health (SRH) in young adults [32]. In this prospective cohort study of ACE exposure, ACEs were tracked at varying age groups and SRH values were also recorded for comparison.…”

Section: Adverse Childhood Experiences: Focus On Long-term Sequelaementioning

confidence: 99%

Toxic Stress Affecting Families and Children during the COVID-19 Pandemic: A Global Mental Health Crisis and an Emerging International Health Security Threat

Czulada¹,

Kover²,

Gracias³

et al. 2022

Contemporary Developments and Perspectives in International Health Security - Volume 3

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The coronavirus disease 2019 (COVID-19) pandemic has created numerous risk factors for families and children to experience toxic stress (TS). The widespread implementation of lockdowns and quarantines contributed to the increased incidence of domestic abuse and mental health issues while reducing opportunities for effective action, including social and educational interventions. Exposure to TS negatively affects a child’s development which may result in a lasting impact on the child’s life, as measured by tools, such as Adverse Childhood Experiences (ACE) score. When TS becomes highly prevalent within a society, it may develop into a health security threat, both from short- and long-term perspectives. Specific resources to combat the pandemic have been put in place, such as COVID-19 vaccines, novel therapeutics, and the use of telemedicine. However, the overall implementation has been challenging due to a multitude of factors, and more effort must be devoted to addressing issues that directly or indirectly lead to the emergence of TS. Only then can we begin to reduce the incidence and intensity of pandemic-associated toxic stress.

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“…We also found that the greater the number of ACEs reported by individuals, the lower the likelihood of HIV testing, indicating there was a dose-response relationship. The effects of ACEs on health-hazardous behaviours and health status can be cumulative or multiplicative (Bellis et al, 2014;Jahn et al, 2021). Alcala et al (Alcala et al, 2018) in their study of the effects of ACEs on cancer screening found that each increase in ACEs decreased the odds of individuals performing PSA tests, Pap tests, and colorectal cancer screening.…”

Section: Discussionmentioning

confidence: 99%

Adverse childhood experiences and human immunodeficiency virus testing among adults with human immunodeficiency virus risk behaviours

Liu,

Guo,

Han

et al. 2023

Stress and Health

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Adverse childhood experiences (ACEs) have been associated with poor HIV testing in adulthood yet, they have not been extensively described in those at increased risk for HIV. Cross‐sectional analysis data (n = 204,231) on ACEs and HIV testing were obtained from the 2019–2020 Behavioural Risk Factor Surveillance Survey. Weighted logistic regression models were used to access the association of ACEs exposure, ACEs score, and ACEs type with HIV testing among adults with HIV risk behaviours, and stratified analysis was also performed to examine gender differences. The results indicated the overall rate of HIV testing was 38.8% and was higher among those with HIV risk behaviours (64.6%) than those without (37.2%). In populations with HIV risk behaviours, the negative association of HIV testing with ACEs exposure, ACEs score, and ACEs type was identified. Relative to those without ACEs, adults who were exposed to ACEs might decrease the rate of HIV testing, participants with ≥4 ACEs scores were less likely to have HIV testing, and childhood exposure to sexual abuse had the greatest impact on HIV testing. For both males and females, childhood exposure to ACEs was associated with lower odds of HIV testing and ACEs score ≥4 had the most robust associations with HIV testing. For males, those who experienced witnessed domestic violence had the lowest odds of HIV testing but the odds of engaging in HIV testing for females were the lowest among those who experienced childhood sexual abuse.

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Adverse childhood experiences and future self-rated health: a prospective cohort study

Cited by 8 publications

References 28 publications

Prevalence of adverse childhood experiences and their co-occurrence in a large population of adolescents: a Young HUNT 3 study

Prevalence of adverse childhood experiences and their co-occurrence in a large population of adolescents: a Young HUNT 3 study

Toxic Stress Affecting Families and Children during the COVID-19 Pandemic: A Global Mental Health Crisis and an Emerging International Health Security Threat

Adverse childhood experiences and human immunodeficiency virus testing among adults with human immunodeficiency virus risk behaviours

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