Adverse Childhood Experiences and the Risk of Premature Mortality

Brown, David W.; Anda, Robert F.; Tiemeier, Henning; Felitti, Vincent J.; Edwards, Valerie J.; Croft, Janet B.; Giles, Wayne H.

doi:10.1016/j.amepre.2009.06.021

Cited by 1,124 publications

(715 citation statements)

References 19 publications

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“…Psychosocial impairment and economic impact, a significant reduction in quality of life and a strikingly increased morbidity, including both mental and somatic health problems, have been reported (Norman et al, 2012). Child maltreatment leads to a significant reduction in lifespan of up to 20 years (Brown et al, 2009). Beside its devastating consequences on the life of each individual victim, child maltreatment results in an enormous economic burden, with annual costs between 11 and 30 billion euro in Germany alone (Habetha, Bleich, Weidenhammer, & Fegert, 2012).…”

Section: Introductionmentioning

confidence: 99%

Association of child maltreatment subtypes and long-term physical health in a German representative sample

Clemens

Huber‐Lang

Plener

et al. 2018

European Journal of Psychotraumatology

100

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Background: Child maltreatment is a major public problem, associated with enormous consequences on the individual and socioeconomic level. Studies show a clear impact of child maltreatment on long-term physical health. However, there is a lack of analyses comprising a wide variety of subtypes of maltreatment and addressing cumulative effects of different maltreatment subtypes experienced during childhood on physical health. Objective: The objective of this analysis was to assess the association of different subtypes and the intensity of child maltreatment with long-term physical health outcomes. Methods: In a cross-sectional observational approach, a representative sample of the German population (N=2510) was assessed regarding socioeconomic information, their current health status, and their experiences of child maltreatment using the Childhood Trauma Questionnaire (CTQ). Chi2-Tests were performed to compare differences of physical health conditions in adulthood in association with child maltreatment and binary regression analyses to assess the relationship of physical health and number of different subtypes of maltreatment experienced during childhood. Results: Odds increased significantly for obesity (1.8), diabetes (1.26), cancer (1.28), hypertension (1.16), chronic obstructive pulmonary disease (1.51), history of myocardial infarction (1.29) and stroke (1.31) with increasingenhancing number of experienced subtypes of child maltreatment. Growing intensity of each subtype of maltreatment was associated with higher rates of all assessed physical health conditions, which could point towards a dose-dependency of the relationship between maltreatment and long-term physical health. Conclusions: Child maltreatment is associated with increased odds for the leading morbidity and mortality causes in Germany. Interventions encompassing secondary and primary preventive strategies are critical to target this major public health problem and its devastating consequences.

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Section: Introductionmentioning

confidence: 99%

Association of child maltreatment subtypes and long-term physical health in a German representative sample

Clemens

Huber‐Lang

Plener

et al. 2018

European Journal of Psychotraumatology

100

View full text Add to dashboard Cite

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“…The role of early life environmental stress factors in developing major depression, apart from genetic factors, has been demonstrated in twin studies (Kendler et al, 2000). Such childhood stressors include physical, sexual, emotional and verbal abuse, neglect, social deprivation, household dysfunctions including violence and witnessing violence, poverty, parental separation, parental death or illness, disaster, substance abuse and criminal activity (Brown et al, 2009). Recent studies suggest a substantially increased risk of internalizing depressive and anxiety disorders into adulthood following early life stress in childhood (Kendler et al, 2003;Nugent et al, 2011).…”

Section: Introductionmentioning

confidence: 99%

“…Previous studies have suggested the importance of childhood poverty, social deprivation and various household dysfunctions as early life stressors for mental health in childhood and adulthood (e.g. Brown et al, 2009), but no study has empirically tested the association between both childhood and adulthood economic stress and poor psychological health in relation to the accumulation, critical period and social mobility hypotheses. The item concerning economic stress in adulthood has been analyzed in relation to health and health related behaviours in earlier studies based on earlier public health surveys in Sweden (Fritzell and Burström, 2006).…”

Section: Introductionmentioning

confidence: 99%

Economic stress in childhood and adulthood, and poor psychological health: Three life course hypotheses

Lindström

Fridh

2014

Psychiatry Research

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Link to publication Citation for published version (APA): Lindström, M., Fridh, M., & Rosvall, M. (2014). Economic stress in childhood and adulthood, and poor psychological health: Three life course hypotheses. Psychiatry Research, 215(2), 386-393. DOI: 10.1016/j.psychres.2013 General rights Copyright and moral rights for the publications made accessible in the public portal are retained by the authors and/or other copyright owners and it is a condition of accessing publications that users recognise and abide by the legal requirements associated with these rights.• Users may download and print one copy of any publication from the public portal for the purpose of private study or research.• You may not further distribute the material or use it for any profit-making activity or commercial gain • You may freely distribute the URL identifying the publication in the public portal Take down policy If you believe that this document breaches copyright please contact us providing details, and we will remove access to the work immediately and investigate your claim. Logistic regression models were used to investigate the associations adjusting for age, country of birth, socioeconomic status, emotional support, instrumental support and trust, and stratifying by sex. The accumulation hypothesis was confirmed because combined childhood and adulthood exposures to economic stress were associated with poor psychological health in a graded manner. The social mobility hypothesis was also confirmed. The critical period hypothesis was not confirmed because both childhood and adulthood economic stress remained significantly associated with poor psychological health in adulthood. Economic stress in childhood is associated with mental health in adulthood.

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“…13 The homeless population also features other characteristics that are associated with increased mortality hazard, including poorer overall health; 14 mental illness; [15][16][17] substance abuse; [18][19][20][21] incarceration; [22][23][24] and adverse childhood experiences. 25,26 Pointing to the overrepresentation of these conditions, however, must also come with the acknowledgment that these conditions are invariably found only among minorities of the homeless population.…”

Section: Introductionmentioning

confidence: 99%

The Impact of Shelter Use and Housing Placement on Mortality Hazard for Unaccompanied Adults and Adults in Family Households Entering New York City Shelters: 1990–2002

et al. 2011

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This study examines mortality among New York City (NYC) homeless shelter users, assessing the relationships between mortality hazard and time in shelter, patterns of homelessness, and subsequent housing exits for both adults in families and single adults. Administrative records from the NYC shelter system were matched with death records from the Social Security Administration for 160,525 persons. Crude mortality rates and life tables were calculated, and survival analyses were undertaken using these data. Life expectancy was 64.2 and 68.6 years for single adult males and single adult females, respectively, and among adults in families, life expectancy was 67.2 and 70.1 years for males and females, respectively. For both groups, exits to stable housing (subsidized or non-subsidized) were associated with reduced mortality hazard. And while mortality hazard was substantially reduced for the time adults were in shelters, extended shelter use patterns were associated with increased mortality hazard. Differences between single homelessness and family homelessness extend to disparities in mortality rates. Although causal links cannot be established here, results suggest that, for both subgroups of the homeless population, prompt resolution of homelessness and availability of housing interventions may contribute to reduced mortality.

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Adverse Childhood Experiences and the Risk of Premature Mortality

Cited by 1,124 publications

References 19 publications

Association of child maltreatment subtypes and long-term physical health in a German representative sample

Association of child maltreatment subtypes and long-term physical health in a German representative sample

Economic stress in childhood and adulthood, and poor psychological health: Three life course hypotheses

The Impact of Shelter Use and Housing Placement on Mortality Hazard for Unaccompanied Adults and Adults in Family Households Entering New York City Shelters: 1990–2002

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