Adverse Childhood Experiences and Trust in the Medical Profession among Young Adults

Muñoz, Ricky T.; Hanks, Heather; Brahm, Nancy C.; Miller, Christina; McLeod, David A.; Fox, Mary Frank

doi:10.1353/hpu.2019.0018

Cited by 21 publications

(19 citation statements)

References 34 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Subsequent studies have observed associations between ACEs and socially important outcomes as well as unmet social needs. These include job employment (Liu et al, 2013 ; Metzler et al, 2017 ), juvenile justice system involvement (Baglivio et al, 2015 ; Office of Juvenile Justice and Delinquency Prevention, 2014 ), high school noncompletion (Metzler et al, 2017 ), disability (Austin et al, 2016 ; Campbell et al, 2016 ), and trust in the health system (Munoz et al, 2019 ). Of equal importance, unmet social needs were identified including food insecurity (Chilton et al, 2015 ; Sun et al, 2016 ), housing instability/homelessness (Montgomery et al, 2013 ), and household poverty (Metzler et al, 2017 ).…”

Section: Discussionmentioning

confidence: 99%

The Intersection and Dynamics between COVID-19, Health Disparities, and Adverse Childhood Experiences

Sonu

Marvin

Moore

2021

Journ Child Adol Trauma

View full text Add to dashboard Cite

The coronavirus disease 2019 pandemic is shining a spotlight on health disparities that have long been overlooked in our society. The intersection between Adverse Childhood Experiences (ACEs), longstanding health disparities, and COVID-19 cannot be ignored. The accumulation of traumatic events throughout the childhood and adolescent years can cause toxic stress in the absence of supportive adults. This repetitive activation of the stress response system can be a catalyst to long-term, negative effects on both the body and brain. A major factor to appreciate is that ACEs do not affect all populations equally. ACEs disproportionately affect groups that have been historically oppressed. The current COVID-19 pandemic highlights this point when observing both case rates and fatality rates of the virus and has the potential to create a new series of long-term health conditions that will disproportionately affect marginalized communities. A foundational first and critical step of adopting a trauma-informed approach will help lead to system change, advance equity, and create a setting of mutuality and empowerment for our patients.

show abstract

Section: Discussionmentioning

confidence: 99%

The Intersection and Dynamics between COVID-19, Health Disparities, and Adverse Childhood Experiences

Sonu

Marvin

Moore

2021

Journ Child Adol Trauma

View full text Add to dashboard Cite

show abstract

“…These early experiences by our participants were still salient and informed ongoing interactions with the healthcare system. Those with adverse childhood experiences are less likely to trust medical professionals [28]. Previous work has found traumatic childhood events are common among both people living with HIV and Veterans [29][30][31] and identified a past-focused orientation in Veterans who have experienced trauma [32].…”

Section: Resultsmentioning

confidence: 99%

The temporal nature of social context: Insights from the daily lives of patients with HIV

Fix

Dryden²,

Boudreau³

et al. 2021

PLoS ONE

View full text Add to dashboard Cite

Background Patients’ life contexts are increasingly recognized as important, as evidenced by growing attention to the Social Determinants of Health (SDoH). This attention may be particularly valuable for patients with complex needs, like those with HIV, who are more likely to experience age-related comorbidities, mental health or substance use issues. Understanding patient perceptions of their life context can advance SDoH approaches. Objectives We sought to understand how aging patients with HIV think about their life context and explored if and how their reported context was documented in their electronic medical records (EMRs). Design We combined life story interviews and EMR data to understand the health-related daily life experiences of patients with HIV. Patients over 50 were recruited from two US Department of Veterans Affairs HIV clinics. Narrative analysis was used to organize data by life events and health-related metrics. Key results EMRs of 15 participants documented an average of 19 diagnoses and 10 medications but generally failed to include social contexts salient to patients. In interviews, HIV was discussed primarily in response to direct interviewer questions. Instead, participants raised past trauma, current social engagement, and concern about future health with varying salience. This led us to organize the narratives temporally according to past-, present-, or future-orientation. “Past-focused” narratives dwelled on unresolved experiences with social institutions like the school system, military or marriage. “Present-focused” narratives emphasized daily life challenges, like social isolation. “Future-focused” narratives were dominated by concerns that aging would limit activities. Conclusions A temporally informed understanding of patients’ life circumstances that are the foundation of their individualized SDoH could better focus care plans by addressing contextual concerns salient to patients. Trust-building may be a critical first step in caring for past-focused patients. Present-focused patients may benefit from support groups. Future-focused patients may desire discussing long term care options.

show abstract

“… 15 Distrust in medical professionals often leads to being less willing to seek help and follow medical guidelines. 24 …”

Section: Psychosocial and Contextual Risk Profiles Of Opioid-using Mothersmentioning

confidence: 99%

Contextual risk and psychosocial profiles of opioid-using mothers: A mixed-methods study

Beltrán-Arzate

Hodson

Tes

et al. 2021

Womens Health (Lond Engl)

View full text Add to dashboard Cite

Introduction: There is an increase in cases of mothers using opioids during pregnancy in the United States but research investigating mothers’ psychosocial environments along with individual variability among this high-risk group of women is scarce. Methods: This mixed-methods study aims to examine the complex interplay of contextual risks and experiences of opioid-using mothers. A sample of 50 opioid-using biological mothers of infants diagnosed with neonatal opioid withdrawal syndrome (NOWS) were studied using a set of standardized and open-ended questions, along with medical records extraction. Results: A high-risk subgroup of 36 mothers was identified using cluster analysis, characterized by a distinct profile of psychosocial risk. Thematic content analysis revealed four themes: (1) barriers to communication and mistrust of health professionals, (2) limitations of access to health care and the amplification of disadvantages related to COVID-19, (3) lifelong consequences of adverse childhood experiences (ACEs), and (4) intimate partner violence and its influence on drug use. Conclusion: Our findings highlight important information toward health services provision for opioid-using women of childbearing age. Efforts to reduce opioid usage in mothers need to consider psychosocial and contextual risks.

show abstract

Adverse Childhood Experiences and Trust in the Medical Profession among Young Adults

Cited by 21 publications

References 34 publications

The Intersection and Dynamics between COVID-19, Health Disparities, and Adverse Childhood Experiences

The Intersection and Dynamics between COVID-19, Health Disparities, and Adverse Childhood Experiences

The temporal nature of social context: Insights from the daily lives of patients with HIV

Contextual risk and psychosocial profiles of opioid-using mothers: A mixed-methods study

Contact Info

Product

Resources

About