sábado, 28 de abril de 2018

Childhood Adversity and Adult Chronic Disease: An Update from Ten States and the District of Columbia, 2010 - ScienceDirect

Childhood Adversity and Adult Chronic Disease: An Update from Ten States and the District of Columbia, 2010 - ScienceDirect



Childhood Adversity and Adult Chronic Disease: An Update from Ten States and the District of Columbia, 2010

Background

Adverse childhood experiences (ACEs), including child abuse and family dysfunction, are linked to leading causes of adult morbidity and mortality. Most prior ACE studies were based on a nonrepresentative patient sample from one Southern California HMO.

Purpose

To determine if ACE exposure increases the risk of chronic disease and disability using a larger, more representative sample of adults than prior studies.

Methods

Ten states and the District of Columbia included an optional ACE module in the 2010 Behavioral Risk Factor Surveillance Survey, a national cross-sectional, random-digit-dial telephone survey of adults. Analysis was conducted in November 2012. Respondents were asked about nine ACEs, including physical, sexual, and emotional abuse and household member mental illness, alcoholism, drug abuse, imprisonment, divorce, and intimate partner violence. An ACE score was calculated for each subject by summing the endorsed ACE items. After controlling for sociodemographic variables, weighted AORs were calculated for self-reported health conditions given exposure to zero, one to three, four to six, or seven to nine ACEs.

Results

Compared to those who reported no ACE exposure, the adjusted odds of reporting myocardial infarction, asthma, fair/poor health, frequent mental distress, and disability were higher for those reporting one to three, four to six, or seven to nine ACEs. Odds of reporting coronary heart disease and stroke were higher for those who reported four to six and seven to nine ACEs; odds of diabetes were higher for those reporting one to three and four to six ACEs.

Conclusions

These findings underscore the importance of child maltreatment prevention as a means to mitigate adult morbidity and mortality.

1 comentario:

  1. I found out, that taking herbal treatment is the best to get rid of HPV as soon as i feel the symptoms of HPV is appearing, i took the healing process by contacting Dr LUCKY for natural treatment, it works wonders and amazingly. Ever since I had the herbal treatment i have not feel these virus anymore and my doc told me the virus is gone, i am glad i finally got cured out from this disease. Any HPV or herpes patients should also get in touch with this herbalist Dr to get ride of any disease forever his Email Address: is drluckyherbalcure@gmail.com or wahtsapp +2348154637647

    ResponderEliminar