Adverse childhood experiences: Assessing the impact on physical and psychosocial health in adulthood and the mitigating role of resilience.
Adolescent
Adult
Adult Survivors of Child Abuse
/ psychology
Adverse Childhood Experiences
/ psychology
Aged
Aged, 80 and over
Canada
Child
Cross-Sectional Studies
Disease
/ psychology
Female
Humans
Male
Middle Aged
Prevalence
Resilience, Psychological
Rural Population
Socioeconomic Factors
Young Adult
Adult
Adverse childhood experiences
Health and social
Prevention
Risk assessment
Rural population
Social ecological resilience
Journal
Child abuse & neglect
ISSN: 1873-7757
Titre abrégé: Child Abuse Negl
Pays: England
ID NLM: 7801702
Informations de publication
Date de publication:
05 2020
05 2020
Historique:
received:
22
09
2019
revised:
24
02
2020
accepted:
27
02
2020
pubmed:
7
3
2020
medline:
15
7
2021
entrez:
6
3
2020
Statut:
ppublish
Résumé
More than 2000 studies demonstrate adverse childhood experiences ACEs are universal and that experiencing multiple ACEs increases risk for developing physical and psychosocial health problems in adulthood. A challenge faced by clinicians is identifying those most at risk. Recent evidence suggests socio-ecological resilience may mitigate the consequences ACEs. We hypothesize that integrated assessment of ACEs and resilience might improve identification of those at highest risk. We examined ACEs among adults attending a rural family practice clinic and explored associations between ACE, socio-ecological resilience and health. A cross-sectional survey measured ACEs, resilience, and health in adult patients attending a collaborative family health care centre in Lunenburg, Nova Scotia, Canada. Correlation analyses were used to determine associations between the measures. The impact of socio-economic status, level of education and gender was considered. Two hundred and twenty-six persons participated in this study. Approximately 73 % of participants had experienced at least one ACEs and 31 % experienced 4 or more. Overall with increasing numbers of ACEs prevalence of health problems increased. However, individuals with high resilience scores had lower prevalence of health problems. Regression analyses indicated that the number of ACEs were slightly more important predictor of health issues than level of resilience, though both were important. Social economic status, education level and gender were not significant predictors of the impact of ACEs on person's health. The results suggest integrated assessment for resilience and ACEs may facilitate identification of those at higher risk and in need of preventative intervention.
Sections du résumé
BACKGROUND
More than 2000 studies demonstrate adverse childhood experiences ACEs are universal and that experiencing multiple ACEs increases risk for developing physical and psychosocial health problems in adulthood. A challenge faced by clinicians is identifying those most at risk. Recent evidence suggests socio-ecological resilience may mitigate the consequences ACEs. We hypothesize that integrated assessment of ACEs and resilience might improve identification of those at highest risk.
OBJECTIVES
We examined ACEs among adults attending a rural family practice clinic and explored associations between ACE, socio-ecological resilience and health.
METHODS
A cross-sectional survey measured ACEs, resilience, and health in adult patients attending a collaborative family health care centre in Lunenburg, Nova Scotia, Canada. Correlation analyses were used to determine associations between the measures. The impact of socio-economic status, level of education and gender was considered.
RESULTS
Two hundred and twenty-six persons participated in this study. Approximately 73 % of participants had experienced at least one ACEs and 31 % experienced 4 or more. Overall with increasing numbers of ACEs prevalence of health problems increased. However, individuals with high resilience scores had lower prevalence of health problems. Regression analyses indicated that the number of ACEs were slightly more important predictor of health issues than level of resilience, though both were important. Social economic status, education level and gender were not significant predictors of the impact of ACEs on person's health.
CONCLUSION
The results suggest integrated assessment for resilience and ACEs may facilitate identification of those at higher risk and in need of preventative intervention.
Identifiants
pubmed: 32135375
pii: S0145-2134(20)30095-8
doi: 10.1016/j.chiabu.2020.104440
pii:
doi:
Types de publication
Journal Article
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
104440Informations de copyright
Crown Copyright © 2020. Published by Elsevier Ltd. All rights reserved.