Adult correlates of adverse childhood experiences in Ukraine.
Adolescent
Adult
Adverse Childhood Experiences
/ psychology
Aged
Aged, 80 and over
Female
Health Surveys
/ methods
Humans
Male
Mental Disorders
/ diagnosis
Mental Health
/ trends
Middle Aged
Retrospective Studies
Self Report
Social Support
Substance-Related Disorders
/ diagnosis
Ukraine
/ epidemiology
Young Adult
Adverse childhood experiences
Disability
Impairment
Later life health
Mental health
Physical health
Journal
Child abuse & neglect
ISSN: 1873-7757
Titre abrégé: Child Abuse Negl
Pays: England
ID NLM: 7801702
Informations de publication
Date de publication:
09 2020
09 2020
Historique:
received:
02
09
2019
revised:
16
06
2020
accepted:
22
06
2020
pubmed:
24
7
2020
medline:
6
7
2021
entrez:
24
7
2020
Statut:
ppublish
Résumé
The impact of adverse childhood experiences (ACEs) on adult life outcomes is well-documented by a considerable body of research. This study investigates the relationship between ACEs and both physical and mental health outcomes in a nationally representative sample of Ukrainian adults. The aim of this study was to analyze whether ACEs are associated with lifetime physical and mental health outcomes in a nationally representative sample of Ukrainian adults. Participants and Setting In 2002, the World Mental Health Composite International Diagnostic Interview (WMH-CIDI) was administered to a national probability sample of Ukrainian adults (n = 4725). Associations between ACEs and later life physical and mental health outcomes are examined using logistic regression models. ACEs were significantly correlated with poor later life mental and physical health. Participants with three or more ACEs were most likely to have chronic pain, cardiovascular disease, other disease, depressive disorders, anxiety disorders, substance abuse disorders, and all disability metrics analyzed. Adjusted odds ratios for these models ranged from 1.80 to 3.81. Additionally, we found a large association between the number of ACES and later negative health outcomes. Our results indicate that in Ukraine, ACEs have a strong negative effect on later life mental and physical health. Further research is needed to explore specific ACEs and examine potential mediators such as social support in the relationship between ACEs and health outcomes.
Sections du résumé
BACKGROUND
The impact of adverse childhood experiences (ACEs) on adult life outcomes is well-documented by a considerable body of research. This study investigates the relationship between ACEs and both physical and mental health outcomes in a nationally representative sample of Ukrainian adults.
OBJECTIVE
The aim of this study was to analyze whether ACEs are associated with lifetime physical and mental health outcomes in a nationally representative sample of Ukrainian adults. Participants and Setting In 2002, the World Mental Health Composite International Diagnostic Interview (WMH-CIDI) was administered to a national probability sample of Ukrainian adults (n = 4725).
METHODS
Associations between ACEs and later life physical and mental health outcomes are examined using logistic regression models.
RESULTS
ACEs were significantly correlated with poor later life mental and physical health. Participants with three or more ACEs were most likely to have chronic pain, cardiovascular disease, other disease, depressive disorders, anxiety disorders, substance abuse disorders, and all disability metrics analyzed. Adjusted odds ratios for these models ranged from 1.80 to 3.81. Additionally, we found a large association between the number of ACES and later negative health outcomes.
CONCLUSIONS
Our results indicate that in Ukraine, ACEs have a strong negative effect on later life mental and physical health. Further research is needed to explore specific ACEs and examine potential mediators such as social support in the relationship between ACEs and health outcomes.
Identifiants
pubmed: 32702584
pii: S0145-2134(20)30272-6
doi: 10.1016/j.chiabu.2020.104617
pii:
doi:
Types de publication
Journal Article
Research Support, U.S. Gov't, Non-P.H.S.
Langues
eng
Sous-ensembles de citation
IM
Pagination
104617Informations de copyright
Copyright © 2020 Elsevier Ltd. All rights reserved.