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Relationship of childhood abuse and household dysfunction to many of the leading causes of death in adults. The Adverse Childhood Experiences (ACE) Study.

Published on May 1, 1998in American Journal of Preventive Medicine4.435
· DOI :10.1016/S0749-3797(98)00017-8
Vincent J. Felitti57
Estimated H-index: 57
(KP: Kaiser Permanente),
Robert F. Anda69
Estimated H-index: 69
(CDC: Centers for Disease Control and Prevention)
+ 5 AuthorsJames S. Marks48
Estimated H-index: 48
(CDC: Centers for Disease Control and Prevention)
Sources
Abstract
Results: More than half of respondents reported at least one, and one-fourth reported 2 categories of childhood exposures. We found a graded relationship between the number of categories of childhood exposure and each of the adult health risk behaviors and diseases that were studied (P , .001). Persons who had experienced four or more categories of childhood exposure, compared to those who had experienced none, had 4to 12-fold increased health risks for alcoholism, drug abuse, depression, and suicide attempt; a 2- to 4-fold increase in smoking, poor self-rated health, 0 sexual intercourse partners, and sexually transmitted disease; and a 1.4- to 1.6-fold increase in physical inactivity and severe obesity. The number of categories of adverse childhood exposures showed a graded relationship to the presence of adult diseases including ischemic heart disease, cancer, chronic lung disease, skeletal fractures, and liver disease. The seven categories of adverse childhood experiences were strongly interrelated and persons with multiple categories of childhood exposure were likely to have multiple health risk factors later in life. Conclusions: We found a strong graded relationship between the breadth of exposure to abuse or household dysfunction during childhood and multiple risk factors for several of the leading causes of death in adults. Medical Subject Headings (MeSH): child abuse, sexual, domestic violence, spouse abuse, children of impaired parents, substance abuse, alcoholism, smoking, obesity, physical activity, depression, suicide, sexual behavior, sexually transmitted diseases, chronic obstructive pulmonary disease, ischemic heart disease. (Am J Prev Med 1998;14:245‐258) © 1998 American Journal of Preventive Medicine
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Background Physical and sexual childhood abuse is associated with poor health across the lifespan. However, the association between these types of abuse and actual health care use and costs over the long run has not been documented.
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Background Childhood maltreatment has been linked to a variety of changes in brain structure and function and stress–responsive neurobiological systems. Epidemiological studies have documented the impact of childhood maltreatment on health and emotional well–being.
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#2Shanta R. Dube (CDC: Centers for Disease Control and Prevention)H-Index: 51
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Objective: Little information is available about the contribution of multiple adverse childhood experiences (ACEs) to the likelihood of reporting hallucinations. We used data from the ACE study to assess this relationship. Methods: We conducted a survey about childhood abuse and household dysfunction while growing up, with questions about health behaviors and outcomes in adulthood, which was completed by 17,337 adult HMO members in order to assess the independent relationship of 8 adverse childh...
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#1Daniel P. Chapman (CDC: Centers for Disease Control and Prevention)H-Index: 42
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#1Jessica M. Craig (UNT: University of North Texas)H-Index: 10
ABSTRACTPrior work has found that Adverse Childhood Experiences (ACEs) increase the likelihood of offending while turning points decrease the likelihood of offending. However, these two research ar...
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Abstract Traumatic experiences are associated with parenting behaviors later in life, placing offspring at an increased risk of ACE exposure. As depression and anxiety are among the most prevalent mental health disorders in the U.S., this study sought to examine the role of parental ACE exposure in their children’s experiences of depression/anxiety. Using data from the 2014 to 2016 linked South Carolina Behavioral Risk Factor Surveillance System (BRFSS) and the Children’s Health Assessment Surve...
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