Assessing the interrelatedness of multiple types of adverse childhood experiences and odds for poor health in South Carolina adults |
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| Institution: | 1. Department of Health Services Policy & Management, University of South Carolina, South Carolina Rural Health Research Center, 220 Stoneridge Drive, Suite 204, Columbia, SC 29210, United States;2. Children’s Trust of South Carolina, United States;3. Department of Family and Preventive Medicine, USC School of Medicine, 3209 Colonial Drive, Columbia, SC 29203, United States;4. University of South Carolina, Department of Psychology, United States;1. Department of Psychiatry, University of Arkansas for Medical Sciences, Little Rock, AK;2. Arkansas State Hospital, Little Rock, AK;1. Department of Family, Population and Preventive Medicine, Stony Brook University, Stony Brook, New York;2. Department of Psychology, University of California—Los Angeles, Los Angeles, California;3. Fielding School of Public Health, University of California—Los Angeles, Los Angeles, California;1. South Carolina Rural Health Research Center, Arnold School of Public Health, University of South Carolina, 220 Stoneridge Dr, Suite 204, Columbia, SC 29210, USA;2. Children''s Trust of South Carolina, 1330 Lady St, #310, Columbia, SC 29201, USA;1. Division of Violence Prevention;2. Division of Unintentional Injury Prevention, National Center for Injury Prevention and Control;3. Division of Birth Defects and Developmental Disabilities, National Center for Birth Defects and Developmental Disabilities;4. Division of Population Health, National Center for Chronic Disease Prevention and Health Promotion;5. Division of Reproductive Health, National Center for Chronic Disease Prevention and Health Promotion, CDC, Atlanta, Georgia |
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| Abstract: | Adverse childhood experiences (ACEs) have been linked to negative health outcomes in adulthood, but little research has been done on the effect of ACEs on the health and well-being of adults in South Carolina (SC). This study analyzed a sample of 9744 respondents who participated in the 2014 South Carolina Behavioral Risk Factor Surveillance System (BRFSS) to examine the relationship among childhood experiences of physical, sexual, and emotional abuse, as well as witnessing household violence, on mental and physical health outcomes in adulthood among SC residents. Twenty-two percent of survey respondents reported poor general health (22.1%), and a smaller proportion reported high frequent mental distress in the past month (13.1%). Each category of childhood experiences was associated with an increase in the risk of poor general health. Individuals reporting three or more types of experiences were more likely to report poor health (aOR 2.89; 95% CI 2.86–2.92) than adults without such experiences. Respondents reporting three or more types of childhood adverse experiences were more likely to report frequent mental distress (aOR 3.29; 95% CI 3.26–3.33) compared to adults who did not report three or more types of adversity. Findings from the SC BRFSS highlight a connection between ACEs and negative health outcomes later in life. Given that results of this study also demonstrated that increased exposure to ACEs was associated with greater odds of negative health in adulthood, preventing adverse events such as experiencing abuse or witnessing domestic violence in childhood will have significant effects on later adult health. |
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| Keywords: | Adverse childhood experiences Physical abuse Sexual abuse Health |
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