000 03514nab a22003737a 4500
999 _c7331
_d7331
005 20250625151559.0
008 211101s2021 -nz|| |||| 00| 0 eng d
040 _aAFVC
100 _aHashemi, Ladan
_99605
245 _aExploring the health burden of cumulative and specific adverse childhood experiences in New Zealand :
_cLadan Hashemi, Janet Fanslow, Pauline Gulliver and Tracey McIntosh
_bresults from a population-based study
260 _bElsevier,
_c2021
500 _aChild Abuse & Neglect, 2021, 122: 105372
520 _aBackground: Adverse childhood experiences (ACEs) can influence later health, but there are gaps in understanding how ACEs may interact with Positive Childhood Experiences (PCEs). Additionally, there are gaps in understanding how ACEs impact on positive markers of health. Objectives: To explore associations of ACEs with both negative and positive markers of physical and mental health in adulthood and to examine whether positive childhood experiences (PCEs) can mitigate the negative effects of ACEs on health. Participants and setting: 2887 participants (1464 female, 1423 male) from the 2019 New Zealand Family Violence Survey, a population-based study conducted in New Zealand between March 2017–March 2019. Methods; Multivariable logistic regressions were conducted to ascertain how both ACE score and ACE subtypes influenced the odds of experiencing adverse and positive mental and physical health after adjusting for socio-demographic predictors. A combined ACE-PCE variable was created and included in the multivariable logistic regression models to examine whether PCEs can mitigate the negative effects of ACEs. Results: Findings indicated that respondents with higher ACE scores had an increased likelihood of reporting each adverse outcome. Higher ACE scores had the strongest association with poor mental health followed by disability and chronic physical health conditions. Respondents with higher ACE scores had a decreased likelihood of reporting each positive health outcome. Exposure to ACEs was detrimental to health even in the presence of PCEs, with minimal effects observed from PCEs given the limited variance observed from its assessment. Conclusion: This study documents the deleterious impacts of ACEs on a wide range of health outcomes and demonstrates that these effects are persistent. Findings should provide the impetus for widespread prevention and intervention initiatives that seek to address ACEs. Further exploration of PCEs with a more complete assessment is needed to determine if they can mitigate the detrimental consequences of ACEs. (Authors' abstract). Record #7331
650 _aADVERSE CHILDHOOD EXPERIENCES
_94089
650 _aCHILD ABUSE
_9103
650 _aCHILD EXPOSURE TO VIOLENCE
_9130
650 _aCHILD SEXUAL ABUSE
_9121
650 4 _aDISABLED PEOPLE
_9196
650 _aHEALTH
_9283
650 _aMENTAL HEALTH
_9377
650 _aPREVALENCE
_9457
650 _aRISK FACTORS
_9505
650 _aSURVEYS
_9592
650 _aVIOLENCE
_9629
650 0 _a2019 NZ Family Violence Study | He Koiora Matapopore
_99837
651 4 _aNEW ZEALAND
_92588
700 _aFanslow, Janet L.
_91129
700 _92705
_aGulliver, Pauline
700 _aMcIntosh, Tracey.
_92985
773 0 _tChild Abuse & Neglect, 2021, 122: 105372
830 _aChild Abuse & Neglect
_94477
856 _uhttps://doi.org/10.1016/j.chiabu.2021.105372
_zDOI: 10.1016/j.chiabu.2021.105372 (Open access)
942 _2ddc
_cARTICLE