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_c7331 _d7331 |
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005 | 20250625151559.0 | ||
008 | 211101s2021 -nz|| |||| 00| 0 eng d | ||
040 | _aAFVC | ||
100 |
_aHashemi, Ladan _99605 |
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_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 |
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_bElsevier, _c2021 |
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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 | ||
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_aADVERSE CHILDHOOD EXPERIENCES _94089 |
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_aCHILD ABUSE _9103 |
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_aCHILD EXPOSURE TO VIOLENCE _9130 |
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_aCHILD SEXUAL ABUSE _9121 |
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650 | 4 |
_aDISABLED PEOPLE _9196 |
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_aHEALTH _9283 |
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650 |
_aMENTAL HEALTH _9377 |
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_aPREVALENCE _9457 |
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_aRISK FACTORS _9505 |
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_aSURVEYS _9592 |
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_aVIOLENCE _9629 |
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650 | 0 |
_a2019 NZ Family Violence Study | He Koiora Matapopore _99837 |
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651 | 4 |
_aNEW ZEALAND _92588 |
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700 |
_aFanslow, Janet L. _91129 |
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700 |
_92705 _aGulliver, Pauline |
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_aMcIntosh, Tracey. _92985 |
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773 | 0 | _tChild Abuse & Neglect, 2021, 122: 105372 | |
830 |
_aChild Abuse & Neglect _94477 |
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_uhttps://doi.org/10.1016/j.chiabu.2021.105372 _zDOI: 10.1016/j.chiabu.2021.105372 (Open access) |
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_2ddc _cARTICLE |