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