The Comorbidity of Physical, Mental, and Developmental Conditions Associated with Childhood Adversity: A Population Base
- PDF / 440,092 Bytes
- 11 Pages / 595.276 x 790.866 pts Page_size
- 98 Downloads / 168 Views
ORIGINAL PAPER
The Comorbidity of Physical, Mental, and Developmental Conditions Associated with Childhood Adversity: A Population Based Study Melissa A. Bright1 • Caprice Knapp2 • Melanie S. Hinojosa3 • Shannon Alford1 Brandy Bonner1
•
Ó Springer Science+Business Media New York 2015
Abstract Objective Adverse childhood experiences (ACEs) are associated with myriad health conditions and risk behaviors in both adolescents and adults. In this study we examine the association between ACEs and specific physical, mental, and developmental conditions, as well as their comorbidity, in a nationally representative sample of children 0–17 years. Methods Data from the 2011–2012 National Survey for Child Health (NSCH) were used. A total of 95,677 random-digit-dial interviews with parents of children 0–17 years were conducted across all 50 states and the District of Columbia. Outcomes included singular condition domains (physical, mental, and developmental) as well as combinations of condition domains (e.g., physical plus mental, mental plus developmental, etc.). Results Twenty-three percent of parents reported that their child experienced 1 ACE; 9.2 % experienced 2 ACEs, and 10.3 % experienced three or more. Across all three & Melissa A. Bright [email protected] Caprice Knapp [email protected]
condition domains and combinations of domains, children who experienced at least one ACE were more likely than children who experienced 0 ACEs to have at least one condition. Additionally, greater ACEs was associated with increased likelihood of at least one condition in each domain and in multiple domains. Conclusions for practice These findings support the extension of existing family environment screening tools in pediatric practices as well as the establishment of a system for monitoring ACEs in families with multiple or complex conditions. Keywords Adverse childhood experiences Pediatrics Comorbidity Public health Abbreviations ACF Administration for children and families CDC National Center for Chronic Disease Prevention and Health Promotion AAP American Academy of Pediatrics ACE Adverse childhood experiences FPL Federal poverty level NSCH National Study of Children’s Health CAHMI Child and adolescent measurement initiative
Melanie S. Hinojosa [email protected] Shannon Alford [email protected] Brandy Bonner [email protected]
Significance
1
Institute for Child Health Policy, University of Florida, 1329 SW 16th ST, Gainesville, FL 32611, USA
2
Department of Health Policy and Administration, The Pennsylvania State University, State College, PA, USA
3
Department of Sociology, University of Central Florida, Orlando, FL, USA
There is a wealth of literature linking adverse childhood experiences (ACEs) to poor health outcomes in adulthood. There are significant gaps, however, in our understanding of cumulative ACEs exposure and physical health, mental health, and developmental progress in children. In this study we found that children with at least one ACE had a
123
Matern Child Health J
higher likelihood of h
Data Loading...