Familial Childhood Adversity is Associated with Chronic Disease Among Women: Data from the Geographic Research on Wellbeing (GROW) Study
Tóm tắt
Objectives Few population-based studies on the relationship between childhood adversity and health in adulthood for women exist. Little is known about whether some social groups are more vulnerable to childhood adversity than other groups. Methods Using data from the Geographic Research on Wellbeing survey (GROW) conducted in California during 2012–2013, we examine associations between familial childhood adversities (FCAs) and a set of important chronic diseases and related conditions among women with young children, employing logistic regression models (N = 2409). Specifically, we test two measures of FCAs on the odds of reporting one or more chronic diseases or related-conditions (diabetes, hypertension, high cholesterol, heart disease). We also examine whether the associations between the two measures and the dependent variables vary by social factors (race/ethnicity, marital status, education, income). Results Both FCA measures were associated with reporting one or more chronic diseases after controlling for a set of important sociodemographic factors. Each unit increase in the number of FCAs corresponded to about a 10% increase in the odds of reporting one or more chronic disease(s). Moderating effects were also observed, with greater impacts among more socially vulnerable groups. Furthermore, ancillary analyses demonstrated that diabetes and high cholesterol were the drivers of the relationship between FCAs and chronic disease. Conclusions for Practice The social ecological model framework suggests that childhood adversity can be considered at multiple levels; that is, a sustainable reduction in the adverse health impacts of childhood adversity requires a concerted effort among policymakers and practitioners that includes both “upstream” and “downstream” approaches.
Tài liệu tham khảo
Aiken, L. S., & West, S. G. (1991). Multiple regression: Testing and interpreting interactions. Newbury Park, CA: Sage.
Alastalo, H., Räikkönen, K., Pesonen, A. K., Osmond, C., Barker, D. J., Kajantie, E., … Eriksson, J. G. (2009). Cardiovascular health of Finnish war evacuees 60 years later. Annals of Medicine, 41(1), 66–72.
Centers for Disease Control and Prevention. (2014). The health and well-being of children: A portrait of states and the nation, 2011-2012. Rockville, MD: United States Department of Health and Human Services.
Centers for Disease Control and Prevention. (2015). Behavioral Risk Factor Surveillance System Survey ACE Data, 2009-2014. Atlanta, GA: U.S. Department of Health and Human Services.
Cronholm, P. F., Forke, C. M., Wade, R., Bair-Merritt, M. H., Davis, M., Harkins-Schwarz, M., … Fein, J. A. (2015). Adverse childhood experiences: Expanding the concept of adversity. American Journal of Preventive Medicine, 49(3), 354–361.
Cubbin, C. (2015). Survey methodology of the geographic research on wellbeing (GROW) study. BMC Research Notes, 8(1), 402–411.
Cubbin, C., Braveman, P. A., Marchi, K. S., Chavez, G. F., Santelli, J. S., & Colley Gilbert, B. J. (2002). Socioeconomic and racial/ethnic disparities in unintended pregnancy among postpartum women in California. Maternal and Child Health Journal, 6(4), 237–246.
Felitti, V. J., Anda, R. F., Nordenberg, D., Williamson, D. F., Spitz, A. M., Edwards, V., … Marks, J. S. (1998). Relationship of childhood abuse and household dysfunction to many of the leading causes of death in adults: The Adverse Childhood Experiences (ACE) Study. American Journal of Preventive Medicine, 14(4), 245–258.
Finkelhor, D., Shattuck, A., Turner, H., & Hamby, S. (2013). Improving the adverse childhood experiences study scale. Journal of the American Medical Association Pediatrics, 167(1), 70–75.
Flinn, M. V., & England, B. G. (1995). Childhood stress and family environment. Current Anthropology, 36(5), 854–866.
Gilbert, L. K., Breiding, M. J., Merrick, M. T., Thompson, W. W., Ford, D. C., Dhingra, S. S., et al. (2015). Childhood adversity and adult chronic disease: An update from ten states and the District of Columbia, 2010. American Journal of Preventive Medicine, 48(3), 345–349.
Gunnar, M., & Quevedo, K. (2007). The neurobiology of stress and development. Annual Review of Psychology, 58, 145–173.
Huang, H., Yan, P., Shan, Z., Chen, S., Li, M., Luo, C., … Liu, L. (2015). Adverse childhood experiences and risk of type 2 diabetes: A systematic review and meta-analysis. Metabolism, 64(11), 1408–1418.
Huffhines, L., Noser, A., & Patton, S. R. (2016). The link between adverse childhood experiences and diabetes. Current Diabetes Reports, 16(6), 54.
Institute for Safe Families. (2013). Findings from the Philadelphia Urban ACE Survey. Philadelphia, PA: Public Health Management Corporation.
Klassen, S. A., Chirico, D., O’Leary, D. D., Cairney, J., & Wade, T. J. (2016). Linking systemic arterial stiffness among adolescents to adverse childhood experiences. Child Abuse and Neglect, 56, 1–10.
Lee, R. D., Fang, X., & Luo, F. (2013). The impact of parental incarceration on the physical and mental health of young adults. Pediatrics, 131(4), e1188–e1195.
Lynch, L., Waite, R., & Davey, M. P. (2013). Adverse childhood experiences and diabetes in adulthood: Support for a collaborative approach to primary care. Contemporary Family Therapy, 35(4), 639–655.
Mock, S. E., & Arai, S. M. (2011). Childhood trauma and chronic illness in adulthood: Mental health and socioeconomic status as explanatory factors and buffers. Frontiers in Psychology, 1, 246.
Pickering, T. G. (1990). The clinical significance of diurnal blood pressure variations: Dippers and nondippers. Circulation, 81(2), 700–702.
Rinki, C., Martin, K., & Curtis, M. (2012). 2010 MIHA County Report: A summary report of county snapshots and geographic comparisons from the Maternal and Infant Health Assessment Survey. Sacramento, CA: California Department of Public Health, Maternal, Child and Adolescent Health Program.
Su, S., Hao, G., Treiber, F., Harshfield, G., & Wang, X. (2016). Impact of childhood adversities on blood pressure regulation in real life: Results from a 23-year longitudinal study through childhood to young adulthood. Circulation, 134(Supplement 1), A19007.
Su, S., Wang, X., Pollock, J. S., Treiber, F. A., Xu, X., Snieder, H., … Harshfield, G. A. (2015). Adverse childhood experiences and blood pressure trajectories from childhood to young adulthood: The Georgia stress and heart study. Circulation, 131(19), 1674–1681.
Wade, R., Shea, J. A., Rubin, D., & Wood, J. (2014). Adverse childhood experiences of low-income urban youth. Pediatrics, 134(1), e13–e20.
World Health Organization. (n.d.). Adverse Childhood Experiences International Questionnaire (ACE-IQ). Retrieved June 13, 2019, from http://www.who.int/violence_injury_prevention/violence/activities/adverse_childhood_experiences/en/.