E-ISSN 2146-8346


Journal of Behavioral Health. 2013; 2(3):(70-306)


Self-Rated Health and Association with ACEs

Roberta Waite, Maureen Davey, Laura Lynch

Abstract

Background: Prior studies have demonstrated an association between experiencing trauma in childhood and poorer self-rated health in adulthood. Much less is known about this association among low-income minority patients in primary care settings. Methods: We replicated the Adverse Childhood Experiences (ACE) Study, a collaborative venture between the Centers for Disease Control and Prevention (CDC) and Kaiser Permanente, with a low-income minority sample of primary care patients (N = 801) at a community-based healthcare center. We conducted a cross-sectional retrospective quantitative survey study. Data were analyzed using binary logistic regression to evaluate the hypothesis that low-income minority patients who reported more childhood trauma (abuse, neglect, household dysfunction, cumulative adverse childhood experiences [ACEs]) would more likely have reported poorer health in adulthood. Results: The number of ACEs in our sample was considerably higher than the original CDC ACE Study, as almost 50% of patients surveyed at our clinic reported 4 or more ACEs, confirming that trauma is central among individuals served in many urban primary care settings. The results of the ACE abuse, neglect, and cumulative ACEs score were in the expected direction and statistically significant suggesting that participants who reported more childhood abuse and neglect and who reported more childhood trauma (cumulative/total ACEs) were more likely to report poorer health in adulthood. Conclusion: These findings have implications for providers, researchers, and policy makers to develop more collaborative approaches with primary care that better target the negative sequelae of ACEs.

Most Viewed Article
  • The Theory of Potential (TOP) and Social Game Theory (SGT)
    Dr. Robert J Flower, Ph.D.
    » Abstract » doi: 10.5455/jbh.XXXXXX

  • Representation of The Management of Childhood Obesity in Abidjan: Therapeutic and Psychosocial Implications
    KOUASSI Ettie Silvie and ASSI Kaudjhis Kouassi Régina
    » Abstract » doi: 10.5455/jbh.XXXXXX

  • Association Between Perceived Community HIV/AIDS Stigma and HIV Testing Behaviors Among High-Risk Heterosexuals in Dallas and Houston, Texas: An Analysis of the National HIV Behavioral Surveillance System
    Zaida Lopez MPH, Dr.PH, Osaro Mgbere PhD, MS, MPH, Salma Khuwaja MD, MPH, Dr.PH, Jonathon Poe MSSW, Margaret Vaaler PhD
    » Abstract » doi: 10.5455/jbh.XXXXXX

  • Factors Associated with ART Adherence among MSM Receiving Medical Care in Texas: An Analysis of the Texas Medical Monitoring Project Data
    Daniele Fedonni, Justin R Buendia, Sabeena C Sears, Margaret L Vaaler, and Osaro O Mgbere
    » Abstract » doi: 10.5455/jbh.XXXXXX

  • Psychiatric Comorbidity in A Dermatology Outpatient Clinic in A Lagos Tertiary Hospital
    Coker AO and Ajose FOA
    » Abstract » doi: 10.5455/jbh.XXXXXX

Most Downloaded
  • The Theory of Potential (TOP) and Social Game Theory (SGT)
    Dr. Robert J Flower, Ph.D.
    » Abstract » doi: 10.5455/jbh.XXXXXX

  • Representation of The Management of Childhood Obesity in Abidjan: Therapeutic and Psychosocial Implications
    KOUASSI Ettie Silvie and ASSI Kaudjhis Kouassi Régina
    » Abstract » doi: 10.5455/jbh.XXXXXX

  • Association Between Perceived Community HIV/AIDS Stigma and HIV Testing Behaviors Among High-Risk Heterosexuals in Dallas and Houston, Texas: An Analysis of the National HIV Behavioral Surveillance System
    Zaida Lopez MPH, Dr.PH, Osaro Mgbere PhD, MS, MPH, Salma Khuwaja MD, MPH, Dr.PH, Jonathon Poe MSSW, Margaret Vaaler PhD
    » Abstract » doi: 10.5455/jbh.XXXXXX

  • Factors Associated with ART Adherence among MSM Receiving Medical Care in Texas: An Analysis of the Texas Medical Monitoring Project Data
    Daniele Fedonni, Justin R Buendia, Sabeena C Sears, Margaret L Vaaler, and Osaro O Mgbere
    » Abstract » doi: 10.5455/jbh.XXXXXX

  • Psychiatric Comorbidity in A Dermatology Outpatient Clinic in A Lagos Tertiary Hospital
    Coker AO and Ajose FOA
    » Abstract » doi: 10.5455/jbh.XXXXXX