E-ISSN 2576-3741
 

Original Research (Original Article) 


The Long Shadow of Adverse Childhood Events (ACEs): 2. Physical Health Outcomes in an Adult Community Sample

Keith Dobson, Dennis Pusch, Lauren Allan, Smyrna Gonzalez, Julia Poole, Gina Marandola.

Abstract
Background: Studies continue to investigate the relationship between adverse childhood experiences (ACEs) and their negative mental and physical health outcomes in adulthood. The current paper replicated the landmark Adverse Childhood Experience (ACE) study previously done in the United States, with an adult primary care population within Canada (N = 3,924). Methods: Measures were completed by the participants to identify their ACE history and a range of physical health diagnoses. To determine the effects of ACEs on adult physical health outcomes, odds ratios were calculated with multivariate logistic regression separately for both males and females. Results: Results indicated that the risk of many physical health problems generally increased in a dose-response pattern. The dose-response relationship was especially strong for physiological conditions such as irritable bowel syndrome, chronic bronchitis, gastro-esophageal reflux, intestinal and abdominal discomfort, fibromyalgia, and behavior problems. These results were generally consistent in both males and females, although somewhat stronger overall for females. The association between ACEs and cardiovascular disorders was generally not significant. Discussion: These results contribute to the conceptualization of factors that predict higher risk for adulthood physical disorders, which is key to the development of intervention and prevention strategies. The implications for ACEs screening and interventions within the primary care population are discussed.

Key words: Adverse childhood experiences; primary care; adult health; physical disorders


 
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How to Cite this Article
Pubmed Style

Dobson K, Pusch D, Allan L, Gonzalez S, Poole J, Marandola G, . The Long Shadow of Adverse Childhood Events (ACEs): 2. Physical Health Outcomes in an Adult Community Sample . Am J Prev Med Public Health. 2020; 6(2): 39-49. doi:10.5455/ajpmph.20191204050137


Web Style

Dobson K, Pusch D, Allan L, Gonzalez S, Poole J, Marandola G, . The Long Shadow of Adverse Childhood Events (ACEs): 2. Physical Health Outcomes in an Adult Community Sample . http://www.ajpmph.com/?mno=74765 [Access: March 29, 2020]. doi:10.5455/ajpmph.20191204050137


AMA (American Medical Association) Style

Dobson K, Pusch D, Allan L, Gonzalez S, Poole J, Marandola G, . The Long Shadow of Adverse Childhood Events (ACEs): 2. Physical Health Outcomes in an Adult Community Sample . Am J Prev Med Public Health. 2020; 6(2): 39-49. doi:10.5455/ajpmph.20191204050137



Vancouver/ICMJE Style

Dobson K, Pusch D, Allan L, Gonzalez S, Poole J, Marandola G, . The Long Shadow of Adverse Childhood Events (ACEs): 2. Physical Health Outcomes in an Adult Community Sample . Am J Prev Med Public Health. (2020), [cited March 29, 2020]; 6(2): 39-49. doi:10.5455/ajpmph.20191204050137



Harvard Style

Dobson, K., Pusch, D., Allan, L., Gonzalez, S., Poole, J., Marandola, G. & (2020) The Long Shadow of Adverse Childhood Events (ACEs): 2. Physical Health Outcomes in an Adult Community Sample . Am J Prev Med Public Health, 6 (2), 39-49. doi:10.5455/ajpmph.20191204050137



Turabian Style

Dobson, Keith, Dennis Pusch, Lauren Allan, Smyrna Gonzalez, Julia Poole, Gina Marandola, and . 2020. The Long Shadow of Adverse Childhood Events (ACEs): 2. Physical Health Outcomes in an Adult Community Sample . American Journal of Preventive Medicine and Public Health, 6 (2), 39-49. doi:10.5455/ajpmph.20191204050137



Chicago Style

Dobson, Keith, Dennis Pusch, Lauren Allan, Smyrna Gonzalez, Julia Poole, Gina Marandola, and . "The Long Shadow of Adverse Childhood Events (ACEs): 2. Physical Health Outcomes in an Adult Community Sample ." American Journal of Preventive Medicine and Public Health 6 (2020), 39-49. doi:10.5455/ajpmph.20191204050137



MLA (The Modern Language Association) Style

Dobson, Keith, Dennis Pusch, Lauren Allan, Smyrna Gonzalez, Julia Poole, Gina Marandola, and . "The Long Shadow of Adverse Childhood Events (ACEs): 2. Physical Health Outcomes in an Adult Community Sample ." American Journal of Preventive Medicine and Public Health 6.2 (2020), 39-49. Print. doi:10.5455/ajpmph.20191204050137



APA (American Psychological Association) Style

Dobson, K., Pusch, D., Allan, L., Gonzalez, S., Poole, J., Marandola, G. & (2020) The Long Shadow of Adverse Childhood Events (ACEs): 2. Physical Health Outcomes in an Adult Community Sample . American Journal of Preventive Medicine and Public Health, 6 (2), 39-49. doi:10.5455/ajpmph.20191204050137





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