Adverse childhood experiences and associations with health-harming behaviours in young adults: surveys in eight eastern European countries.
Objective To evaluate the association between adverse childhood experiences--e.g. abuse, neglect, domestic violence and parental separation, substance use, mental illness or incarceration--and the health of young adults in eight eastern European countries. Methods Between 2010 and 2013, adverse chil...
| Published in: | Bulletin of the World Health Organization Vol. 92; no. 9; pp. 641 - 642 |
|---|---|
| Main Authors: | , , , , , , , , , , , |
| Format: | research tables/charts Journal Article |
| Published: |
World Health Organization
Sep2014
|
| Online Access: | View this record in EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=103885499&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 103885499 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 00429686 BUW jtl: Bulletin of the World Health Organization issn: 00429686 maglogo: N pubinfo: dt: Sep2014 vid: 92 iid: 9 pid: 437 pub: World Health Organization artinfo: ui: 103885499 97804053 10.2471/BLT.13.129247 103885499 ppf: 641 ppct: 1 formats: fmt: @attributes: type: P tig: atl: Adverse childhood experiences and associations with health-harming behaviours in young adults: surveys in eight eastern European countries. aug: au: Bellis, Mark A. Hughes, Karen Leckenby, Nicola Jones, Lisa Baban, Adriana Kachaeva, Margarita Povilaitis, Robertas Pudule, Iveta Qirjako, Gentiana Ulukol, Betul Raleva, Marija Terzic, Natasa affil: Centre for Public Health, Liverpool John Moores University, 15-21 Webster Street, Liverpool L3 2ET, England sug: subj: Child Abuse Evaluation Domestic Violence Evaluation Risk Taking Behavior Epidemiology Funding Source Human Europe Child Adolescence Young Adult Male Female Descriptive Statistics Surveys Odds Ratio Confidence Intervals P-Value Chi Square Test Logistic Regression Data Analysis, Statistical Data Analysis Software Child: 6-12 years Adolescent: 13-18 years Male Female ab: Objective To evaluate the association between adverse childhood experiences--e.g. abuse, neglect, domestic violence and parental separation, substance use, mental illness or incarceration--and the health of young adults in eight eastern European countries. Methods Between 2010 and 2013, adverse childhood experience surveys were undertaken in Albania, Latvia, Lithuania, Montenegro, Romania, the Russian Federation, The former Yugoslav Republic of Macedonia and Turkey. There were 10 696 respondents--59.7% female--aged 18-25 years. Multivariate modelling was used to investigate the relationships between adverse childhood experiences and health-harming behaviours in early adulthood including substance use, physical inactivity and attempted suicide. Findings Over half of the respondents reported at least one adverse childhood experience. Having one adverse childhood experience increased the probability of having other adverse childhood experiences. The number of adverse childhood experiences was positively correlated with subsequent reports of health-harming behaviours. Compared with those who reported no adverse experiences, respondents who reported at least four adverse childhood experiences were at significantly increased risk of many health-harming behaviours, with odds ratios varying from 1.68 (95% confidence interval, CI: 1.32-2.15)--for physical inactivity--to 48.53 (95% CI: 31.98-76.65)--for attempted suicide. Modelling indicated that prevention of adverse childhood experiences would substantially reduce the occurrence of many health-harming behaviours within the study population. Conclusion Our results indicate that individuals who do not develop health-harming behaviours are more likely to have experienced safe, nurturing childhoods. Evidence-based programmes to improve parenting and support child development need large-scale deployment in eastern European. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
|---|