Introduction: Adverse childhood experiences (ACEs) are negative life events occurring before the age of 18 y. ACEs are risk factors for heart disease and diabetes in adult life. Furthermore, individuals who experience ACEs are more likely to smoke and become obese-factors associated with poor oral health. Objective: This study investigated likely associations between ACEs and the oral health measures of the 2010 Behavioral Risk Factor Surveillance System (BRFSS). Methods: Data from 16,354 participants of the 2010 BRFSS were analyzed with SAS 9.4. ACE scores were calculated in 2 domains: abuse (emotional, physical, or sexual) and household challenges (parental separation or divorce, intimate partner violence, household substance abuse, household mental illness, and incarceration). ACE scores, ranging from 0 to 8, were categorized into 0, 1, 2, 3, and ≥4. The 2010 BRFSS oral health measures included >1 y since last dental visit, ≥6 teeth extracted, and ≥2 y since last dental cleaning. Survey logistic regression estimated prevalence odds ratios and 95% CIs, adjusted for age, sex, race/ethnicity, and educational attainment. Results: The weighted mean ACE score was 1.74 (95% CI = 1.68 to 1.81), and the weighted and agestandardized percentages of study participants with ACE scores of 0, 1, 2, 3, and ≥4 were 33.1%, 24.3%, 14.9%, 9.69%, and 18.1%, respectively. There appeared to be a dose-response association between categories of ACE scores and the oral health measures.

Prosocial behavior and aggression among children and adolescents are important indicators of social and interpersonal competence. The goal of this study was to investigate whether there are different prototypes among African American adolescents that can help explain prosocial and aggressive (relational and overt) behaviors. Also of interest was whether these profiles differed for boys and girls. The selection of independent variables (e.g., empathy, anger management, normative beliefs about aggression, and ethnic identity) was guided by an information processing model of aggression and prosocial behaviors. The sample consisted of 789 (57% female) African American adolescents between the ages of 11 and 14. Cluster analysis produced three profiles that were similar for boys and girls. These were labeled "well-adjusted," "poorly adjusted," and "low identity." A fourth profile was labeled "low empathy" for girls and "poor anger management" for boys. These four clusters significantly differentiated who engaged in prosocial behavior and relational and overt aggression. Findings suggest that prevention programs may consider targeting well-adjusted youth to serve as peer modes. Additionally, programs that promote empathy, anger management, ethnic identity, and normative beliefs against aggression may be useful for reducing aggression and increasing prosocial behavior among poorly adjusted youth.

African-American women continue to be at high risk for HIV and better prevention efforts are needed. The current paper sought to investigate the relationship between gender roles and condom-related outcomes among African American women. The sample consisted of 398 African-American women, who were administered a survey that contained measures of condom-related outcomes and gender role beliefs. We factor analysed their responses and three domains emerged: caretaking/mindful, interpersonal sensitivity and persistent/active coping. Results indicated that the interpersonal sensitivity domain was a significant predictor of condom use and intention with higher interpersonal sensitivity scores associated with less condom use and intentions. The persistent/active coping domain was a significant predictor of condom negotiation efficacy and condom use with higher scores in this domain associated with more condom negotiation efficacy and use. Results suggest that re-conceptualisations offer a better understanding of underlying traits that may influence condom-related outcomes for this population.

No abstract

No abstract