First-time exploration of adverse childhood experiences among adults in Delaware using BRFSS data: A cross-sectional study

Gupta, Sangeeta

doi:10.1016/j.puhip.2022.100233

Cited by 3 publications

(2 citation statements)

References 16 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…People who never witnessed or experienced such an incident fell under the ‘no’ category. Consistent with previous studies using BRFSS data [ 33 , 34 ], our ACE questionnaire items are also dichotomized. Then, we combined these eleven ACE questions in to three major categories (no ACEs, 1–2 ACEs, and ≥3 ACEs).…”

Section: Methodsmentioning

confidence: 83%

“…ACEs are a source of widespread health and socioeconomic burden that necessitates urgent attention and action. For those enduring or recovering from cancer, such early adversities may intersect with the a States that completed ACE modules in BRFSS 2021 are Alabama (1), Arkansas (5), Iowa (19), Mississippi (28), Nevada (32), New Hampshire (33), North Dakota (38), Oregon (41), South Carolina (45), Virginia (51), Wisconsin (55). b Each Question (1-11) is formatted as a dichotomous variable (yes/no).…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Association between adverse childhood experiences and self-reported health-risk behaviors among cancer survivors: A population-based study

Sarkar,

Jackson,

Manzo

et al. 2024

PLoS ONE

View full text Add to dashboard Cite

Aims Existing evidence shows that people who report Adverse Childhood Experiences (ACEs) are more likely to exhibit health-risk behaviors. However, limited research on this topic pertains to oncology population. We aim to address this knowledge gap by estimating the prevalence of ACEs and investigating their association with self-reported health-risk behaviors among adult cancer survivors living in the U.S. Methods We conducted a secondary analysis using cross-sectional data from the 2021 Behavioral Risk Factor Surveillance System ACE module. We included 4,126 adults, aged ≥18 years, with a history of cancer. The outcome variable was self-reported health-risk behaviors, which included cigarette smoking, e-cigarette use, and binge alcohol drinking. Self-reported ACEs history was the primary independent variable, comprised of 11 questions regarding child abuse and dysfunctional households. We conducted descriptive statistics and multivariable logistic regression to describe the relationship between the ACE history and health-risk behaviors. Results Overall, 84.2% of cancer survivors self-reported as White, 58.4% were women, and 76.6% were aged 65+ years. Nearly two-thirds of the sample (63.2%) self-reported at least one ACE (prior to age 18) and 21.7% engaged in ≥1 health-risk-behaviors, such as cigarette smoking, binge alcohol drinking, or e-cigarette use. Experiencing ≥3 ACEs was associated with 145% increased odds of reporting at least one health-risk behavior (OR = 2.45, 95% CI [1.78–3.38]) when compared to those without a history of ACEs. Besides, survivors who were younger, divorced, less educated, and had low income had higher odds of reporting at least one health-risk behavior. Conclusions Overall, a history of ACEs is associated with health-risk behaviors. These all can negatively impact cancer survivors’ overall well-being. Early screening for ACE during oncologic visits can be a protective measure for preventing health-risk behaviors among cancer survivors.

show abstract

Section: Methodsmentioning

confidence: 83%