Violence Exposure, A Chronic Psychosocial Stressor, and Childhood Lung Function

Suglia, Shakira F.; Ryan, Louise; Laden, Francine; Dockery, Douglas W.; Wright, Rosalind J.

doi:10.1097/psy.0b013e318160687c

Cited by 48 publications

(37 citation statements)

References 74 publications

(85 reference statements)

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“…While research suggests that the psychological impact of trauma of and reactions to trauma may be different for boys and girls (Rasmussen et al, 2004; Reese et al, 2001; Suglia et al, 2008), studies have not clarified gender differences in the association of trauma and drug misuse. Even studies focused on child sexual abuse have inconsistent findings (Dube et al, 2003; Hayatbakhsh et al, 2009; Hyman et al, 2008).…”

Section: Discussionmentioning

confidence: 99%

The relationships of childhood trauma and adulthood prescription pain reliever misuse and injection drug use

Quinn

Boone

Scheidell

et al. 2016

Drug and Alcohol Dependence

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Background We examined associations between childhood trauma and adulthood prescription pain reliever misuse (PPRM) and injection drug use (IDU) in a nationally-representative U.S. sample to further understanding of factors associated with these epidemics. Methods National Longitudinal Study of Adolescent to Adult Health data (N=12,288) yielded nine childhood traumas: neglect; emotional, physical, sexual abuse; parental incarceration and binge drinking; witnessed, threatened with, and experienced violence. We estimated adjusted odds ratios (AOR) and 95% confidence intervals for the association of each trauma and cumulative trauma and drug initiation in emerging and later adulthood. Results Outcome prevalences were 20% (PPRM) and 1% (IDU) in emerging adulthood and 10% PPRM in adulthood. We observed dose-response relationships that varied across outcomes. Cumulative trauma (referent=none) was associated with 34–79% greater odds of PPRM (emerging adulthood) across one to five+ trauma categories. The gradient was most consistent and associations strongest for adulthood PPRM: one trauma AOR=1.46(1.12, 1.91); two AOR=1.71(1.23, 2.36); three AOR=2.16(1.43, 2.36); four AOR=2.70(1.42, 5.62); five+ AOR=3.09(1.52, 6.30). Dose-response was less consistent for IDU, but 4 and 5+ traumas were associated with approximately seven and five times the odds of IDU. Neglect, emotional abuse, and parental incarceration and binge drinking were associated with 25–55% increased odds of PPRM. Sexual abuse and witnessed violence were associated with nearly 3 and 5 times the odds of IDU. Conclusions Associations between childhood trauma and PPRM/IDU highlight the need for trauma-informed interventions for drug users and early trauma screening and treatment for prevention of drug misuse over the life course.

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Section: Discussionmentioning

confidence: 99%

The relationships of childhood trauma and adulthood prescription pain reliever misuse and injection drug use

Quinn

Boone

Scheidell

et al. 2016

Drug and Alcohol Dependence

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“…Because of the interconnectivity of these stress-response systems, children who experience violence in their homes or communities not only show long-term changes in patterns of hypothalamic-pituitary-adrenal axis functioning, cortisol release, and neural connectivity (collectively known as allostatic load), but may also experience significantly elevated heart rates, chronic sleep disruption, decreased lung functioning, and changes in genetic transcription [Ganzel et al, 2010;McEwen & Stellar, 1993;McGowan et al, 2009;Pynoos, 1993;Saltzman et al, 2005;Suglia, Ryan, Laden, Dockery, & Wright, 2008]. In turn, these biological changes have been found to predict less higher-order reflection, difficulty with appropriate attention deployment and shifting, and more behavioral reactivity and automaticity over time, particularly for children from chaotic or unpredictable environments [Blair, 2010;Evans & Schamberg, 2009;Goldsmith, Pollack, & Davidson, 2008;Taylor, Eisenberger, Saxbe, Lehman, & Lieberman, 2006;Valentino & Van Bockstaele, 2008].…”

Section: Individual Mechanismsmentioning

confidence: 99%

Early Violence Exposure and Self-Regulatory Development: A Bioecological Systems Perspective

McCoy¹

2013

Human Development

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Each year, thousands of American children are exposed to violence in their homes and communities. Although research in multiple fields has shown this violence to have severe and negative consequences for children's self-regulation, this work lacks a unified theoretical orientation that sufficiently captures the complexity of these relationships. Using a bioecological systems framework, the present article presents a multidimensional model of the relationship between children's exposure to violence and their self-regulatory development. Specifically, this model considers: (a) different dimensions of exposure (including chronicity, pervasiveness, and proximity); (b) child- and family-level mediating mechanisms (including biological stress-response systems and parenting); (c) the transactional, multidirectional nature of these relationships; and (d) the ways in which individual and environmental factors may contribute to multifinality. Finally, the present article also proposes a number of methodological and conceptual suggestions for strengthening future research in the area of violence, self-regulation, and psychosocial risk.

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“…[23][24][25][26][27][28][29][30][31][32][33][34] Caregiver stress, negative life events, problematic family relationships, parenting difficulties, critical attitudes of one's mother and violence exposure have been related to wheeze, asthma onset, and/or adverse asthma outcomes among infants and youths. 14,15,[20][21][22][29][30][31][32][35][36][37][38][39][40][41] The housing and health relationship has long been acknowledged, not surprising given that water, warmth, air, shelter, and safety are fundamental human needs. 42 US children spend as much as 80-90% of their time indoors.…”

Section: Introductionmentioning

confidence: 99%

Stress and the City: Housing Stressors are Associated with Respiratory Health among Low Socioeconomic Status Chicago Children

et al. 2010

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Asthma disproportionately affects non-whites in urban areas and those of low socioeconomic status, yet asthma's social patterning is not well-explained by known risk factors. We hypothesized that disadvantaged urban populations experience acute and chronic housing stressors which produce psychological stress and impact health through biological and behavioral pathways. We examined eight outcomes: six child respiratory outcomes as well as parent and child general health, using data from 682 low-income, Chicago parents of diagnosed and undiagnosed asthmatic children. We created a continuous exposure, representing material, social and emotional dimensions of housing stressors, weighted by their parent-reported difficulty. We compared the 75th to the 25th quartile of exposure in adjusted binomial and negative binomial regression models. Higher risks and rates of poor health were associated with higher housing stressors for six of eight outcomes. The risk difference (RD) for poor/fair general health was larger for children [RD=6.28 (95% CI 1.22, 11.35)] than for parents [RD=3.88 (95% CI −1.87, 9.63)]. The incidence rate difference (IRD) for exercise intolerance was nearly one extra day per 2 weeks for the higher exposure group [IRD= 0.88 (95% CI 0.41, 1.35)]; nearly one-third extra day per 2 weeks for waking at night [IRD=0.32 (95% CI 0.01, 0.63)]; and nearly one-third extra day per 6 months for unplanned medical visits [IRD=0.30 (95% CI 0.059, 0.54)]. Results contribute to the conceptualization of urban stress as a "social pollutant" and to the hypothesized role of stress in health disparities. Interventions to improve asthma outcomes must address individuals' reactions to stress while we seek structural solutions to residential stressors and health inequities.

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Violence Exposure, A Chronic Psychosocial Stressor, and Childhood Lung Function

Abstract: Background-Chronic psychosocial stressors, including violence, have been linked to neuropsychological and behavioral development in children as well as physiologic alterations that may lead to broader health effects.

Cited by 48 publications

References 74 publications

The relationships of childhood trauma and adulthood prescription pain reliever misuse and injection drug use

The relationships of childhood trauma and adulthood prescription pain reliever misuse and injection drug use

Early Violence Exposure and Self-Regulatory Development: A Bioecological Systems Perspective

Stress and the City: Housing Stressors are Associated with Respiratory Health among Low Socioeconomic Status Chicago Children

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