Department of Health Services Policy & Management, University of South Carolina, South Carolina Rural Health Research Center, 220 Stoneridge Drive, Suite 204, Columbia, SC 29210, United States.
Children's Trust of South Carolina, United States.
Child Abuse Negl. 2017 Mar;65:204-211. doi: 10.1016/j.chiabu.2017.02.007. Epub 2017 Feb 10.
Adverse childhood experiences (ACEs) have been linked to negative health outcomes in adulthood, but little research has been done on the effect of ACEs on the health and well-being of adults in South Carolina (SC). This study analyzed a sample of 9744 respondents who participated in the 2014 South Carolina Behavioral Risk Factor Surveillance System (BRFSS) to examine the relationship among childhood experiences of physical, sexual, and emotional abuse, as well as witnessing household violence, on mental and physical health outcomes in adulthood among SC residents. Twenty-two percent of survey respondents reported poor general health (22.1%), and a smaller proportion reported high frequent mental distress in the past month (13.1%). Each category of childhood experiences was associated with an increase in the risk of poor general health. Individuals reporting three or more types of experiences were more likely to report poor health (aOR 2.89; 95% CI 2.86-2.92) than adults without such experiences. Respondents reporting three or more types of childhood adverse experiences were more likely to report frequent mental distress (aOR 3.29; 95% CI 3.26-3.33) compared to adults who did not report three or more types of adversity. Findings from the SC BRFSS highlight a connection between ACEs and negative health outcomes later in life. Given that results of this study also demonstrated that increased exposure to ACEs was associated with greater odds of negative health in adulthood, preventing adverse events such as experiencing abuse or witnessing domestic violence in childhood will have significant effects on later adult health.
童年逆境经历（ACEs）与成年人的负面健康结果有关，但对 ACEs 对南卡罗来纳州（SC）成年人的健康和福祉的影响研究甚少。本研究分析了 9744 名参与 2014 年南卡罗来纳州行为风险因素监测系统（BRFSS）的受访者样本，以检验童年期身体、性和情感虐待以及目睹家庭暴力经历与 SC 居民成年后心理健康和身体健康结果之间的关系。22%的调查受访者报告健康状况不佳（22.1%），比例较小的受访者报告过去一个月频繁出现精神困扰（13.1%）。每种类别的童年经历都与增加不良一般健康风险相关。报告三种或更多类型经历的个体更有可能报告健康状况不佳（aOR 2.89；95%CI 2.86-2.92），而没有此类经历的成年人则更有可能报告健康状况不佳。与没有报告三种或更多类型逆境的成年人相比，报告三种或更多类型童年期不良经历的受访者更有可能报告频繁出现精神困扰（aOR 3.29；95%CI 3.26-3.33）。SC BRFSS 的调查结果强调了 ACEs 与晚年负面健康结果之间的联系。鉴于本研究的结果还表明，接触 ACEs 的增加与成年后负面健康的几率增加有关，因此预防虐待或目睹童年期家庭暴力等不良事件将对以后的成年健康产生重大影响。
