Cargando…

Adult Food Security and the Relationship with Adverse Childhood Experiences Among Residents of Appalachian North Carolina

INTRODUCTION: The Appalachian region has worse health outcomes than the remainder of the United States. These disparities are often linked to the underlying social and environmental determinants of health. Adverse childhood experiences (ACEs) are associated with poor health outcomes across the lifes...

Descripción completa

Detalles Bibliográficos
Autores principales: Roy, Manan, Bouldin, Erin, Bennett, Maggie, Hege, Adam
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The University of Kentucky 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9138699/
https://www.ncbi.nlm.nih.gov/pubmed/35769938
http://dx.doi.org/10.13023/jah.0103.03
_version_ 1784714685443997696
author Roy, Manan
Bouldin, Erin
Bennett, Maggie
Hege, Adam
author_facet Roy, Manan
Bouldin, Erin
Bennett, Maggie
Hege, Adam
author_sort Roy, Manan
collection PubMed
description INTRODUCTION: The Appalachian region has worse health outcomes than the remainder of the United States. These disparities are often linked to the underlying social and environmental determinants of health. Adverse childhood experiences (ACEs) are associated with poor health outcomes across the lifespan and have a significant impact on future social determinants as an adult, including food security status. PURPOSE: To explore the relationships between ACEs and food security among adults in the Appalachian counties of North Carolina and make comparisons with the rest of the state. METHODS: Researchers used North Carolina’s 2012 Behavioral Risk Factor Surveillance System data; namely, the ACEs optional module which includes 11 items related to experiences respondents had before the age of 18 and a single item from the Social Context optional module to classify food security status. The sample was divided into three age categories (18–44, 45–64, and 65 and older) for statistical comparisons as well as by the indicator for Appalachian county. Using Stata 15, weighted logistic regression was utilized for examining relationships between variables. RESULTS: ACEs were a statistically significant predictor of food insecurity across all respondents; each additional ACE was associated with a 13–21% increase in the odds of food insecurity, depending on age group. However, living in an Appalachian county was only a predictor for those age 45–64. IMPLICATIONS: These findings highlight the long-term effects of childhood experiences on food security generally, and in Appalachia particularly for middle-aged adults. Reducing ACEs could reduce food insecurity and improve health in the region.
format Online
Article
Text
id pubmed-9138699
institution National Center for Biotechnology Information
language English
publishDate 2019
publisher The University of Kentucky
record_format MEDLINE/PubMed
spelling pubmed-91386992022-06-28 Adult Food Security and the Relationship with Adverse Childhood Experiences Among Residents of Appalachian North Carolina Roy, Manan Bouldin, Erin Bennett, Maggie Hege, Adam J Appalach Health Articles INTRODUCTION: The Appalachian region has worse health outcomes than the remainder of the United States. These disparities are often linked to the underlying social and environmental determinants of health. Adverse childhood experiences (ACEs) are associated with poor health outcomes across the lifespan and have a significant impact on future social determinants as an adult, including food security status. PURPOSE: To explore the relationships between ACEs and food security among adults in the Appalachian counties of North Carolina and make comparisons with the rest of the state. METHODS: Researchers used North Carolina’s 2012 Behavioral Risk Factor Surveillance System data; namely, the ACEs optional module which includes 11 items related to experiences respondents had before the age of 18 and a single item from the Social Context optional module to classify food security status. The sample was divided into three age categories (18–44, 45–64, and 65 and older) for statistical comparisons as well as by the indicator for Appalachian county. Using Stata 15, weighted logistic regression was utilized for examining relationships between variables. RESULTS: ACEs were a statistically significant predictor of food insecurity across all respondents; each additional ACE was associated with a 13–21% increase in the odds of food insecurity, depending on age group. However, living in an Appalachian county was only a predictor for those age 45–64. IMPLICATIONS: These findings highlight the long-term effects of childhood experiences on food security generally, and in Appalachia particularly for middle-aged adults. Reducing ACEs could reduce food insecurity and improve health in the region. The University of Kentucky 2019-09-27 /pmc/articles/PMC9138699/ /pubmed/35769938 http://dx.doi.org/10.13023/jah.0103.03 Text en Copyright © 2019 Manan Roy, Erin Bouldin, Maggie Bennett, and Adam Hege https://creativecommons.org/licenses/by/4.0/This work is licensed under a Creative Commons Attribution 4.0 License (https://creativecommons.org/licenses/by/4.0/) .
spellingShingle Articles
Roy, Manan
Bouldin, Erin
Bennett, Maggie
Hege, Adam
Adult Food Security and the Relationship with Adverse Childhood Experiences Among Residents of Appalachian North Carolina
title Adult Food Security and the Relationship with Adverse Childhood Experiences Among Residents of Appalachian North Carolina
title_full Adult Food Security and the Relationship with Adverse Childhood Experiences Among Residents of Appalachian North Carolina
title_fullStr Adult Food Security and the Relationship with Adverse Childhood Experiences Among Residents of Appalachian North Carolina
title_full_unstemmed Adult Food Security and the Relationship with Adverse Childhood Experiences Among Residents of Appalachian North Carolina
title_short Adult Food Security and the Relationship with Adverse Childhood Experiences Among Residents of Appalachian North Carolina
title_sort adult food security and the relationship with adverse childhood experiences among residents of appalachian north carolina
topic Articles
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9138699/
https://www.ncbi.nlm.nih.gov/pubmed/35769938
http://dx.doi.org/10.13023/jah.0103.03
work_keys_str_mv AT roymanan adultfoodsecurityandtherelationshipwithadversechildhoodexperiencesamongresidentsofappalachiannorthcarolina
AT bouldinerin adultfoodsecurityandtherelationshipwithadversechildhoodexperiencesamongresidentsofappalachiannorthcarolina
AT bennettmaggie adultfoodsecurityandtherelationshipwithadversechildhoodexperiencesamongresidentsofappalachiannorthcarolina
AT hegeadam adultfoodsecurityandtherelationshipwithadversechildhoodexperiencesamongresidentsofappalachiannorthcarolina