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Adverse Childhood Experiences and Chronic Diseases: Identifying a Cut-Point for ACE Scores

Adverse Childhood Experiences (ACEs) contribute to many negative physiological, psychological, and behavioral health consequences. However, a cut-point for adverse childhood experience (ACE) scores, as it pertains to health outcomes, has not been clearly identified. This ambiguity has led to the use...

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Autores principales: Alhowaymel, Fahad M., Kalmakis, Karen A., Chiodo, Lisa M., Kent, Nicole M., Almuneef, Maha
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9863315/
https://www.ncbi.nlm.nih.gov/pubmed/36674405
http://dx.doi.org/10.3390/ijerph20021651
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author Alhowaymel, Fahad M.
Kalmakis, Karen A.
Chiodo, Lisa M.
Kent, Nicole M.
Almuneef, Maha
author_facet Alhowaymel, Fahad M.
Kalmakis, Karen A.
Chiodo, Lisa M.
Kent, Nicole M.
Almuneef, Maha
author_sort Alhowaymel, Fahad M.
collection PubMed
description Adverse Childhood Experiences (ACEs) contribute to many negative physiological, psychological, and behavioral health consequences. However, a cut-point for adverse childhood experience (ACE) scores, as it pertains to health outcomes, has not been clearly identified. This ambiguity has led to the use of different cut-points to define high scores. The aim of this study is to clarify a cut-point at which ACEs are significantly associated with negative chronic health outcomes. To accomplish this aim, a secondary analysis using data from a cross-sectional study was conducted. The Adverse Childhood Experiences-International Questionnaire (ACE-IQ) was used for data collection. Descriptive statistics, nonparametric regression, and logistic regression analyses were performed on a sample of 10,047 adults. Data from demographic and self-report health measures were included. The results showed that a cut-point of four or more ACEs was significantly associated with increased rates of chronic disease. Participants with at least one chronic disease were almost 3 times more likely (OR = 2.8) to be in the high ACE group. A standardized cut-point for ACE scores will assist in future research examining the impact of high ACEs across cultures to study the effect of childhood experiences on health.
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spelling pubmed-98633152023-01-22 Adverse Childhood Experiences and Chronic Diseases: Identifying a Cut-Point for ACE Scores Alhowaymel, Fahad M. Kalmakis, Karen A. Chiodo, Lisa M. Kent, Nicole M. Almuneef, Maha Int J Environ Res Public Health Article Adverse Childhood Experiences (ACEs) contribute to many negative physiological, psychological, and behavioral health consequences. However, a cut-point for adverse childhood experience (ACE) scores, as it pertains to health outcomes, has not been clearly identified. This ambiguity has led to the use of different cut-points to define high scores. The aim of this study is to clarify a cut-point at which ACEs are significantly associated with negative chronic health outcomes. To accomplish this aim, a secondary analysis using data from a cross-sectional study was conducted. The Adverse Childhood Experiences-International Questionnaire (ACE-IQ) was used for data collection. Descriptive statistics, nonparametric regression, and logistic regression analyses were performed on a sample of 10,047 adults. Data from demographic and self-report health measures were included. The results showed that a cut-point of four or more ACEs was significantly associated with increased rates of chronic disease. Participants with at least one chronic disease were almost 3 times more likely (OR = 2.8) to be in the high ACE group. A standardized cut-point for ACE scores will assist in future research examining the impact of high ACEs across cultures to study the effect of childhood experiences on health. MDPI 2023-01-16 /pmc/articles/PMC9863315/ /pubmed/36674405 http://dx.doi.org/10.3390/ijerph20021651 Text en © 2023 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Alhowaymel, Fahad M.
Kalmakis, Karen A.
Chiodo, Lisa M.
Kent, Nicole M.
Almuneef, Maha
Adverse Childhood Experiences and Chronic Diseases: Identifying a Cut-Point for ACE Scores
title Adverse Childhood Experiences and Chronic Diseases: Identifying a Cut-Point for ACE Scores
title_full Adverse Childhood Experiences and Chronic Diseases: Identifying a Cut-Point for ACE Scores
title_fullStr Adverse Childhood Experiences and Chronic Diseases: Identifying a Cut-Point for ACE Scores
title_full_unstemmed Adverse Childhood Experiences and Chronic Diseases: Identifying a Cut-Point for ACE Scores
title_short Adverse Childhood Experiences and Chronic Diseases: Identifying a Cut-Point for ACE Scores
title_sort adverse childhood experiences and chronic diseases: identifying a cut-point for ace scores
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9863315/
https://www.ncbi.nlm.nih.gov/pubmed/36674405
http://dx.doi.org/10.3390/ijerph20021651
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