Racial differences in associations between adverse childhood experiences and physical, mental, and behavioral health

doi:10.1016/j.ssmph.2023.101524

. 2023 Oct 8:24:101524.

doi: 10.1016/j.ssmph.2023.101524. eCollection 2023 Dec.

Racial differences in associations between adverse childhood experiences and physical, mental, and behavioral health

Tracy Lam-Hine¹, Corinne A Riddell^{2

3}, Patrick T Bradshaw³, Michael Omi⁴, Amani M Allen^{3

5}

Affiliations

¹ Stanford University School of Medicine, Division of Epidemiology & Population Health, 1701 Page Mill Road, Palo Alto, CA, USA.
² University of California Berkeley School of Public Health, Division of Biostatistics, 2121 Berkeley Way West, Berkeley, CA, USA.
³ University of California Berkeley School of Public Health, Division of Epidemiology, 2121 Berkeley Way West, Berkeley, CA, USA.
⁴ University of California Berkeley Department of Ethnic Studies, 506 Social Science Building, Berkeley, CA, USA.
⁵ University of California Berkeley School of Public Health, Division of Community Health Sciences, 2121 Berkeley Way West, Berkeley, CA, USA.

PMID: 37860706
PMCID: PMC10583167
DOI: 10.1016/j.ssmph.2023.101524

Racial differences in associations between adverse childhood experiences and physical, mental, and behavioral health

Tracy Lam-Hine et al. SSM Popul Health. 2023.

. 2023 Oct 8:24:101524.

doi: 10.1016/j.ssmph.2023.101524. eCollection 2023 Dec.

Authors

Tracy Lam-Hine¹, Corinne A Riddell^{2

3}, Patrick T Bradshaw³, Michael Omi⁴, Amani M Allen^{3

5}

Affiliations

¹ Stanford University School of Medicine, Division of Epidemiology & Population Health, 1701 Page Mill Road, Palo Alto, CA, USA.
² University of California Berkeley School of Public Health, Division of Biostatistics, 2121 Berkeley Way West, Berkeley, CA, USA.
³ University of California Berkeley School of Public Health, Division of Epidemiology, 2121 Berkeley Way West, Berkeley, CA, USA.
⁴ University of California Berkeley Department of Ethnic Studies, 506 Social Science Building, Berkeley, CA, USA.
⁵ University of California Berkeley School of Public Health, Division of Community Health Sciences, 2121 Berkeley Way West, Berkeley, CA, USA.

PMID: 37860706
PMCID: PMC10583167
DOI: 10.1016/j.ssmph.2023.101524

Abstract

Purpose: Adverse childhood experiences (ACEs) are associated with poor adulthood health. Multiracial people have elevated mean ACEs scores and risk of several outcomes. We aimed to determine whether this group should be targeted for prevention efforts.

Methods: We analyzed three waves (1994-2009) of the National Longitudinal Study of Adolescent to Adult Health (n = 12,372) in 2023, estimating associations between four or more ACEs and physical (metabolic syndrome, hypertension, asthma), mental (anxiety, depression), and behavioral (suicidal ideation, drug use) outcomes. We estimated adjusted risk ratios for each outcome in modified Poisson models interacting race and ACEs. We used the interaction contrast to estimate race-specific excess cases per 1000 relative to Multiracial participants.

Results: Excess case estimates of asthma were smaller for White (-123 cases, 95% CI: -251, -4), Black (-141, 95% CI: -285, -6), and Asian (-169, 95% CI: -334, -7) participants compared to Multiracial participants. Black (-100, 95% CI: -189, -10), Asian (-163, 95% CI: -247, -79) and Indigenous (-144, 95% CI: -252, -42) participants had fewer excess cases of and weaker relative scale association with anxiety compared to Multiracial participants.

Conclusions: Adjusted associations with asthma and anxiety appear stronger for Multiracial people. Existing ACEs prevention strategies should be tailored to support Multiracial youth and families.

Keywords: Adverse childhood experiences; Anxiety; Asthma; Racial groups.

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Conflict of interest statement

The authors declare no competing interests.

Update of

Racial Differences in Associations Between Adverse Childhood Experiences and Physical, Mental, and Behavioral Health.
Lam-Hine T, Riddell CA, Bradshaw PT, Omi M, Allen AM. Lam-Hine T, et al. medRxiv [Preprint]. 2023 Jun 5:2023.06.02.23290905. doi: 10.1101/2023.06.02.23290905. medRxiv. 2023. Update in: SSM Popul Health. 2023 Oct 08;24:101524. doi: 10.1016/j.ssmph.2023.101524. PMID: 37333236 Free PMC article. Updated. Preprint.

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References

1. About the CDC-Kaiser ACE Study Violence Prevention|Injury Center|CDC. https://www.cdc.gov/violenceprevention/aces/about.html
1. Assini L.C., Fix R.L., Green K.M., Nair R., Letourneau E.J. Adverse childhood experiences, mental health, and risk behaviors in adulthood: Exploring sex, racial, and ethnic group differences in a nationally representative sample. Journal of Child & Adolescent Trauma. 2022;15(3):833–845. doi: 10.1007/s40653-021-00424-3. - DOI - PMC - PubMed
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[1] About the CDC-Kaiser ACE Study Violence Prevention|Injury Center|CDC. https://www.cdc.gov/violenceprevention/aces/about.html

[2] About the CDC-Kaiser ACE Study Violence Prevention|Injury Center|CDC. https://www.cdc.gov/violenceprevention/aces/about.html

[3] Assini L.C., Fix R.L., Green K.M., Nair R., Letourneau E.J. Adverse childhood experiences, mental health, and risk behaviors in adulthood: Exploring sex, racial, and ethnic group differences in a nationally representative sample. Journal of Child & Adolescent Trauma. 2022;15(3):833–845. doi: 10.1007/s40653-021-00424-3. - DOI - PMC - PubMed

[4] Assini L.C., Fix R.L., Green K.M., Nair R., Letourneau E.J. Adverse childhood experiences, mental health, and risk behaviors in adulthood: Exploring sex, racial, and ethnic group differences in a nationally representative sample. Journal of Child & Adolescent Trauma. 2022;15(3):833–845. doi: 10.1007/s40653-021-00424-3. - DOI - PMC - PubMed

[5] Bohr A.D., Laurson K., McQueen M.B. A novel cutoff for the waist-to-height ratio predicting metabolic syndrome in young American adults. BMC Public Health. 2016;16(1):295. doi: 10.1186/s12889-016-2964-6. - DOI - PMC - PubMed

[6] Bohr A.D., Laurson K., McQueen M.B. A novel cutoff for the waist-to-height ratio predicting metabolic syndrome in young American adults. BMC Public Health. 2016;16(1):295. doi: 10.1186/s12889-016-2964-6. - DOI - PMC - PubMed

[7] Braveman P.A., Cubbin C., Egerter S., Chideya S., Marchi K.S., Metzler M., Posner S. Socioeconomic status in health research: One size does not fit all. JAMA. 2005;294(22):2879. doi: 10.1001/jama.294.22.2879. - DOI - PubMed

[8] Braveman P.A., Cubbin C., Egerter S., Chideya S., Marchi K.S., Metzler M., Posner S. Socioeconomic status in health research: One size does not fit all. JAMA. 2005;294(22):2879. doi: 10.1001/jama.294.22.2879. - DOI - PubMed

[9] Brownstein N., Kalsbeek W.D., Tabor J., Entzel P., Daza E., Mullan Harris K. 2018. Non-response in wave IV of the national longitudinal study of adolescent health. Published online. - DOI

[10] Brownstein N., Kalsbeek W.D., Tabor J., Entzel P., Daza E., Mullan Harris K. 2018. Non-response in wave IV of the national longitudinal study of adolescent health. Published online. - DOI

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Racial differences in associations between adverse childhood experiences and physical, mental, and behavioral health

Affiliations

Racial differences in associations between adverse childhood experiences and physical, mental, and behavioral health

Authors

Affiliations

Abstract

Conflict of interest statement

Update of

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References

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Abstract

Conflict of interest statement

Update of

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