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Adverse childhood experiences and associations with health-harming behaviours in young adults: surveys in eight eastern European countries

Bulletin of the World Health Organization, 2014-09, Vol.92 (9), p.641-655 [Peer Reviewed Journal]

2015 INIST-CNRS ;Copyright World Health Organization Sep 2014 ;(c) 2014 The authors; licensee World Health Organization. 2014 ;ISSN: 0042-9686 ;EISSN: 1564-0604 ;DOI: 10.2471/BLT.13.129247 ;PMID: 25378755 ;CODEN: BWHOA6

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Title:
Adverse childhood experiences and associations with health-harming behaviours in young adults: surveys in eight eastern European countries
Author: BELLIS, Mark A ; HUGHES, Karen ; RALEVA, Marija ; TERZIC, Natasa ; LECKENBY, Nicola ; JONES, Lisa ; BABAN, Adriana ; KACHAEVA, Margarita ; PAVILAITIS, Robertas ; PUDULE, Iveta ; QIRJAKO, Gentiana ; ULUKOL, Betül
Subjects: Adolescent ; Adult ; Adult Survivors of Child Abuse - psychology ; Adults ; Behavior ; Child abuse & neglect ; Child development ; Childhood ; Children & youth ; Correlation ; Costs ; Education ; Emotional abuse ; Europe ; Europe - epidemiology ; Family Characteristics ; Family medical history ; Female ; Health ; Health Behavior ; Health care ; Health Policy & Services ; Humans ; Male ; Mental disorders ; Methods ; Modelling ; Mortality ; Multivariate analysis ; Organizations ; Physical activity ; Polls & surveys ; Questionnaires ; Risk ; Self-Injurious Behavior - epidemiology ; Studies ; Suicide ; Surveys ; Surveys and Questionnaires ; World Health Organization
Is Part Of: Bulletin of the World Health Organization, 2014-09, Vol.92 (9), p.641-655
Description: To evaluate the association between adverse childhood experiences - e.g. abuse, neglect, domestic violence and parental separation, substance use, mental illness or incarceration - and the health of young adults in eight eastern European countries. Between 2010 and 2013, adverse childhood experience surveys were undertaken in Albania, Latvia, Lithuania, Montenegro, Romania, the Russian Federation, The former Yugoslav Republic of Macedonia and Turkey. There were 10,696 respondents - 59.7% female - aged 18-25 years. Multivariate modelling was used to investigate the relationships between adverse childhood experiences and health-harming behaviours in early adulthood including substance use, physical inactivity and attempted suicide. Over half of the respondents reported at least one adverse childhood experience. Having one adverse childhood experience increased the probability of having other adverse childhood experiences. The number of adverse childhood experiences was positively correlated with subsequent reports of health-harming behaviours. Compared with those who reported no adverse experiences, respondents who reported at least four adverse childhood experiences were at significantly increased risk of many health-harming behaviours, with odds ratios varying from 1.68 (95% confidence interval, CI: 1.32-2.15) - for physical inactivity - to 48.53 (95% CI: 31.98-76.65) - for attempted suicide. Modelling indicated that prevention of adverse childhood experiences would substantially reduce the occurrence of many health-harming behaviours within the study population. Our results indicate that individuals who do not develop health-harming behaviours are more likely to have experienced safe, nurturing childhoods. Evidence-based programmes to improve parenting and support child development need large-scale deployment in eastern European.
Publisher: Genève: Organisation mondiale de la santé
Language: Russian;English;Portuguese
Identifier: ISSN: 0042-9686
EISSN: 1564-0604
DOI: 10.2471/BLT.13.129247
PMID: 25378755
CODEN: BWHOA6
Source: SciELO
GFMER Free Medical Journals
MEDLINE
PubMed Central
ProQuest Central
DOAJ Directory of Open Access Journals

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Adverse childhood experiences and associations with health-harming behaviours in young adults: surveys in eight eastern European countries

2015 INIST-CNRS ;Copyright World Health Organization Sep 2014 ;(c) 2014 The authors; licensee World Health Organization. 2014 ;ISSN: 0042-9686 ;EISSN: 1564-0604 ;DOI: 10.2471/BLT.13.129247 ;PMID: 25378755 ;CODEN: BWHOA6

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