How adverse childhood experiences relate to single and multiple health risk behaviours in German public university students: a cross-sectional analysis

Wiehn J, Hornberg C, Fischer F (2018)
BMC Public Health 18: 1005.

Download
OA 802.89 KB
Zeitschriftenaufsatz | Veröffentlicht | Englisch
Volltext vorhanden für diesen Nachweis
Abstract / Bemerkung
Background
Adverse childhood experiences (ACEs) have been shown to be linked to health risk behaviours (HRBs). This study aims to identify risk factors for ACEs and to examine the associations between ACEs and single and multiple HRBs in a sample of university students in Germany.
Methods
An online-based cross-sectional study was conducted among public university students (N = 1466). The widely applied ACE questionnaire was used and extended to operationalise 13 categories of childhood adversity. First, variables for each type of ACE and HRB were dichotomised (single ACEs and single HRBs), and then used for cumulative scores (multiple ACEs and multiple HRBs). Frequencies were assessed, and (multinomial) logistic regression analyses were performed.
Results
Prevalence rates of ACEs ranged from 3.9 to 34.0%, depending on the type of childhood adversity. Sociodemographic risk and protective factors for single/multiple ACEs varied strongly depending on the outcome. In particular, a high family socioeconomic status seemed to be a consistent protective factor for most ACEs. After adjusting for sociodemographic characteristics, both single and multiple HRBs were associated with single events of ACEs. Moreover, dose-response relationships between multiple ACEs and various single and multiple HRBs were found.
Conclusions
The study provides strong evidence that ACEs are associated with HRBs. The number of ACEs may play a role in single or multiple HRBs. Reducing the number of ACEs could thus decrease HRBs, which account for many of the leading causes of morbidity and death. The findings highlight the importance of trauma-informed health interventions designed to prevent the occurrence of ACEs, and build capacity among children and adults.
Erscheinungsjahr
Zeitschriftentitel
BMC Public Health
Band
18
Art.-Nr.
1005
ISSN
Finanzierungs-Informationen
Article Processing Charge funded by the Deutsche Forschungsgemeinschaft and the Open Access Publication Fund of Bielefeld University.
PUB-ID

Zitieren

Wiehn J, Hornberg C, Fischer F. How adverse childhood experiences relate to single and multiple health risk behaviours in German public university students: a cross-sectional analysis. BMC Public Health. 2018;18: 1005.
Wiehn, J., Hornberg, C., & Fischer, F. (2018). How adverse childhood experiences relate to single and multiple health risk behaviours in German public university students: a cross-sectional analysis. BMC Public Health, 18, 1005. doi:10.1186/s12889-018-5926-3
Wiehn, J., Hornberg, C., and Fischer, F. (2018). How adverse childhood experiences relate to single and multiple health risk behaviours in German public university students: a cross-sectional analysis. BMC Public Health 18:1005.
Wiehn, J., Hornberg, C., & Fischer, F., 2018. How adverse childhood experiences relate to single and multiple health risk behaviours in German public university students: a cross-sectional analysis. BMC Public Health, 18: 1005.
J. Wiehn, C. Hornberg, and F. Fischer, “How adverse childhood experiences relate to single and multiple health risk behaviours in German public university students: a cross-sectional analysis”, BMC Public Health, vol. 18, 2018, : 1005.
Wiehn, J., Hornberg, C., Fischer, F.: How adverse childhood experiences relate to single and multiple health risk behaviours in German public university students: a cross-sectional analysis. BMC Public Health. 18, : 1005 (2018).
Wiehn, Jascha, Hornberg, Claudia, and Fischer, Florian. “How adverse childhood experiences relate to single and multiple health risk behaviours in German public university students: a cross-sectional analysis”. BMC Public Health 18 (2018): 1005.
Alle Dateien verfügbar unter der/den folgenden Lizenz(en):
Volltext(e)
Access Level
OA Open Access
Zuletzt Hochgeladen
2018-08-17T07:00:27Z

Link(s) zu Volltext(en)
Access Level
OA Open Access

100 References

Daten bereitgestellt von Europe PubMed Central.

Relationship of childhood abuse and household dysfunction to many of the leading causes of death in adults. The Adverse Childhood Experiences (ACE) Study.
Felitti VJ, Anda RF, Nordenberg D, Williamson DF, Spitz AM, Edwards V, Koss MP, Marks JS., Am J Prev Med 14(4), 1998
PMID: 9635069
The relationship of adverse childhood experiences to a history of premature death of family members.
Anda RF, Dong M, Brown DW, Felitti VJ, Giles WH, Perry GS, Valerie EJ, Dube SR., BMC Public Health 9(), 2009
PMID: 19371414
Adverse childhood experiences and the risk of premature mortality.
Brown DW, Anda RF, Tiemeier H, Felitti VJ, Edwards VJ, Croft JB, Giles WH., Am J Prev Med 37(5), 2009
PMID: 19840693
Kindesmisshandlung – nicht unfallbedingte Verletzungen bei Kindern
Tröbs RB, González-Vásquez R, Barenberg K., 2010

Douglas EM., 2017
Adverse childhood experiences are associated with the risk of lung cancer: a prospective cohort study.
Brown DW, Anda RF, Felitti VJ, Edwards VJ, Malarcher AM, Croft JB, Giles WH., BMC Public Health 10(), 2010
PMID: 20085623
Adverse childhood experiences and chronic obstructive pulmonary disease in adults.
Anda RF, Brown DW, Dube SR, Bremner JD, Felitti VJ, Giles WH., Am J Prev Med 34(5), 2008
PMID: 18407006
Insights into causal pathways for ischemic heart disease
Dong M, Giles WH, Felitti VJ, Dube SR, Williams JE, Chapman DP, Anda RF., 2004
Childhood adversities and adult psychopathology in the WHO World Mental Health Surveys.
Kessler RC, McLaughlin KA, Green JG, Gruber MJ, Sampson NA, Zaslavsky AM, Aguilar-Gaxiola S, Alhamzawi AO, Alonso J, Angermeyer M, Benjet C, Bromet E, Chatterji S, de Girolamo G, Demyttenaere K, Fayyad J, Florescu S, Gal G, Gureje O, Haro JM, Hu CY, Karam EG, Kawakami N, Lee S, Lepine JP, Ormel J, Posada-Villa J, Sagar R, Tsang A, Ustun TB, Vassilev S, Viana MC, Williams DR., Br J Psychiatry 197(5), 2010
PMID: 21037215
Adverse childhood experiences and the risk of depressive disorders in adulthood.
Chapman DP, Whitfield CL, Felitti VJ, Dube SR, Edwards VJ, Anda RF., J Affect Disord 82(2), 2004
PMID: 15488250
The effect of multiple adverse childhood experiences on health: a systematic review and meta-analysis.
Hughes K, Bellis MA, Hardcastle KA, Sethi D, Butchart A, Mikton C, Jones L, Dunne MP., Lancet Public Health 2(8), 2017
PMID: 29253477
Adverse childhood experiences and the association with ever using alcohol and initiating alcohol use during adolescence.
Dube SR, Miller JW, Brown DW, Giles WH, Felitti VJ, Dong M, Anda RF., J Adolesc Health 38(4), 2006
PMID: 16549308
Adverse childhood experiences and personal alcohol abuse as an adult.
Dube SR, Anda RF, Felitti VJ, Edwards VJ, Croft JB., Addict Behav 27(5), 2002
PMID: 12201379
Adverse childhood experiences and smoking during adolescence and adulthood.
Anda RF, Croft JB, Felitti VJ, Nordenberg D, Giles WH, Williamson DF, Giovino GA., JAMA 282(17), 1999
PMID: 10553792
Risky health behaviors among mothers-to-be: the impact of adverse childhood experiences.
Chung EK, Nurmohamed L, Mathew L, Elo IT, Coyne JC, Culhane JF., Acad Pediatr 10(4), 2010
PMID: 20599179
Childhood abuse, neglect, and household dysfunction and the risk of illicit drug use: the adverse childhood experiences study.
Dube SR, Felitti VJ, Dong M, Chapman DP, Giles WH, Anda RF., Pediatrics 111(3), 2003
PMID: 12612237
Adverse childhood experiences and sexual risk behaviors in women: a retrospective cohort study.
Hillis SD, Anda RF, Felitti VJ, Marchbanks PA., Fam Plann Perspect 33(5), 2001
PMID: 11589541
Unintended pregnancy among adult women exposed to abuse or household dysfunction during their childhood.
Dietz PM, Spitz AM, Anda RF, Williamson DF, McMahon PM, Santelli JS, Nordenberg DF, Felitti VJ, Kendrick JS., JAMA 282(14), 1999
PMID: 10527183
The interrelation of adverse childhood experiences within an at-risk pediatric sample
Scott BG, Burke NJ, Weems CF, Hellman JL, Carrión VG., 2013
The interrelatedness of multiple forms of childhood abuse, neglect, and household dysfunction.
Dong M, Anda RF, Felitti VJ, Dube SR, Williamson DF, Thompson TJ, Loo CM, Giles WH., Child Abuse Negl 28(7), 2004
PMID: 15261471
Poly-victimization: a neglected component in child victimization.
Finkelhor D, Ormrod RK, Turner HA., Child Abuse Negl 31(1), 2007
PMID: 17224181
Toward an experimental ecology of human development
Bronfenbrenner U., 1977

Krug EG, Dahlberg LL, Mercy JA, Zwi AB, Lozano R., 2002
The prevalence of child maltreatment across the globe: review of a series of meta-analyses
Stoltenborgh M, Bakermans-Kranenburg MJ, Alink LR, IJzendoorn MH., 2015

Sethi D, Bellis M, Hughes K, Gilbert R, Mitis F, Galea G., 2013
Adverse childhood experiences and associations with health-harming behaviours in young adults: surveys in eight eastern European countries.
Bellis MA, Hughes K, Leckenby N, Jones L, Baban A, Kachaeva M, Povilaitis R, Pudule I, Qirjako G, Ulukol B, Raleva M, Terzic N., Bull. World Health Organ. 92(9), 2014
PMID: 25378755
Adverse childhood experiences and their impact on frequency, severity, and the individual function of nonsuicidal self-injury in youth.
Kaess M, Parzer P, Mattern M, Plener PL, Bifulco A, Resch F, Brunner R., Psychiatry Res 206(2-3), 2012
PMID: 23159195
Sequelae of prospective versus retrospective reports of adverse childhood experiences.
Hardt J, Vellaisamy P, Schoon I., Psychol Rep 107(2), 2010
PMID: 21117468
[The reliable, valid and economic assessment of early traumatization: first psychometric characteristics of the German version of the Adverse Childhood Experiences Questionnaire (ACE)].
Wingenfeld K, Schafer I, Terfehr K, Grabski H, Driessen M, Grabe H, Lowe B, Spitzer C., Psychother Psychosom Med Psychol 61(1), 2010
PMID: 20878600
Psychometric functioning, socio-demographic variability of childhood maltreatment in the general population and its effects of depression.
Schulz A, Schmidt CO, Appel K, Mahler J, Spitzer C, Wingenfeld K, Barnow S, Driessen M, Freyberger HJ, Volzke H, Grabe HJ., Int J Methods Psychiatr Res 23(3), 2014
PMID: 24990306
[The childhood trauma screener (CTS) - development and validation of cut-off-scores for classificatory diagnostics].
Glaesmer H, Schulz A, Hauser W, Freyberger HJ, Brahler E, Grabe HJ., Psychiatr Prax 40(4), 2013
PMID: 23564353
Frequency of child maltreatment in a representative sample of the German population.
Iffland B, Brahler E, Neuner F, Hauser W, Glaesmer H., BMC Public Health 13(), 2013
PMID: 24139055
Moderation of adult depression by a polymorphism in the FKBP5 gene and childhood physical abuse in the general population.
Appel K, Schwahn C, Mahler J, Schulz A, Spitzer C, Fenske K, Stender J, Barnow S, John U, Teumer A, Biffar R, Nauck M, Volzke H, Freyberger HJ, Grabe HJ., Neuropsychopharmacology 36(10), 2011
PMID: 21654733

AUTHOR UNKNOWN, 0

Wetzels P., 1997

AUTHOR UNKNOWN, 1999

AUTHOR UNKNOWN, 0

AUTHOR UNKNOWN, 0

AUTHOR UNKNOWN, 2017

Cohen S., 2010

AUTHOR UNKNOWN, 0
Rethinking the Measurement of Adversity.
Mersky JP, Janczewski CE, Topitzes J., Child Maltreat 22(1), 2016
PMID: 27920222

AUTHOR UNKNOWN, 2014
Optimizing the use of the AUDIT for alcohol screening in college students.
Demartini KS, Carey KB., Psychol Assess 24(4), 2012
PMID: 22612646

AUTHOR UNKNOWN, 0
An epidemiological study of population health reveals social smoking as a major cardiovascular risk factor
Gawlik KS, Melnyk BM, Tan A., 2017

AUTHOR UNKNOWN, 2016

Orth B., 2016
Health Risk Behaviors in a Representative Sample of Bisexual and Heterosexual Female High School Students in Massachusetts.
White Hughto JM, Biello KB, Reisner SL, Perez-Brumer A, Heflin KJ, Mimiaga MJ., J Sch Health 86(1), 2016
PMID: 26645422
Risk-taking behaviour is more frequent in teenage girls with multiple sexual partners.
Kuortti M, Kosunen E., Scand J Prim Health Care 27(1), 2009
PMID: 19221934
Adolescent women underestimate their susceptibility to sexually transmitted infections.
Ethier KA, Kershaw T, Niccolai L, Lewis JB, Ickovics JR., Sex Transm Infect 79(5), 2003
PMID: 14573838

AUTHOR UNKNOWN, 0
Risk factors in child maltreatment: a meta-analytic review of the literature
Stith SM, Liu T, Davies LC, Boykin EL, Alder MC, Harris JM., 2009

Qirjako G, Burazeri G, Sethi D, Miho V., 2013
Child maltreatment as a community problem.
Garbarino J, Kostelny K., Child Abuse Negl 16(4), 1992
PMID: 1393709

Paunović M, Marković M, Vojvodić K, Nešković A, Sethi D, Grbić M., 2015

Kachaeva MA, Sethi D, Badmaeva VD, Novozhilov AV, Ivanov AV., 2014

AUTHOR UNKNOWN, 2013

Ulukol B, Kahiloğulları AK, Sethi D., 2014

AUTHOR UNKNOWN, 0
Adverse childhood experiences and smoking persistence in adults with smoking-related symptoms and illness.
Edwards VJ, Anda RF, Gu D, Dube SR, Felitti VJ., Perm J 11(2), 2007
PMID: 21461087
The long-term health outcomes of childhood abuse. An overview and a call to action.
Springer KW, Sheridan J, Kuo D, Carnes M., J Gen Intern Med 18(10), 2003
PMID: 14521650
Childhood adversity and perceived need for mental health care: findings from a Canadian community sample.
Sareen J, Fleisher W, Cox BJ, Hassard S, Stein MB., J. Nerv. Ment. Dis. 193(6), 2005
PMID: 15920380
Is childhood abuse a risk factor for chronic pain in adulthood?
Raphael KG, Chandler HK, Ciccone DS., Curr Pain Headache Rep 8(2), 2004
PMID: 14980144
Why representativeness should be avoided.
Rothman KJ, Gallacher JE, Hatch EE., Int J Epidemiol 42(4), 2013
PMID: 24062287
Commentary: Representativeness is usually not necessary and often should be avoided.
Richiardi L, Pizzi C, Pearce N., Int J Epidemiol 42(4), 2013
PMID: 24062290
Autobiographical memory disturbances in childhood abuse survivors
Edwards VJ, Fivush R, Anda RF, Felitti VJ, Nordenberg DF., 2001
Memories of childhood abuse: dissociation, amnesia, and corroboration.
Chu JA, Frey LM, Ganzel BL, Matthews JA., Am J Psychiatry 156(5), 1999
PMID: 10327909
Do college students drink more than they think? Use of a free-pour paradigm to determine how college students define standard drinks.
White AM, Kraus CL, McCracken LA, Swartzwelder HS., Alcohol. Clin. Exp. Res. 27(11), 2003
PMID: 14634490
College students lack knowledge of standard drink volumes: implications for definitions of risky drinking based on survey data.
White AM, Kraus CL, Flom JD, Kestenbaum LA, Mitchell JR, Shah K, Swartzwelder HS., Alcohol. Clin. Exp. Res. 29(4), 2005
PMID: 15834229
Behavioural consequences of child abuse.
Al Odhayani A, Watson WJ, Watson L., Can Fam Physician 59(8), 2013
PMID: 23946022
How academic achievement, attitudes, and behaviors relate to the course of substance use during adolescence: a 6-year, multiwave national longitudinal study
Bryant AL, Schulenberg JE, O'malley PM, Bachman JG, Johnston LD., 2003
Risk factors for different dimensions of adolescent drug use
Svensson R., 2000
Root causes and organic budgeting: funding health from conception to the grave
Anda RF, Brown DW., 2007

Snyder H, Oshiro C., 2006
Mortality, morbidity and costs attributable to smoking in Germany: update and a 10-year comparison.
Neubauer S, Welte R, Beiche A, Koenig HH, Buesch K, Leidl R., Tob Control 15(6), 2006
PMID: 17130376
The economic impact of smoking in Germany.
Ruff LK, Volmer T, Nowak D, Meyer A., Eur. Respir. J. 16(3), 2000
PMID: 11028648
Social work and adverse childhood experiences research: implications for practice and health policy.
Larkin H, Felitti VJ, Anda RF., Soc Work Public Health 29(1), 2014
PMID: 24188292

AUTHOR UNKNOWN, 0

AUTHOR UNKNOWN, 0
Screening for Adverse Childhood Experiences in a Family Medicine Setting: A Feasibility Study.
Glowa PT, Olson AL, Johnson DJ., J Am Board Fam Med 29(3), 2016
PMID: 27170787
Screening for adverse childhood experiences (ACEs) in an integrated pediatric care model
Purewal SK, Bucci M, Gutiérrez L, Koita K, Silvério S, Oh D, Burke HN., 2016

Eklund K, Rossen E., 2016
Parents' adverse childhood experiences and mental health screening using home visiting programs: A pilot study.
Johnson K, Woodward A, Swenson S, Weis C, Gunderson M, Deling M, Cristiani V, Lynch B., Public Health Nurs 34(6), 2017
PMID: 28812324
Adverse childhood experiences and trauma informed care: the future of health care.
Oral R, Ramirez M, Coohey C, Nakada S, Walz A, Kuntz A, Benoit J, Peek-Asa C., Pediatr. Res. 79(1-2), 2015
PMID: 26460523
Building trauma-informed schools and communities
Walkley M, Cox TL., 2013
A systematic review of randomized controlled trials of interventions designed to decrease child abuse in high-risk families.
Levey EJ, Gelaye B, Bain P, Rondon MB, Borba CP, Henderson DC, Williams MA., Child Abuse Negl 65(), 2017
PMID: 28110205
The effectiveness of early childhood home visitation in preventing violence: a systematic review.
Bilukha O, Hahn RA, Crosby A, Fullilove MT, Liberman A, Moscicki E, Snyder S, Tuma F, Corso P, Schofield A, Briss PA; Task Force on Community Preventive Services., Am J Prev Med 28(2 Suppl 1), 2005
PMID: 15698746
Hard to reach families – a methodological approach to early recognition, recruitment, and randomization in an intervention study
Neuhauser A, Ramseier E, Schaub S, Burkhardt SC, Templer F, Lanfranchi A., 2015
Reducing adverse childhood experiences (ACE) by building community capacity: a summary of Washington Family Policy Council research findings.
Hall J, Porter L, Longhi D, Becker-Green J, Dreyfus S., J Prev Interv Community 40(4), 2012
PMID: 22970785

Export

Markieren/ Markierung löschen
Markierte Publikationen

Open Data PUB

Web of Science

Dieser Datensatz im Web of Science®

Quellen

PMID: 30103728
PubMed | Europe PMC

Suchen in

Google Scholar