Abstract
Objectives. To assess the prevalence of Adverse Childhood Experiences (ACEs) and their association with behavioral health in American Indian (AI) and non-AI populations in South Dakota. Methods. We included the validated ACE questionnaire in a statewide health survey of 16,001 households. We examined the prevalence of ACEs and behavioral health conditions in AI and non-AI populations and associations between ACEs and behavioral health. Results. Compared with non-AIs, AIs displayed higher prevalence of ACEs including abuse, neglect, and household dysfunction and had a higher total number of ACEs. For AIs and non-AIs, having six or more ACEs significantly increased the odds for depression, anxiety, PTSD, severe alcohol misuse, and smoking compared with individuals with no ACEs. Conclusions. American Indians in South Dakota experience more ACEs, which may contribute to poor behavioral health. Preventing and mitigating the effects of ACEs may have a significant impact on health disparities in AI populations.
| Language | English (US) |
|---|---|
| Pages | 1559-1577 |
| Number of pages | 19 |
| Journal | Journal of Health Care for the Poor and Underserved |
| Volume | 28 |
| Issue number | 4 |
| DOIs | |
| State | Published - Nov 1 2017 |
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Keywords
- Adverse childhood experiences
- Alcohol
- Anxiety
- Cross-sectional studies
- Depression
- Health surveys
- Indians
- North American
- Post-traumatic
- Prevalence
- Smoking
- South Dakota
- Stress disorders
- Surveys and questionnaires
ASJC Scopus subject areas
- Public Health, Environmental and Occupational Health
Cite this
Adverse childhood experiences (ACE) among American Indians in South Dakota and associations with mental health conditions, alcohol use, and smoking. / Warne, Donald; Dulacki, Kristen; Spurlock, Margaret; Meath, Thomas; Davis, Melinda M.; Wright, Bill; McConnell, K. John.
In: Journal of Health Care for the Poor and Underserved, Vol. 28, No. 4, 01.11.2017, p. 1559-1577.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Adverse childhood experiences (ACE) among American Indians in South Dakota and associations with mental health conditions, alcohol use, and smoking
AU - Warne,Donald
AU - Dulacki,Kristen
AU - Spurlock,Margaret
AU - Meath,Thomas
AU - Davis,Melinda M.
AU - Wright,Bill
AU - McConnell,K. John
PY - 2017/11/1
Y1 - 2017/11/1
N2 - Objectives. To assess the prevalence of Adverse Childhood Experiences (ACEs) and their association with behavioral health in American Indian (AI) and non-AI populations in South Dakota. Methods. We included the validated ACE questionnaire in a statewide health survey of 16,001 households. We examined the prevalence of ACEs and behavioral health conditions in AI and non-AI populations and associations between ACEs and behavioral health. Results. Compared with non-AIs, AIs displayed higher prevalence of ACEs including abuse, neglect, and household dysfunction and had a higher total number of ACEs. For AIs and non-AIs, having six or more ACEs significantly increased the odds for depression, anxiety, PTSD, severe alcohol misuse, and smoking compared with individuals with no ACEs. Conclusions. American Indians in South Dakota experience more ACEs, which may contribute to poor behavioral health. Preventing and mitigating the effects of ACEs may have a significant impact on health disparities in AI populations.
AB - Objectives. To assess the prevalence of Adverse Childhood Experiences (ACEs) and their association with behavioral health in American Indian (AI) and non-AI populations in South Dakota. Methods. We included the validated ACE questionnaire in a statewide health survey of 16,001 households. We examined the prevalence of ACEs and behavioral health conditions in AI and non-AI populations and associations between ACEs and behavioral health. Results. Compared with non-AIs, AIs displayed higher prevalence of ACEs including abuse, neglect, and household dysfunction and had a higher total number of ACEs. For AIs and non-AIs, having six or more ACEs significantly increased the odds for depression, anxiety, PTSD, severe alcohol misuse, and smoking compared with individuals with no ACEs. Conclusions. American Indians in South Dakota experience more ACEs, which may contribute to poor behavioral health. Preventing and mitigating the effects of ACEs may have a significant impact on health disparities in AI populations.
KW - Adverse childhood experiences
KW - Alcohol
KW - Anxiety
KW - Cross-sectional studies
KW - Depression
KW - Health surveys
KW - Indians
KW - North American
KW - Post-traumatic
KW - Prevalence
KW - Smoking
KW - South Dakota
KW - Stress disorders
KW - Surveys and questionnaires
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UR - http://www.scopus.com/inward/citedby.url?scp=85035340606&partnerID=8YFLogxK
U2 - 10.1353/hpu.2017.0133
DO - 10.1353/hpu.2017.0133
M3 - Article
VL - 28
SP - 1559
EP - 1577
JO - Journal of Health Care for the Poor and Underserved
T2 - Journal of Health Care for the Poor and Underserved
JF - Journal of Health Care for the Poor and Underserved
SN - 1049-2089
IS - 4
ER -