Adverse childhood experiences (ACE) among American Indians in South Dakota and associations with mental health conditions, alcohol use, and smoking

Donald Warne; Kristen Dulacki; Margaret Spurlock; Thomas Meath; Melinda Davis; Bill Wright; Kenneth (John) McConnell

doi:10.1353/hpu.2017.0133

Adverse childhood experiences (ACE) among American Indians in South Dakota and associations with mental health conditions, alcohol use, and smoking

Donald Warne, Kristen Dulacki, Margaret Spurlock, Thomas Meath, Melinda Davis, Bill Wright, Kenneth (John) McConnell

Research output: Contribution to journal › Article › peer-review

19 Scopus citations

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.

Original language	English (US)
Pages (from-to)	1559-1577
Number of pages	19
Journal	Journal of Health Care for the Poor and Underserved
Volume	28
Issue number	4
DOIs	https://doi.org/10.1353/hpu.2017.0133
State	Published - Nov 1 2017

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

Access to Document

10.1353/hpu.2017.0133

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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; Wright, Bill; McConnell, Kenneth (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 › peer-review

Warne, Donald ; Dulacki, Kristen ; Spurlock, Margaret ; Meath, Thomas ; Davis, Melinda ; Wright, Bill ; McConnell, Kenneth (John). / Adverse childhood experiences (ACE) among American Indians in South Dakota and associations with mental health conditions, alcohol use, and smoking. In: Journal of Health Care for the Poor and Underserved. 2017 ; Vol. 28, No. 4. pp. 1559-1577.

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