Specific domains of positive childhood experiences (PCEs) associated with improved adult health: A nationally representative study
Background: Positive childhood experiences (PCEs) are supportive relationships and environments associated with improved health when aggregated into composite scores. Adverse childhood experiences (ACEs), a reciprocal measure to PCEs, are associated with worse health in aggregate scores and when dis...
| Main Authors: | , , , , , , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2023-12-01
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| Series: | SSM: Population Health |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2352827323002239 |
| _version_ | 1797429995428118528 |
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| author | Jaime La Charite Mariam Khan Rebecca Dudovitz Teryl Nuckols Narayan Sastry Cher Huang Yvonne Lei Adam Schickedanz |
| author_facet | Jaime La Charite Mariam Khan Rebecca Dudovitz Teryl Nuckols Narayan Sastry Cher Huang Yvonne Lei Adam Schickedanz |
| author_sort | Jaime La Charite |
| collection | DOAJ |
| description | Background: Positive childhood experiences (PCEs) are supportive relationships and environments associated with improved health when aggregated into composite scores. Adverse childhood experiences (ACEs), a reciprocal measure to PCEs, are associated with worse health in aggregate scores and when disaggregated into measures of specific ACE types (hereafter domains). Understanding the associations between specific PCE domains and health, while accounting for ACEs, may direct investigations and intervention planning to foster PCE exposure. Methods: We analyzed data from the nationally representative United States longitudinal Panel Study of Income Dynamics. Five PCE domains were examined: (i) peer support and healthy school climate, (ii) neighborhood safety, (iii) neighborhood support, and nurturing relationships with (iv) maternal and (v) paternal figures. Survey weighted logistic regression models tested associations between each PCE domain measure and adult general health rating, controlling for demographic covariates and nine ACE exposures: physical, emotional, or sexual abuse/assault; emotional neglect; witnessing intimate partner violence or household substance use; having a parent with mental illness; any parental separation or divorce; and/or having a deceased or estranged parent. Secondary outcomes included adult functional status and mental and physical health diagnoses. We also tested for statistical interactions between PCE domain and ACE score measures. Results: The sample included 7105 adults. Higher scores for the “peer support and healthy school climate” and “neighborhood safety” domain measures showed the most protective relationships with the adverse health conditions tested, most notably for mental illness. The relationship between PCE domain measures and health outcomes was attenuated, but not statistically moderated by ACE exposure. Conclusion: Experiencing childhood peer support, a healthy school climate, and neighborhood safety were especially protective against multiple adult health conditions, including for ACE exposed individuals. Interventions that promote PCEs may yield population health gains. |
| first_indexed | 2024-03-09T09:21:19Z |
| format | Article |
| id | doaj.art-93e97daad2544afaa775fd6d9b83bc34 |
| institution | Directory Open Access Journal |
| issn | 2352-8273 |
| language | English |
| last_indexed | 2024-03-09T09:21:19Z |
| publishDate | 2023-12-01 |
| publisher | Elsevier |
| record_format | Article |
| series | SSM: Population Health |
| spelling | doaj.art-93e97daad2544afaa775fd6d9b83bc342023-12-02T07:00:47ZengElsevierSSM: Population Health2352-82732023-12-0124101558Specific domains of positive childhood experiences (PCEs) associated with improved adult health: A nationally representative studyJaime La Charite0Mariam Khan1Rebecca Dudovitz2Teryl Nuckols3Narayan Sastry4Cher Huang5Yvonne Lei6Adam Schickedanz7Department of General Internal Medicine, University of California, Los Angeles, 1100 Glendon Ave. Suite 900, Los Angeles, CA, 90024, USA; Cedars-Sinai Medical Center, Los Angeles, California, USA; Corresponding author. The Specialty Training and Advanced Research (STAR) Program, UCLA CTSI TL1 Translational Science Postdoctoral Fellowship, UCLA, 1100 Glendon Ave. Suite 900, Los Angeles, CA, 90024, USA.David Geffen School of Medicine at University of California, 10833 Le Conte Ave., Los Angeles, CA, 90095, USA; Fielding School of Public Health at University of California, 650 Charles E Young Drive, Los Angeles, CA, 90095, USADepartment of Pediatrics, University of California, Los Angeles, California, 10833 LeConte Ave., 12-358 CHS, Los Angeles, California, 90095, USADivision of General Internal Medicine, Cedars-Sinai Medical Center, Los Angeles, California, 8700 Beverly Blvd Ste 113 Los Angeles, California, 90048, USAInstitute for Social Research, University of Michigan, 426 Thompson St, Ann Arbor, MI, 48104, USAMassachusetts General Hospital, 55 Fruit St, Boston, MA, 02114, USADavid Geffen School of Medicine at University of California, 10833 Le Conte Ave., Los Angeles, CA, 90095, USADepartment of Pediatrics, University of California, Los Angeles, California, 10833 LeConte Ave., 12-358 CHS, Los Angeles, California, 90095, USABackground: Positive childhood experiences (PCEs) are supportive relationships and environments associated with improved health when aggregated into composite scores. Adverse childhood experiences (ACEs), a reciprocal measure to PCEs, are associated with worse health in aggregate scores and when disaggregated into measures of specific ACE types (hereafter domains). Understanding the associations between specific PCE domains and health, while accounting for ACEs, may direct investigations and intervention planning to foster PCE exposure. Methods: We analyzed data from the nationally representative United States longitudinal Panel Study of Income Dynamics. Five PCE domains were examined: (i) peer support and healthy school climate, (ii) neighborhood safety, (iii) neighborhood support, and nurturing relationships with (iv) maternal and (v) paternal figures. Survey weighted logistic regression models tested associations between each PCE domain measure and adult general health rating, controlling for demographic covariates and nine ACE exposures: physical, emotional, or sexual abuse/assault; emotional neglect; witnessing intimate partner violence or household substance use; having a parent with mental illness; any parental separation or divorce; and/or having a deceased or estranged parent. Secondary outcomes included adult functional status and mental and physical health diagnoses. We also tested for statistical interactions between PCE domain and ACE score measures. Results: The sample included 7105 adults. Higher scores for the “peer support and healthy school climate” and “neighborhood safety” domain measures showed the most protective relationships with the adverse health conditions tested, most notably for mental illness. The relationship between PCE domain measures and health outcomes was attenuated, but not statistically moderated by ACE exposure. Conclusion: Experiencing childhood peer support, a healthy school climate, and neighborhood safety were especially protective against multiple adult health conditions, including for ACE exposed individuals. Interventions that promote PCEs may yield population health gains.http://www.sciencedirect.com/science/article/pii/S2352827323002239Positive childhood experiencesAdverse childhood experiencesSelf-rated healthMental healthSchoolNeighborhood |
| spellingShingle | Jaime La Charite Mariam Khan Rebecca Dudovitz Teryl Nuckols Narayan Sastry Cher Huang Yvonne Lei Adam Schickedanz Specific domains of positive childhood experiences (PCEs) associated with improved adult health: A nationally representative study SSM: Population Health Positive childhood experiences Adverse childhood experiences Self-rated health Mental health School Neighborhood |
| title | Specific domains of positive childhood experiences (PCEs) associated with improved adult health: A nationally representative study |
| title_full | Specific domains of positive childhood experiences (PCEs) associated with improved adult health: A nationally representative study |
| title_fullStr | Specific domains of positive childhood experiences (PCEs) associated with improved adult health: A nationally representative study |
| title_full_unstemmed | Specific domains of positive childhood experiences (PCEs) associated with improved adult health: A nationally representative study |
| title_short | Specific domains of positive childhood experiences (PCEs) associated with improved adult health: A nationally representative study |
| title_sort | specific domains of positive childhood experiences pces associated with improved adult health a nationally representative study |
| topic | Positive childhood experiences Adverse childhood experiences Self-rated health Mental health School Neighborhood |
| url | http://www.sciencedirect.com/science/article/pii/S2352827323002239 |
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