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Relationships between adverse childhood experiences and adult mental well-being: results from an English national household survey.

Hughes, K and Lowey, H and Quigg, Z and Bellis, MA (2016) Relationships between adverse childhood experiences and adult mental well-being: results from an English national household survey. BMC Public Health, 16 (1). ISSN 1471-2458

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Abstract

BACKGROUND: Individuals' childhood experiences can strongly influence their future health and well-being. Adverse childhood experiences (ACEs) such as abuse and dysfunctional home environments show strong cumulative relationships with physical and mental illness yet less is known about their effects on mental well-being in the general population. METHODS: A nationally representative household survey of English adults (n = 3,885) measuring current mental well-being (Short Edinburgh-Warwick Mental Well-being Scale SWEMWBS) and life satisfaction and retrospective exposure to nine ACEs. RESULTS: Almost half of participants (46.4 %) had suffered at least one ACE and 8.3 % had suffered four or more. Adjusted odds ratios (AORs) for low life satisfaction and low mental well-being increased with the number of ACEs. AORs for low ratings of all individual SWEMWBS components also increased with ACE count, particularly never or rarely feeling close to others. Of individual ACEs, growing up in a household affected by mental illness and suffering sexual abuse had the most relationships with markers of mental well-being. CONCLUSIONS: Childhood adversity has a strong cumulative relationship with adult mental well-being. Comprehensive mental health strategies should incorporate interventions to prevent ACEs and moderate their impacts from the very earliest stages of life.

Item Type: Article
Uncontrolled Keywords: 1117 Public Health And Health Services
Subjects: H Social Sciences > HN Social history and conditions. Social problems. Social reform
R Medicine > RA Public aspects of medicine
R Medicine > RA Public aspects of medicine > RA0421 Public health. Hygiene. Preventive Medicine
Divisions: Public Health Institute
Publisher: BioMed Central
Related URLs:
Date Deposited: 18 Mar 2016 13:00
Last Modified: 18 Mar 2016 13:00
DOI or Identification number: 10.1186/s12889-016-2906-3
URI: http://researchonline.ljmu.ac.uk/id/eprint/3295

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