Adverse childhood experiences and living in the socially deprived areas in adulthood: a cross-sectional study of the nationwide data in Japan
Year: 2023
Type: article
Study design: Observational Study
Abstract: OBJECTIVES: This study aimed to examine whether having adverse childhood experiences (ACEs) was associated with living in a deprived area in adulthood. METHODS: The cross-sectional study was conducted by using nation-wide data in 2022 of the Japan COVID-19 and Society Internet Survey (JACSIS). Participants were community dwelling people 18 years or older. ACEs were assessed by Japanese version of 15-items ACE measurement tool (ACE-J). Living condition was measured by Area Deprived Index (ADI) and Densely Inhabited District (DID) based on zip code. Multivariable logistic regression to analyze the associations between ADI and ACE 4 + was conducted, controlling for individual-level factors, such as age, sex, marital status, and education, as an additional analysis. RESULTS: The total of 27,916 participants were included in the analysis. The prevalence of emotional neglect, childhood poverty, and school bullying were 38.2%, 26.5%, 20.8%, respectively. 75% of the population had one or more ACE(s). The number of ACEs was associated with significantly higher risk of living in deprived area in the adulthood (p = 0.001). ACEs were not associated with living in density area. The association between ADI and ACEs 4 + was non-significant after controlling the individual-level factors. CONCLUSION: People with higher number of ACEs tend to live in deprived areas in adulthood. Policy makers in highly deprived areas can apply the trauma-informed approach for the community care and support, which is critical to mitigating deficit perspectives and facilitating comprehensive support for those with ACEs.
Source: BMC Public Health
Language: English
Topic: Child Abuse and Trauma
Subfield: Clinical Psychology
Field: Psychology
Domain: Social Sciences
Open Access status: gold
Estimated APC paid: $2,990
Awards: G1243903342, G1293722121, G1647977057, Epidemiological research for heated tobacco products use and the impact in the life-course, The relationship between working hours and workplace climate and employee health and productivity: a combined study including factors outside the workplace, G4732085659, Epidemiological study to evaluate an impact of new tobacco products in Japan, G4927840523, Health geographies integrating human life course and environmental changes, Long-term healthy lifestyls and risk of pre-diabetes and type 2 diabetes: a working population-based cohort study, Clarification of the relationship between periodontitis severity and the onset and progression of chronic obstructive pulmonary disease, G5508462741, Estimation of future needs of life support services among community-dwelling older adults, A simulation modelling study to examine the effects of underlying factors and control measures on disease incidence and mortality in a population, G8595136466
OpenAlex ID: W4386138180