Association of adverse childhood experiences with diabetes: A systematic review and meta-analysis

• Published in: Journal of diabetes and its complications 2022-10, Vol.36 (10), p.108289-108289, Article 108289
• Main Authors: Zhang, Yiyin, Yin, Yuhuan, Zhang, Xiaoli, Ye, Jianying, Zhang, Juxia
• Format: Article
• Language: English
• Subjects: Adverse childhood experiences; Bias; Childhood; Children & youth; Confidence intervals; Diabetes; Emotional abuse; Families & family life; Gender; Glucose; Meta-analysis; Public health; Sensitivity analysis; Sex crimes; Sexual abuse; Software; Systematic review
• ISSN: 1056-8727; 1873-460X
• DOI: 10.1016/j.jdiacomp.2022.108289

Further clarification is needed regarding the association between adverse childhood experiences (ACEs) and the risk of diabetes. To conduct a systematic review with meta-analysis of studies assessing the association between ACEs and the risk of diabetes. We conducted a systematic literature search of PubMed, Embase, and Cochrane Library for published studies describing the association between ACEs and diabetes in December 2021. We examined the overall relationship between ACEs and diabetes and performed a subgroup analysis based on the type of ACEs, number of ACEs, and gender. A total of 17 studies were included. The results of Meta-analysis showed the significant estimated effect of ACEs on diabetes (OR = 1.20, 95%CI: 1.07, 1.35). The subgroup analysis found a significant association between neglect (OR = 1.61, 95%CI: 1.11, 2.33), family dysfunction (OR = 1.14, 95%CI: 1.05, 1.24) and diabetes, respectively. Gender and the number of ACEs were factors that significantly affect the risk of diabetes. The results suggest that ACEs were significantly associated with an elevated risk of diabetes, especially for exposure to neglect, family dysfunction, and two or more ACES. Effective ACEs screening for children and intervention among high-risk populations should be taken so as to reduce the incidence of diabetes. •ACEs are associated with a significantly elevated risk of diabetes.•The relationship between neglect and family dysfunction and diabetes was significant.•Gender differences exist in the effects of ACEs on diabetes.•The response of diabetes to ACEs is a threshold response.