Adverse Childhood Experiences and Health Care Utilization in a Low-Income Population

To determine associations of adverse childhood experiences (ACE) with adult health care utilization in an underserved, low-income population. Questionnaires on ACE were completed by 38,200 adults (mean age 54), two-thirds African American, recruited from community health centers (CHCs) across 12 Sou...

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Bibliographic Details
Published in:Journal of health care for the poor and underserved 2019-01, Vol.30 (2), p.749-767
Main Authors: Hargreaves, Margaret K, Mouton, Charles P, Liu, Jianguo, Zhou, Yuan E, Blot, William J
Format: Article
Language:English
Subjects:
Adult
Adults
Adverse childhood experiences
Adverse Childhood Experiences - statistics & numerical data
African Americans
Aged
Child abuse & neglect
Childhood
Childhood experiences
Childhood factors
Children
Childrens health
Chronic Disease - epidemiology
Chronic Disease - therapy
Chronic illnesses
Clinical outcomes
Community centers
Community health services
Confidence intervals
Disease
Emergency medical care
Emergency medical services
Emergency Service, Hospital - statistics & numerical data
Family medical history
Female
Health care
Health care facilities
Health care industry
Health care policy
Health facilities
Health services utilization
Health status
Households
Humans
Income
Low income groups
Male
Medical personnel
Middle Aged
Office Visits - statistics & numerical data
Patient Acceptance of Health Care - statistics & numerical data
Patients
Population
Poverty
Poverty - statistics & numerical data
Primary care
Questionnaires
Southeastern United States - epidemiology
Surveys and Questionnaires
Treatment methods
Underserved populations
Utilization
Visits
Citations: Items that cite this one
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Description
Summary:To determine associations of adverse childhood experiences (ACE) with adult health care utilization in an underserved, low-income population. Questionnaires on ACE were completed by 38,200 adults (mean age 54), two-thirds African American, recruited from community health centers (CHCs) across 12 Southeastern states. Odds ratios (ORs) and accompanying 95% confidence intervals (CIs) were computed. The percentages reporting emergency room visits and doctor's office visits, with high chronic disease index scores, rose monotonically (ptrend
ISSN:1049-2089
1548-6869
1548-6869
DOI:10.1353/hpu.2019.0054