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Childhood Abuse, Household Dysfunction, and Indicators of Impaired Adult Worker Performance
The Permanente Journal
|December 26, 2015
Summary
Adverse childhood experiences (ACE) are linked to significant job and financial problems in adults. Addressing ACE can reduce workplace costs and improve employee well-being.
Area of Science:
- Occupational Health
- Psychology
- Public Health
Background:
- Adverse childhood experiences (ACE) encompass a range of traumatic events during childhood.
- These experiences can have profound and lasting impacts on adult health and functioning.
Purpose of the Study:
- To investigate the association between eight types of ACE and impaired worker performance.
- To examine the relationship between ACE scores and job problems, financial difficulties, and absenteeism.
Main Methods:
- Analysis of data from the Adverse Childhood Experiences Study.
- Inclusion of 9633 currently employed adult members of the Kaiser Foundation Health Plan in San Diego.
Main Results:
- A significant, dose-response relationship was observed between the ACE score and impaired worker performance indicators.
- Interpersonal relationship issues, emotional distress, somatic symptoms, and substance abuse were identified as mediators.
Conclusions:
- Long-term effects of ACE on the workforce result in substantial human and economic costs.
- Preventable costs associated with ACE in the workplace warrant attention from businesses and public health professionals.
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