Adverse childhood experiences contribute to increased risk of health in middle and late life: The longitudinal mediating effect of activities of daily living and chronic diseases
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View abstract on PubMed
Summary
This summary is machine-generated.Adverse Childhood Experiences (ACEs) are linked to worse health and faster decline in older adults. Impaired daily living activities and chronic diseases partly explain this connection.
Area Of Science
- Gerontology
- Public Health
- Epidemiology
Background
- Adverse Childhood Experiences (ACEs) have documented long-term health consequences.
- The precise mechanisms linking ACEs to health outcomes in later life remain incompletely understood.
Purpose Of The Study
- To examine the association between ACEs and health status in middle-aged and older adults.
- To investigate the mediating roles of activities of daily living (ADL) and chronic diseases in this relationship.
Main Methods
- Utilized longitudinal data from 9575 middle-aged and older adults in the China Health and Retirement Longitudinal Study (CHARLS) across 4 waves (2013-2018).
- Assessed ACEs via a 2014 self-report life history survey.
- Employed latent growth curve modeling to analyze the mediating effects of ADL and chronic diseases on self-rated health (SRH) in relation to ACEs.
Main Results
- Higher ACEs scores correlated with lower baseline self-rated health (SRH) and a steeper decline in SRH over time.
- Both baseline levels and changes in ADL and chronic diseases partially mediated the link between ACEs and baseline SRH.
- ADL (baseline and changes) and chronic diseases (changes) fully mediated the association between ACEs and the rate of SRH decline.
Conclusions
- ACEs are significantly associated with poorer health status and accelerated health decline in older adults.
- Impaired activities of daily living (ADL) and increased chronic diseases partially explain the long-term health impacts of ACEs.
- Interventions focused on reducing ACEs, improving ADL, and managing chronic diseases are crucial for enhancing the health of this population.
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