Childhood adversity and adult chronic disease: An update from ten states and the District of Columbia, 2010

  • Gilbert L
  • Breiding M
  • Merrick M
 et al. 
  • 114


    Mendeley users who have this article in their library.
  • 63


    Citations of this article.


Background Adverse childhood experiences (ACEs), including child abuse and family dysfunction, are linked to leading causes of adult morbidity and mortality. Most prior ACE studies were based on a nonrepresentative patient sample from one Southern California HMO. Purpose To determine if ACE exposure increases the risk of chronic disease and disability using a larger, more representative sample of adults than prior studies. Methods Ten states and the District of Columbia included an optional ACE module in the 2010 Behavioral Risk Factor Surveillance Survey, a national cross-sectional, random-digit-dial telephone survey of adults. Analysis was conducted in November 2012. Respondents were asked about nine ACEs, including physical, sexual, and emotional abuse and household member mental illness, alcoholism, drug abuse, imprisonment, divorce, and intimate partner violence. An ACE score was calculated for each subject by summing the endorsed ACE items. After controlling for sociodemographic variables, weighted AORs were calculated for self-reported health conditions given exposure to zero, one to three, four to six, or seven to nine ACEs. Results Compared to those who reported no ACE exposure, the adjusted odds of reporting myocardial infarction, asthma, fair/poor health, frequent mental distress, and disability were higher for those reporting one to three, four to six, or seven to nine ACEs. Odds of reporting coronary heart disease and stroke were higher for those who reported four to six and seven to nine ACEs; odds of diabetes were higher for those reporting one to three and four to six ACEs. Conclusions These findings underscore the importance of child maltreatment prevention as a means to mitigate adult morbidity and mortality.

Get free article suggestions today

Mendeley saves you time finding and organizing research

Sign up here
Already have an account ?Sign in

Find this document


  • Leah K. Gilbert

  • Matthew J. Breiding

  • Melissa T. Merrick

  • William W. Thompson

  • Derek C. Ford

  • Satvinder S. Dhingra

Cite this document

Choose a citation style from the tabs below

Save time finding and organizing research with Mendeley

Sign up for free