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Journal article
Risky Health Behaviors Among Mothers-to-Be: The Impact of Adverse Childhood Experiences
Academic pediatrics, v 10(4)
01 Jul 2010
PMID: 20599179
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
Objectives.-Adverse childhood experiences (ACEs) are risk factors for health problems later in life. This study aims to assess the influence of ACEs on risky health behaviors among mothers-to-be and determine whether a dose response occurs between ACEs and risky behaviors.
Methods.-A prospective survey of women attending health centers was conducted at the first prenatal care visit, and at 3 and 11 months postpartum. Surveys obtained information on maternal sociodemographic and health characteristics, and 7 ACEs prior to age 16. Risky behaviors included smoking, alcohol use, marijuana use, and other illicit drug use during pregnancy.
Results.-Our sample (N = 1476) consisted of low-income (mean annual personal income, $8272), young (mean age, 24 years), African American (71%), single (75%) women. Twenty-three percent of women reported smoking even after finding out they were pregnant, 7% reported alcohol use, and 7% reported illicit drug use during pregnancy. Nearly three fourths (72%) had one or more ACEs. There was a higher prevalence of each risky behavior among those exposed to each ACE than among those unexposed. The exception was alcohol use during pregnancy, where there was not an increased risk among those exposed when compared with those unexposed to witnessing a shooting or having a guardian in trouble with the law or in jail. The adjusted odds ratio for each risky behavior was >2.5 for those with >3 ACEs when compared with those without.
Conclusions.-ACEs were associated with risky health behaviors reported by mothers-to-be. Greater efforts should target the prevention of ACEs to lower the risk for adverse health behaviors that have serious consequences for adults and their children.
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Details
- Title
- Risky Health Behaviors Among Mothers-to-Be: The Impact of Adverse Childhood Experiences
- Creators
- Esther K. Chung - DuPont (United States)Laila Nurmohamed - Thomas Jefferson UniversityLeny Mathew - Drexel UniversityIrma T. Elo - University of PennsylvaniaJames C. Coyne - University of PennsylvaniaJennifer E. Culhane - Drexel Univ, Coll Med, Dept Obstet & Gynecol, Philadelphia, PA 19104 USAJennifer F Culhane
- Publication Details
- Academic pediatrics, v 10(4)
- Publisher
- Elsevier
- Number of pages
- 7
- Grant note
- TS-286-14/14 / ATSDR CDC HHS R01HD036462 / EUNICE KENNEDY SHRIVER NATIONAL INSTITUTE OF CHILD HEALTH &HUMAN DEVELOPMENT; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH Eunice Kennedy Shriver National Institute of Child Health & Human Development (NICHD) R24HD044964 / EUNICE KENNEDY SHRIVER NATIONAL INSTITUTE OF CHILD HEALTH & HUMAN DEVELOPMENT; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH Eunice Kennedy Shriver National Institute of Child Health & Human Development (NICHD) R01 HD036462-01A1; R24 HD044964; 1-R01-HD36462-01A1; R24 HD044964-07; R01 HD036462; P2C HD044964 / NICHD NIH HHS; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH Eunice Kennedy Shriver National Institute of Child Health & Human Development (NICHD)
- Resource Type
- Journal article
- Language
- English
- Web of Science ID
- WOS:000280074000009
- Scopus ID
- 2-s2.0-77956696822
- Other Identifier
- 991019339568604721
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- Collaboration types
- Domestic collaboration
- Web of Science research areas
- Pediatrics