TY - JOUR
T1 - Infant Health and Future Childhood Adversity
AU - Reichman, Nancy E.
AU - Corman, Hope
AU - Noonan, Kelly
AU - Jiménez, Manuel E.
N1 - Funding Information:
Acknowledgements Dr. Reichman and Dr. Jiménez acknowledge indirect support for this research from the Robert Wood Johnson Foundation through its support of the Child Health Institute of New Jersey (Grants 67038 and 74260). Dr. Jiménez received support from the Robert Wood Johnson Foundation Harold Amos Medical Faculty Development Program. The Fragile Families and Child Wellbeing data collection was supported in part by Award Numbers R25HD074544, P2CHD058486, and 5R01HD036916 from the Eunice Kennedy Shriver National Institute of Child Health & Human Development. The content is solely the responsibility of the authors and does not necessarily represent the official views of the Robert Wood Johnson Foundation. the Eunice Kennedy Shriver National Institute of Child Health & Human Development, or the National Institutes of Health. The authors are grateful to Jessenia Tantalean and Grace Hillman for excellent research assistance.
Publisher Copyright:
© 2017, Springer Science+Business Media, LLC, part of Springer Nature.
PY - 2018/3/1
Y1 - 2018/3/1
N2 - Objective To investigate the extent to which disabling infant health conditions are associated with adverse childhood experiences at age 5. Methods We conducted a secondary analysis of data from the Fragile Families and Child Wellbeing Study, a national urban birth cohort. We estimated logistic regression models of associations between the presence of a disabling infant health condition and the child’s ACE exposures at age 5, controlling for factors that preceded the child’s birth, including the mother’s sociodemographic characteristics, physical health, mental illness, and substance abuse and the parents’ criminal justice system involvement and domestic violence or sexual abuse. ACEs included 4 categories of child maltreatment (physical, sexual, psychological abuse, neglect) and 5 categories of household dysfunction (father absence, substance use, mental illness, caregiver treated violently, incarceration). Results 3.3% of the children were characterized as having a disabling health condition that was likely present at birth. Logistic regression estimates indicate that having a disabling infant health condition was associated with 83% higher odds of the child experiencing 2 or more ACEs (AOR 1.83, CI 1.14–2.94) and 73% higher odds of the child experiencing 3 or more ACEs (AOR 1.73, CI 1.07–2.77) at age 5. Conclusions for Practice The finding of strong links between disabling infant health conditions and ACEs at age 5 suggests that child health and ACEs play intertwining and mutually reinforcing roles during the early lifecourse and highlights the critical importance of investing in systems that simultaneously promote optimal child development and address childhood adversity.
AB - Objective To investigate the extent to which disabling infant health conditions are associated with adverse childhood experiences at age 5. Methods We conducted a secondary analysis of data from the Fragile Families and Child Wellbeing Study, a national urban birth cohort. We estimated logistic regression models of associations between the presence of a disabling infant health condition and the child’s ACE exposures at age 5, controlling for factors that preceded the child’s birth, including the mother’s sociodemographic characteristics, physical health, mental illness, and substance abuse and the parents’ criminal justice system involvement and domestic violence or sexual abuse. ACEs included 4 categories of child maltreatment (physical, sexual, psychological abuse, neglect) and 5 categories of household dysfunction (father absence, substance use, mental illness, caregiver treated violently, incarceration). Results 3.3% of the children were characterized as having a disabling health condition that was likely present at birth. Logistic regression estimates indicate that having a disabling infant health condition was associated with 83% higher odds of the child experiencing 2 or more ACEs (AOR 1.83, CI 1.14–2.94) and 73% higher odds of the child experiencing 3 or more ACEs (AOR 1.73, CI 1.07–2.77) at age 5. Conclusions for Practice The finding of strong links between disabling infant health conditions and ACEs at age 5 suggests that child health and ACEs play intertwining and mutually reinforcing roles during the early lifecourse and highlights the critical importance of investing in systems that simultaneously promote optimal child development and address childhood adversity.
KW - ACEs
KW - Adverse childhood experiences
KW - Child disability
KW - Child health
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U2 - 10.1007/s10995-017-2418-5
DO - 10.1007/s10995-017-2418-5
M3 - Article
C2 - 29285632
AN - SCOPUS:85039552402
SN - 1092-7875
VL - 22
SP - 318
EP - 326
JO - Maternal and Child Health Journal
JF - Maternal and Child Health Journal
IS - 3
ER -