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MENU. SELECT FROM THE TOPICS BELOW . Overview. IPV and Sexually Transmitted Infections/HIV . IPV and Perinatal Programs. Regional and Local Data . IPV, Breastfeeding, and Nutritional Supplement Programs. Medical Cost Burden and Health Care Utilization for IPV.

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Menu

MENU

SELECT FROM THE TOPICS BELOW 

Overview

IPV and Sexually Transmitted Infections/HIV

IPV and Perinatal Programs

Regional and Local Data

IPV, Breastfeeding, and Nutritional Supplement Programs

Medical Cost Burden and Health Care Utilization for IPV

IPV and Child and Adolescent Health

The Impact of IPV on Women’s Health

IPV and Behavioral Health

ACE Study: Leading Determinants of Health

IPV and Family Planning, Birth Control Sabotage Pregnancy Pressure, and Unintended Pregnancy

IPV and Injury Prevention


Leading determinants of health

Leading Determinants of Health

Adverse Childhood Experiences (ACE) Study


Adverse childhood experiences study

ADVERSE CHILDHOOD EXPERIENCES STUDY

  • One of the largest investigations ever done to examine the links between adverse childhood experiences and later-life health

  • Collaborative between the CDC and Kaiser Permanente

  • Over 17,000 study participants

  • Over 50 scientific publications

www.cdc.gov/nccdphp/ACE


What are adverse childhood experiences aces

WHAT ARE ADVERSE CHILDHOOD EXPERIENCES (ACEs)?

Experiences that represent health or social problems of national importance. In this study, adverse childhood experiences included:

  • Witnessing a mother being battered

  • Having a parent who has a substance abuse problem, a history of mental illness, or criminal behavior

Felitti et al, 1998


Prevalence of aces

PREVALENCE OF ACES

Felittiet al, 1998


Ace study results

ACE STUDY RESULTS

  • ACEs are very common and often cluster

  • ACEs are strong predictors of health behaviors in adolescence and adult life

  • This combination of findings makes ACEs one of the leading, if not the leading determinant of the health and social well-being of our nation


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  • Ischemic heart disease

  • Cancer

  • Chronic lung disease

  • Autoimmune diseases

  • Skeletal fractures

  • Liver diseases

  • Premature death

Anda et al, 2009; Dube et al, 2009; Felitti et al,1998

ACEs have a graded relationship with the following diseases:


Adverse childhood experiences aces and autoimmune diseases

ADVERSE CHILDHOOD EXPERIENCES (ACEs) AND AUTOIMMUNE DISEASES

100% INCREASED RISK

Dube et al, 2009

Persons with 2 or more ACEs were at

for rheumatic diseases


Implications of adverse childhood experiences aces for cost effectiveness

IMPLICATIONS OF ADVERSE CHILDHOOD EXPERIENCES (ACEs) FOR COST EFFECTIVENESS

Corso et al, 2008

Adults who experienced ACEs had significant and sustained losses in health-related quality of life compared to adults without ACEs

These findings should be used in assessing cost-effectiveness of interventions to prevent ACEs


Adverse childhood experiences and prescription drug use

ADVERSE CHILDHOOD EXPERIENCES AND PRESCRIPTION DRUG USE

Anda et al, 2008

ACEs substantially increase the number of prescriptions and classes of drugs used

The increases in prescription drug use among adults with ACEs are mediated by ACE-related health and social problems


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4-12 fold increased risk for alcoholism, drug abuse, depression, and suicide attempts

2-4 fold increased risk for smoking, poor self-rated health, having 50 or more sexual intercourse partners, and sexually transmitted diseases

Felitti et al, 1998

Persons with four or more ACEs had:


Adverse childhood experiences and adolescent alcohol use

ADVERSE CHILDHOOD EXPERIENCES AND ADOLESCENT ALCOHOL USE

  • Dube et al, 2006

There is a persistent grade relationship between ACE scores and initiation of alcohol use by age 14

ACEs account for a 20% to 70% increased likelihood of alcohol use being initiated during mid- adolescence (15-17 years)


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  • The number of ACEs increased dramatically for persons who saw their mothers being battered

  • As the frequency of witnessing violence increased, there was a positive, graded risk for:

    • Illicit drug use

    • IV drug use

    • Depression

  • Dube et al, 2002


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