Airi Amemiya1,2, Takeo Fujiwara3, Hiroshi Murayama4, Yukako Tani3,5, Katsunori Kondo6,7. 1. Department of Social Medicine, National Research Institute for Child Health and Development, Tokyo, Japan. 2. Department of Health Education and Health Sociology, School of Public Health, The University of Tokyo, Japan. 3. Department of Global Health Promotion, Tokyo Medical and Dental University (TMDU), Japan. 4. Institute of Gerontology, The University of Tokyo, Japan. 5. Japan Society for the Promotion of Science, Tokyo, Japan. 6. Center for Preventive Medical Sciences, Chiba University, Japan. 7. Department of Gerontological Evaluation, Center for Gerontology and Social Science, National Center for Geriatrics and Gerontology, Aichi, Japan.
Abstract
Background: A life-course perspective is essential in understanding the determinants of higher-level functional limitations. We examine the impact of adverse childhood experiences (ACEs) on higher-level functional limitations in older people. Methods: Data were from the Japan Gerontological Evaluation Study 2013, a population-based cohort of independent people aged 65 years or older across Japan (n = 19,220). ACEs before the age of 18 were assessed in terms of seven adversities: parental death, parental divorce, parental mental illness, family violence, physical abuse, psychological neglect, and psychological abuse. Associations between the cumulative number of ACEs and higher-level functional limitations were investigated by multivariate Poisson regression with robust error variances, adjusted for age, gender, childhood disadvantage, adult sociodemographics, adult health behaviors, and health status. Results: Of the older people, 36.3% reported at least one ACE. Older people who had experienced two or more ACEs showed significantly greater higher-level functional limitations than those with no ACE in a crude model (prevalence ratio, PR = 1.61, 95% confidence interval, CI = 1.51-1.71). After adjusting the covariates, this association remained (PR = 1.19, 95% CI = 1.12-1.27). Conclusions: ACEs showed robust independent effects on higher-level functional limitations among older Japanese without disabilities, even after adjusting for potential covariates in childhood and adulthood. The current findings may help in understanding the impact of the latent effects of ACEs on functional limitations in older people.
Background: A life-course perspective is essential in understanding the determinants of higher-level functional limitations. We examine the impact of adverse childhood experiences (ACEs) on higher-level functional limitations in older people. Methods: Data were from the Japan Gerontological Evaluation Study 2013, a population-based cohort of independent people aged 65 years or older across Japan (n = 19,220). ACEs before the age of 18 were assessed in terms of seven adversities: parental death, parental divorce, parental mental illness, family violence, physical abuse, psychological neglect, and psychological abuse. Associations between the cumulative number of ACEs and higher-level functional limitations were investigated by multivariate Poisson regression with robust error variances, adjusted for age, gender, childhood disadvantage, adult sociodemographics, adult health behaviors, and health status. Results: Of the older people, 36.3% reported at least one ACE. Older people who had experienced two or more ACEs showed significantly greater higher-level functional limitations than those with no ACE in a crude model (prevalence ratio, PR = 1.61, 95% confidence interval, CI = 1.51-1.71). After adjusting the covariates, this association remained (PR = 1.19, 95% CI = 1.12-1.27). Conclusions: ACEs showed robust independent effects on higher-level functional limitations among older Japanese without disabilities, even after adjusting for potential covariates in childhood and adulthood. The current findings may help in understanding the impact of the latent effects of ACEs on functional limitations in older people.
Authors: R Knutsen; V Filippov; S F Knutsen; G E Fraser; J Lloren; D Juma; P Duerksen-Hughes Journal: Biol Psychol Date: 2019-04-20 Impact factor: 3.251
Authors: Aljoscha Landös; Martina von Arx; Boris Cheval; Stefan Sieber; Matthias Kliegel; Rainer Gabriel; Dan Orsholits; Bernadette W A van der Linden; David Blane; Matthieu P Boisgontier; Delphine S Courvoisier; Idris Guessous; Claudine Burton-Jeangros; Stéphane Cullati Journal: Eur J Public Health Date: 2019-02-01 Impact factor: 3.367
Authors: Bernadette Wilhelmina Antonia Van Der Linden; Stefan Sieber; Boris Cheval; Dan Orsholits; Idris Guessous; Rainer Gabriel; Martina Von Arx; Michelle Kelly-Irving; Marja Aartsen; David Blane; Matthieu P Boisgontier; Delphine Courvoisier; Michel Oris; Matthias Kliegel; Stéphane Cullati Journal: J Gerontol B Psychol Sci Soc Sci Date: 2020-06-02 Impact factor: 4.077