Monique J Brown1,2,3,4, Amandeep Kaur1, Titilayo James1, Carlos Avalos1, Prince N O Addo1, Elizabeth Crouch3,5, Nikki L Hill6. 1. Department of Epidemiology and Biostatistics, Arnold School of Public Health, 49112University of South Carolina, Columbia, SC, USA. 2. South Carolina SmartState Center for Healthcare Quality, Arnold School of Public Health, 49112University of South Carolina, Columbia, SC, USA. 3. Rural and Minority Health Research Center, Arnold School of Public Health, 49112University of South Carolina, Columbia, SC, USA. 4. Office of the Study on Aging, Arnold School of Public Health, 49112University of South Carolina, Columbia, SC, USA. 5. Department of Health Services Policy and Management, Arnold School of Public Health, 49112University of South Carolina, Columbia, SC, USA. 6. College of Nursing, Pennsylvania State University, University Park, PA, USA.
Abstract
OBJECTIVE: The aim of this study was to determine the association between adverse childhood experiences (ACEs) and subjective cognitive decline (SCD) among a representative sample of the adult US population. METHODS: Data were obtained from the 2019 Behavioral Risk Factor Surveillance System (N = 82,688, ≥45 years). Adverse childhood experiences included sexual, physical/psychological and environmental ACEs, and a score. Multivariable logistic regression was used to determine the association between ACEs and SCD, and SCD-related outcomes. RESULTS: Sexual (adjusted OR (aOR: 2.83; 95% CI: 2.42-3.31)), physical/psychological (aOR: 2.05; 95% CI: 1.83-2.29), and environmental (aOR: 1.94; 95% CI: 1.74-2.16) ACEs were associated with SCD in the past year. There was also a dose-response relationship between ACE score and SCD. CONCLUSION: ACEs were associated with SCD. Interventions to maximize cognitive health in aging and prevent future cognitive impairment should consider the potential role of ACEs among affected populations.
OBJECTIVE: The aim of this study was to determine the association between adverse childhood experiences (ACEs) and subjective cognitive decline (SCD) among a representative sample of the adult US population. METHODS: Data were obtained from the 2019 Behavioral Risk Factor Surveillance System (N = 82,688, ≥45 years). Adverse childhood experiences included sexual, physical/psychological and environmental ACEs, and a score. Multivariable logistic regression was used to determine the association between ACEs and SCD, and SCD-related outcomes. RESULTS: Sexual (adjusted OR (aOR: 2.83; 95% CI: 2.42-3.31)), physical/psychological (aOR: 2.05; 95% CI: 1.83-2.29), and environmental (aOR: 1.94; 95% CI: 1.74-2.16) ACEs were associated with SCD in the past year. There was also a dose-response relationship between ACE score and SCD. CONCLUSION: ACEs were associated with SCD. Interventions to maximize cognitive health in aging and prevent future cognitive impairment should consider the potential role of ACEs among affected populations.
Entities:
Keywords:
abuse and neglect; cognition; epidemiology; mental health; quantitative methods
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