Adverse Childhood Experiences (ACE) among American Indians in South Dakota and Associations with Mental Health Conditions, Alcohol Use, and Smoking.
Journal of health care for the poor and underserved
psjh_core; Adolescent; Adult; Aged; Alcohol Drinking; Female; Health Status Disparities; Health Surveys; Humans; Indians, North American; Life Change Events; Male; Mental Disorders; Middle Aged; Prevalence; Smoking; South Dakota; Young Adult
OBJECTIVES: To assess the prevalence of Adverse Childhood Experiences (ACEs) and their association with behavioral health in American Indian (AI) and non-AI populations in South Dakota.
METHODS: We included the validated ACE questionnaire in a statewide health survey of 16,001 households. We examined the prevalence of ACEs and behavioral health conditions in AI and non-AI populations and associations between ACEs and behavioral health.
RESULTS: Compared with non-AIs, AIs displayed higher prevalence of ACEs including abuse, neglect, and household dysfunction and had a higher total number of ACEs. For AIs and non-AIs, having six or more ACEs significantly increased the odds for depression, anxiety, PTSD, severe alcohol misuse, and smoking compared with individuals with no ACEs.
CONCLUSIONS: American Indians in South Dakota experience more ACEs, which may contribute to poor behavioral health. Preventing and mitigating the effects of ACEs may have a significant impact on health disparities in AI populations.
Warne, Donald; Dulacki, Kristen; Spurlock, Margaret; Meath, Thomas; Davis, Melinda M; Wright, Bill J.; and McConnell, K John, "Adverse Childhood Experiences (ACE) among American Indians in South Dakota and Associations with Mental Health Conditions, Alcohol Use, and Smoking." (2017). Articles, Abstracts, and Reports. 2545.