Journal of Family & Community Medicine
Home About us Editorial board Search Ahead of print Current issue Archives Submit article Instructions Subscribe Contact us Login 

Users Online: 1347 Home Print this page Email this page Small font sizeDefault font sizeIncrease font size

Year : 2015  |  Volume : 22  |  Issue : 2  |  Page : 78-84

Effect of adverse childhood experiences on physical health in adulthood: Results of a study conducted in Baghdad city

1 Department of Community Medicine, College of Medicine, Al Mustansiriya University, Baghdad, Iraq
2 Department of Community Medicine, College of Medicine, Al Mustansiriya University, Baghdad, Iraq; Public Health Department, University of Washington, Seattle, Washington, USA

Correspondence Address:
Dr. Ameel F Al-Shawi
Department of Community Medicine, College of Medicine, Al Mustansiriya University, Al Yarmouk, P.O. Box 14132, Baghdad, Iraq

Login to access the Email id

Source of Support: None, Conflict of Interest: None

DOI: 10.4103/2230-8229.155374

Rights and Permissions

Background: Studies have revealed a powerful relationship between adverse childhood experiences (ACEs) and physical and mental health in adulthood. Literature documents the conversion of traumatic emotional experiences in childhood into organic disease later in life. Objective: The aim was to estimate the effect of childhood experiences on the physical health of adults in Baghdad city. Subjects and Methods: A cross-sectional study was conducted from January 2013 to January 2014. The study sample was drawn from Baghdad city. Multistage sampling techniques were used in choosing 13 primary health care centers and eight colleges of three universities in Baghdad. In addition, teachers of seven primary schools and two secondary schools were chosen by a convenient method. Childhood experiences were measured by applying a modified standardized ACEs-International Questionnaire form and with questions for bonding to family and parental monitoring. Physical health assessment was measured by a modified questionnaire derived from Health Appraisal Questionnaire of Centers for Disease Control and Prevention. The questionnaire includes questions on cerebrovascular diseases, diabetes mellitus, tumor, respiratory and gastrointestinal diseases. Results: Logistic regression model showed that a higher level of bonding to family (fourth quartile) is expected to reduce the risk of chronic physical diseases by almost the half (odds ratio = 0.57) and exposure to a high level of household dysfunction and abuse (fourth quartile) is expected to increase the risk of chronic physical diseases by 81%. Conclusion: Childhood experiences play a major role in the determination of health outcomes in adulthood, and early prevention of ACEs. Encouraging strong family bonding can promote physical health in later life.

Print this article     Email this article
 Next article
 Previous article
 Table of Contents

 Similar in PUBMED
   Search Pubmed for
   Search in Google Scholar for
 Related articles
 Citation Manager
 Access Statistics
 Reader Comments
 Email Alert *
 Add to My List *
 * Requires registration (Free)

 Article Access Statistics
    PDF Downloaded526    
    Comments [Add]    
    Cited by others 13    

Recommend this journal


Advertise | Sitemap | What's New | Feedback | Disclaimer
Journal of Family and Community Medicine | Published by Wolters Kluwer - Medknow
Online since 05th September, 2010