Abstract

Purpose: Adverse Childhood Experiences (ACEs) have been linked to a wide range of adverse health outcomes. The purpose of this research is to better understand this association and elucidate the mechanisms by which ACEs influence cardiometabolic (CM) risk factors (blood pressure, BMI, pre-diabetes). Racial/ethnic distribution of ACEs and potential health outcomes were also examined. Methods: This study utilized data from the Florida Behavioral Risk Factor Surveillance System for the 2019-2021 survey years to examine the racial/ethnic distribution of ACEs and cardiometabolic risks. Results: A total of 13,198 participants were included in this study with non-Hispanic Whites representing 76% of the study population. The highest percentage of each racial/ethnic group reported two or fewer ACEs. The Multiracial non-Hispanic group tended to have higher percentages of reported ACEs. The association between ACEs and CM risk factors significantly differed across racial/ethnic groups.

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