Abstract

BackgroundThe objective of the study was to determine the association between adverse childhood experiences (ACEs) and positive childhood experiences (PCEs) with family health in adulthood. Prior research indicates that ACEs and PCEs affect individual physical and mental health in adulthood. However, little is known about how ACEs and PCEs affect family health. Families develop and function through patterns and routines which are often intergenerational. Therefore, a person’s early experiences may influence their family’s health in adulthood.MethodA survey was administered to 1030 adults through Qualtrics, with participants recruited using quota-sampling to reflect the demographic characteristics of U.S. adults. Participants completed a survey about their childhood experiences, four domains of family health (family social and emotional health processes, family healthy lifestyle, family health resources, and family external social supports), and demographic characteristics. Data were analyzed using structural equation modeling.ResultsAfter controlling for marriage, education, gender, race and age, ACEs were negatively associated with family social and emotional health processes and family health resources when accounting for PCEs; PCEs were positively associated with all four family health domains irrespective of ACEs.ConclusionChildhood experiences affect family health in adulthood in the expected direction. Even in the presence of early adversity, positive experiences in childhood can provide a foundation for creating better family health in adulthood.

Highlights

  • The objective of the study was to determine the association between adverse childhood experiences (ACEs) and positive childhood experiences (PCEs) with family health in adulthood

  • After controlling for marriage, education, gender, race and age, ACEs were negatively associated with family social and emotional health processes and family health resources when accounting for PCEs; PCEs were positively associated with all four family health domains irrespective of ACEs

  • In models without PCEs, ACEs were negatively associated with all four family health domains

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Summary

Introduction

The objective of the study was to determine the association between adverse childhood experiences (ACEs) and positive childhood experiences (PCEs) with family health in adulthood. Health resources refer to financial and non-material assets that allow the family to carry out their functions and their normal daily activities These include internal and external resources such as help-seeking efficacy, the ability to effectively cope with family challenges, financial resources and other basic needs, and access to health care. Family external social supports refers to the presence of a social network or social capital outside of the family that the family can count on for advice, care, or assistance, whether financial or otherwise [3] These domains offer protection against many physical and mental issues within families by creating stronger relationships and family functioning [4,5,6,7,8]

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