Long-Term Physical Health Consequences of Adverse Childhood Experiences
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This study examined associations between adverse childhood family experiences and adult physical health using data from 52,250 US adults aged 18-64 from the 2009-2012 Behavioral Risk Factor Surveillance System (BRFSS). We found that experiencing childhood physical, verbal, or sexual abuse, witnessing parental domestic violence, experiencing parental divorce, and living with someone who was depressed, abused drugs or alcohol, or who had been incarcerated were associated with one or more of the following health outcomes: self-rated health, functional limitations, diabetes, and heart attack. Adult socioeconomic status and poor mental health and health behaviors significantly mediated several of these associations. The results of this study highlight the importance of family-based adverse childhood experiences on adult health outcomes and suggest that adult SES and stress-related coping behaviors may be crucial links between trauma in the childhood home and adult health.
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Complex trauma is significantly associated with impaired physical health, including hypertension, diabetes, digestive disorders, obesity, poor heart health and cardiovascular risk, and high cortisol production.
“Other studies have also shown a significant association between complex trauma and impaired physical health, including hypertension, diabetes, digestive disorders, obesity, poor heart health and cardiovascular risk, and high cortisol production”
From Complex Racial Trauma: Evidence, Theory, Assessment, and Treatment (2023) · cites this paper as Monnat & Chandler, 2015
The Results report associations between adverse childhood experiences and diabetes and heart attack; the Discussion also says obesity was more prevalent among adults who experienced those adversities. The paper studies specific adverse childhood experiences rather than complex trauma as a defined category. Our copy does not establish associations with hypertension, digestive disorders, or high cortisol production; the Discussion explicitly says cortisol levels were not measured. The supplied passages have section labels but no page numbers. (LLM, conf=0.88)
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“…association between complex trauma and impaired physical health, including hypertension, diabetes, digestive disorders, obesity, poor heart health and cardiovascular risk, and high cortisol production (Isohookana et al., 2016; Klassen et al., 2016; Monnat & Chandler, 2015; Park et al., 2016).”
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- Authors
- Monnat, S. M., & Chandler, R. F.
- Affiliations
- Pennsylvania State University (US)
- Corresponding author
- Monnat, Shannon M.
- ORCID
- Monnat, Shannon M.
- Venue
- The Sociological Quarterly
- Publisher
- Informa UK Limited
- Published
- 2015-09
- Volume
- 56
- Issue
- 4
- Pages
- 723-752
- ISSN
- 0038-0253 (ISSN-L)
- 1533-8525
- PMC
- PMC4617302
- OpenAlex
- W1594863478
- Cited by
- 380
- References
- 12
- Citations by year
- 2026: 27 · 2025: 39 · 2024: 45 · 2023: 55 · 2022: 41 · 2021: 81 · 2020: 32 · 2019: 22 · 2018: 20 · 2017: 15 · 2016: 3
- FWCI
- 15.73
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Sociological Quarterly (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- Funders
- NICHD (R24-HD041025)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Child Abuse and Trauma
- Social Sciences › Health › Intimate Partner and Family Violence
- Social Sciences › Health › Health disparities and outcomes
- Keywords
- adverse childhood experiences, childhood abuse, parental divorce, family dysfunction, adult physical health, self-rated health, functional limitations, diabetes mellitus, myocardial infarction, socioeconomic status, mental health, health behavior, mediation, childhood trauma
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