Colorectal cancer screening and adverse childhood experiences: Which adversities matter?

被引:14
作者
Alcala, Hector E. [1 ]
Keim-Malpass, Jessica [1 ]
Mitchell, Emma [1 ]
机构
[1] Univ Virginia, Charlottesville, VA 22903 USA
关键词
Adverse childhood experiences; Cancer; Colorectal cancer; Cancer screening; Child abuse; SOCIOECONOMIC-STATUS; RISK-FACTOR; ABUSE; STATISTICS; COHORT; HEALTH; WOMEN;
D O I
10.1016/j.chiabu.2017.04.026
中图分类号
D669 [社会生活与社会问题]; C913 [社会生活与社会问题];
学科分类号
1204 ;
摘要
Adverse Childhood Experiences (ACEs) have been associated with an increased risk of a variety of diseases, including cancer. However, research has not paid enough attention to the association between ACEs and cancer screening. As such, the present study examined the. association between ACEs and ever using colorectal cancer (CRC) screening, among adults age 50 and over. Analyses used the 2011 Behavioral Risk Factor Surveillance System (n = 24,938) to model odds of ever engaging in CRC screening from nine different adversities. Bivariate and multivariate models were fit. In bivariate models, physical abuse, having parents that were divorced or separated, and living in a household where adults treated each other violently were associated with lower odds of engaging in CRC. In multivariate models that accounted for potential confounders, emotional and sexual abuse were each associated with higher odds of engaging in CRC. Results suggest potential pathways by which early childhood experiences can impact future health behaviors. Future research should examine this association longitudinally.
引用
收藏
页码:145 / 150
页数:6
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