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Journal Article

Citation

Sege R, Swedo EA, Burstein D, Aslam MV, Jones J, Bethell C, Niolon PH. MMWR Morb. Mortal. Wkly. Rep. 2024; 73(17): 399-404.

Copyright

(Copyright © 2024, (in public domain), Publisher U.S. Centers for Disease Control and Prevention)

DOI

10.15585/mmwr.mm7317a3

PMID

38696345

Abstract

Positive childhood experiences (PCEs) promote optimal health and mitigate the effects of adverse childhood experiences, but PCE prevalence in the United States is not well-known. Using Behavioral Risk Factor Surveillance System data, this study describes the prevalence of individual and cumulative PCEs among adults residing in four states: Kansas (2020), Montana (2019), South Carolina (2020), and Wisconsin (2015). Cumulative PCE scores were calculated by summing affirmative responses to seven questions. Subscores were created for family-related (three questions) and community-related (four questions) PCEs. The prevalence of individual PCEs varied from 59.5% (enjoyed participating in community traditions) to 90.5% (adult in respondents' household made them feel safe), and differed significantly by race and ethnicity, age, and sexual orientation. Fewer non-Hispanic Black or African American (49.2%), non-Hispanic Alaska Native or American Indian (37.7%), and Hispanic or Latino respondents (38.9%) reported 6-7 PCEs than did non-Hispanic White respondents (55.2%). Gay or lesbian, and bisexual respondents were less likely than were straight respondents to report 6-7 PCEs (38.1% and 27.4% versus 54.7%, respectively). A PCE score of 6-7 was more frequent among persons with higher income and education. Improved understanding of the relationship of PCEs to adult health and well-being and variation among population subgroups might help reduce health inequities.


Language: en

Keywords

*Behavioral Risk Factor Surveillance System; Adolescent; Adult; Aged; Child; Female; Humans; Kansas/epidemiology; Male; Middle Aged; Montana/epidemiology; Prevalence; South Carolina/epidemiology; United States/epidemiology; Wisconsin/epidemiology; Young Adult

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