Adverse Childhood Experiences and Higher-Level Functional Limitations Among Older Japanese People: Results From the JAGES Study

The Journals of Gerontology. Series A, Biological Sciences and Medical Sciences
Airi AmemiyaKatsunori Kondo

Abstract

A life-course perspective is essential in understanding the determinants of higher-level functional limitations. We examine the impact of adverse childhood experiences (ACEs) on higher-level functional limitations in older people. Data were from the Japan Gerontological Evaluation Study 2013, a population-based cohort of independent people aged 65 years or older across Japan (n = 19,220). ACEs before the age of 18 were assessed in terms of seven adversities: parental death, parental divorce, parental mental illness, family violence, physical abuse, psychological neglect, and psychological abuse. Associations between the cumulative number of ACEs and higher-level functional limitations were investigated by multivariate Poisson regression with robust error variances, adjusted for age, gender, childhood disadvantage, adult sociodemographics, adult health behaviors, and health status. Of the older people, 36.3% reported at least one ACE. Older people who had experienced two or more ACEs showed significantly greater higher-level functional limitations than those with no ACE in a crude model (prevalence ratio, PR = 1.61, 95% confidence interval, CI = 1.51-1.71). After adjusting the covariates, this association remained (PR = 1.19, 95...Continue Reading

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Citations

Jan 29, 2019·European Journal of Public Health·Aljoscha LandösStéphane Cullati
Feb 8, 2020·JAMA Network Open·Yukako TaniKatsunori Kondo
Oct 31, 2019·The Journals of Gerontology. Series B, Psychological Sciences and Social Sciences·Bernadette Wilhelmina Antonia Van Der LindenStéphane Cullati
Jan 23, 2019·International Journal for Equity in Health·Takaaki IkedaKen Osaka
Jul 23, 2020·Journal of Physical Activity & Health·Matthieu P BoisgontierBoris Cheval
Jan 23, 2021·International Journal of Environmental Research and Public Health·Kanako ItoTakeo Fujiwara
Jul 17, 2020·Eating Behaviors·Natsuyo YanagiKatsunori Kondo
Oct 28, 2021·Journal of Women & Aging·Molly WolfBrooke Mucha

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