Resilience and Adverse Childhood Experiences: Associations With Poor Mental Health Among Homeless Adults

American Journal of Preventive Medicine
Michael LiuStephen W Hwang

Abstract

Adverse childhood experiences are known risk factors for a range of social, economic, and health-related outcomes over the life course. Resilience is a known protective factor. This study examines the associations of adverse childhood experiences and resilience with poor mental health outcomes among homeless adults with mental illness. This study utilized data from 565 homeless adults with mental illness participating in a Housing First intervention in Toronto (2009-2013) to evaluate their sociodemographic characteristics, adverse childhood experience exposure, resilience, and mental health outcomes. Descriptive statistics were generated, and logistic regression models were used to examine the association of total adverse childhood experience score and resilience with poor mental health outcomes. Analyses were conducted in 2019. The average total adverse childhood experience score was 4.1 (SD=2.8) among all study participants. Individuals with a lifetime duration of homelessness exceeding 36 months (p=0.011) had higher mean scores. Total score was positively associated with several mental illness diagnoses and psychopathology severity, indicated by co-occurring mental illness diagnoses (AOR=1.23, 95% CI=1.13, 1.33) and high Col...Continue Reading

Citations

Jul 3, 2021·International Journal of Environmental Research and Public Health·Rachael McDonnell MurrayThilo Kroll
Sep 20, 2021·Public Health Nursing·Marin SchmittLucy Mkandawire-Valhmu

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