Rural-urban differences in exposure to adverse childhood experiences among South Carolina adults

Rural and Remote Health
Elizabeth RadcliffMelissa Strompolis

Abstract

Adverse childhood experiences (ACEs) are traumatic events that occur in a child's life between birth and 18 years. Exposure to one or more ACE has been linked to participation in risky health behaviors and the experience of chronic health conditions in adulthood. The risk for poor outcomes increases as the number of ACEs experienced increases. This research investigates rural-urban differences in exposure to ACEs using a sample from a representative southern US state, South Carolina. Using data from the 2014-2015 South Carolina Behavioral Risk Factor Surveillance System (BRFSS) and residential rurality based on UICs, ACE exposure among South Carolina adults was tabulated by urban versus rural residence and selected other demographic characteristics. Using standard descriptive statistics, frequencies and proportions were calculated for each categorical variable. Multivariable regression modeling was used to examine the impact of residential rurality and selected sociodemographic characteristics on overall and specific types of ACE exposure. All analyses used survey sampling weights that accounted for the BRFSS sampling strategy. The analytic sample of 18 176 respondents comprised 15.9% rural residents. Top reported ACEs ...Continue Reading

Citations

Apr 3, 2019·The Journal of Rural Health : Official Journal of the American Rural Health Association and the National Rural Health Care Association·Elizabeth CrouchSelina Hunt McKinney
Jul 9, 2020·The Journal of Rural Health : Official Journal of the American Rural Health Association and the National Rural Health Care Association·Elizabeth CrouchKevin J Bennett
Jul 26, 2019·International Journal of Environmental Research and Public Health·Leanne Whiteside-MansellJames P Selig
Dec 1, 2020·Child Abuse & Neglect·Jennifer Thomas-Giyer, John M Keesler
Apr 11, 2020·Trauma, Violence & Abuse·Kathryn Maguire-JackJames C Spilsbury

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