Trial reportBMC public health2014
Setting the stage for chronic health problems: cumulative childhood adversity among homeless adults with mental illness in Vancouver, British Columbia.
Trial report in BMC public health, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 1 of them a synthesis that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
19 citing papers in PubMed, 1 synthesis or guideline pooled it.
- The impact of adverse childhood experiences on multimorbidity: a systematic review and meta-analysis.BMC medicine · 2024Pooled it
- Trial
- Associations between adverse childhood experiences and health outcomes in adults aged 18-59 years.PloS one · 2019Trial
- Trial
- History of foster care among homeless adults with mental illness in Vancouver, British Columbia: a precursor to trajectories of risk.BMC psychiatry · 2015Trial
- Depressive symptoms of school-aged adolescents: cumulative effect of adverse events and mediation of social support.Revista brasileira de epidemiologia = Brazilian journal of epidemiology · 2025Article
- The Link Between Childhood Abuse Experiences and Homeless People's Quality of Life: A Longitudinal Study.Journal of child & adolescent trauma · 2024Article
- Distress and neuroticism as mediators of the effect of childhood and adulthood adversity on cognitive performance in the UK Biobank study.Scientific reports · 2024Article
- Adverse Childhood Experiences and Depression among Homeless Young Adults: A Social Determinants of Health Perspective.International journal of environmental research and public health · 2024Article
- Expanded Adverse Childhood Experiences (ACEs) and Adult Cannabis Use: A Latent Class Analysis.Cannabis (Albuquerque, N.M.) · 2023Article
- Polysubstance abuse among sexually abused in alcohol, drug, and gambling addiction treatment in Greenland: a cross sectional study.International journal of circumpolar health · 2021Article
- Health and adverse childhood experiences among homeless youth.BMC pediatrics · 2021Article
- Cumulative Childhood Adversity and Its Associations With Mental Health in Childhood, Adolescence, and Adulthood in Rural China.Frontiers in psychology · 2021Article
- Introducing ACEs (Adverse Childhood Experiences) and Resilience to First-Year Medical Students.MedEdPORTAL : the journal of teaching and learning resources · 2020Article
- Examining the Relationships between Cumulative Childhood Adversity and the Risk of Criminal Justice Involvement and Victimization among Homeless Adults with Mental Illnesses after Receiving Housing First Intervention.Canadian journal of psychiatry. Revue canadienne de psychiatrie · 2020Article
- Recognizing and responding to women experiencing homelessness with gendered and trauma-informed care.BMC public health · 2020Article
- Gender differences among Indigenous Canadians experiencing homelessness and mental illness.BMC psychology · 2019Article
- Childhood Adversities Associated with Poor Adult Mental Health Outcomes in Older Homeless Adults: Results From the HOPE HOME Study.The American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry · 2017Article
- Pathways to Homelessness among Older Homeless Adults: Results from the HOPE HOME Study.PloS one · 2016Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundIt is well documented that childhood abuse, neglect and household dysfunction are disproportionately present in the backgrounds of homeless adults, and that these experiences adversely impact child development and a wide range of adult outcomes. However, few studies have examined the cumulative impact of adverse childhood experiences on homeless adults with mental illness. This study examines adverse events in childhood as predictors of duration of homelessness, psychiatric and substance use disorders, and physical health in a sample of homeless adults with mental illness.
methodsThis study was conducted using baseline data from a randomized controlled trial in Vancouver, British Columbia for participants who completed the Adverse Childhood Experiences (ACE) scale at 18 months follow-up (n=364). Primary outcomes included current mental disorders; substance use including type, frequency and severity; physical health; duration of homelessness; and vocational functioning.
resultsIn multivariable regression models, ACE total score independently predicted a range of mental health, physical health, and substance use problems, and marginally predicted duration of homelessness.
conclusionsAdverse childhood experiences are overrepresented among homeless adults with complex comorbidities and chronic homelessness. Our findings are consistent with a growing body of literature indicating that childhood traumas are potent risk factors for a number of adult health and psychiatric problems, particularly substance use problems. Results are discussed in the context of cumulative adversity and self-trauma theory. TRIALS REGISTRATION: This trial has been registered with the International Standard Randomized Control Trial Number Register and assigned ISRCTN42520374.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.