ArticlePloS one2016
Adverse Childhood Experiences, Support, and the Perception of Ability to Work in Adults with Disability.
Article in PloS one, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.
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Who cites it
10 citing papers in PubMed, 58 citations in OpenAlex.
- Prevalence of Adverse Childhood Experience Exposure by Disability Status.JAMA health forum · 2025Article
- Adverse childhood experiences, diabetes and associated conditions, preventive care practices and health care access: A population-based study.Preventive medicine · 2022Article
- Protocol for a Case Control Study to Evaluate Oral Health as a Biomarker of Child Exposure to Adverse Psychosocial Experiences.International journal of environmental research and public health · 2022Article
- Differences in functional and structural social support among female and male veterans and civilians.Social psychiatry and psychiatric epidemiology · 2021Article
- Positive Childhood Experiences and Adult Mental and Relational Health in a Statewide Sample: Associations Across Adverse Childhood Experiences Levels.JAMA pediatrics · 2019Article
- Youth exposure to violence involving a gun: evidence for adverse childhood experience classification.Journal of behavioral medicine · 2019Article
- Childhood adversities, parental education and disability retirement among Finnish municipal employees.PloS one · 2019Article
- Lifetime Disadvantages after Childhood Adversity: Health Problems Limiting Work and Shorter Life.The Annals of the American Academy of Political and Social Science · 2018Article
- The association between adverse childhood experiences and traumatic brain injury/concussion in adulthood: A scoping review protocol.BMJ open · 2017Article
- What Influences Mental Illness? Discrepancies Between Medical Education and Conception.Journal of medical education and curricular developmentArticle
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
7 authors at 7 institutions in 4 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo examine the impact of adverse childhood experiences (ACEs) and support on self-reported work inability of adults reporting disability.
participantsAdults (ages 18-64) who participated in the Behavioral Risk Factor Surveillance System in 2009 or 2010 and who reported having a disability (n = 13,009). DESIGN AND
main outcome measuresThe study used a retrospective cohort design with work inability as the main outcome. ACE categories included abuse (sexual, physical, emotional) and family dysfunction (domestic violence, incarceration, mental illness, substance abuse, divorce). Support included functional (perceived emotional/social support) and structural (living with another adult) support. Logistic regression was used to adjust for potential confounders (age, sex and race) and to evaluate whether there was an independent effect of ACEs on work inability after adding other important predictors (support, education, health) to the model.
resultsACEs were highly prevalent with almost 75% of the sample reporting at least one ACE category and over 25% having a high ACE burden (4 or more categories). ACEs were strongly associated with functional support. Participants experiencing a high ACE burden had a higher adjusted odds ratio (OR) [95% confidence interval] of 1.9 [1.5-2.4] of work inability (reference: zero ACEs). Good functional support (adjusted OR 0.52 [0.42-0.63]) and structural support (adjusted OR 0.48 [0.41-0.56]) were protective against work inability. After adding education and health to the model, ACEs no longer appeared to have an independent effect. Structural support remained highly protective, but functional support only appeared to be protective in those with good physical health.
conclusionsACEs are highly prevalent in working-age US adults with a disability, particularly young adults. ACEs are associated with decreased support, lower educational attainment and worse adult health. Health care providers are encouraged to screen for ACEs. Addressing the effects of ACEs on health and support, in addition to education and retraining, may increase ability to work in those with a disability.
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