ArticlePreventive medicine2017
Positive childhood experiences and ideal cardiovascular health in midlife: Associations and mediators.
Article in Preventive medicine, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 48 papers, 2 of them syntheses 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.
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Who cites it
48 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Impact of Positive Childhood Experiences (PCEs): A Systematic Review of Longitudinal Studies.Child psychiatry and human development · 2026Pooled it
- A systematic review of positive childhood experiences and adult outcomes: Promotive and protective processes for resilience in the context of childhood adversity.Child abuse & neglect · 2023Pooled it
- Adolescent mental health in Hong Kong: a longitudinal analysis of positive self-evaluation, contextual influences and adverse experiences (2009-2014).Child and adolescent mental health · 2026Article
- Racial Differences in Sleep Outcomes in the First Two Years of College.Journal of racial and ethnic health disparities · 2026Article
- Beyond Adversity: Definitions, Retrospective Assessment, and Experimental Manipulation of Positive Early-Life Experiences.Brain sciences · 2026Review
- The Link Between Childhood Experiences and Coping Mechanisms in Medical Students.Family medicine · 2025Article
- Racial and ethnic disparities in childhood cardiovascular health: evidence of the role of social disadvantage from NHANES 2013-2018.BMC medicine · 2025Article
- Promoting Child Wellness: A Narrative Review of Positive Childhood Experiences.Behavioral sciences (Basel, Switzerland) · 2025Review
- Childhood Adversity and Cardiovascular Disease; Current Knowledge and Future Directions.Current cardiology reports · 2025Review
- Positive childhood experiences in obesity and hypertension among young adults: Associations across adverse childhood experiences levels.American journal of preventive cardiology · 2025Article
- Racial Disparities in Sleep Among Diverse Young Adults During the First Semester of College.Journal of racial and ethnic health disparities · 2025Article
- A cross-national analysis of childhood predictors of physical pain.Communications medicine · 2025Article
- Reimagining the Juvenile Justice System Through the Healthy Outcomes from Positive Experiences Framework.International journal of environmental research and public health · 2025Article
- Positive childhood experiences and adult cardiovascular health.Health psychology : official journal of the Division of Health Psychology, American Psychological Association · 2025Article
- Positive Childhood Experiences, Cognition, and Biomarkers of Alzheimer's Disease.International journal of environmental research and public health · 2025Article
- Health Associations of Positive Childhood Experiences: A Scoping Review of the Literature.International journal of environmental research and public health · 2025Article
- Trauma and resilience in an urban clinic for unhoused young adults: A mixed methods study.PLOS mental health · 2025Article
- SEM-ANN analysis of the social prescription of nature, physical activity, and healthy living initiatives for cardiovascular health: mediating role of social support.Frontiers in public health · 2025Article
- Intergenerational transmission of adverse and positive childhood experiences and associations with child well-being.Child abuse & neglect · 2024Article
- Adverse and benevolent childhood experiences among adults in the United Kingdom: a latent class analysis.BMC public health · 2024Article
Corrections and comments
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Authors and funding
5 authors.
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Abstract
In 2010, the American Heart Association introduced a new conceptual framework to encourage a focus on primary prevention and provided a definition for "ideal cardiovascular health". In this study we examined the relationship between positive childhood experience and ideal cardiovascular health in mid-life, and the extent to which education, depression, and social support mediate this association. Data are from participants in the Midlife and Aging in the United States study who completed a clinic-based assessment of health (N=1255, aged 34-84years, 2004-2005). We created a positive childhood experiences index based on retrospective report of eight childhood experiences, and calculated a continuous ideal cardiovascular health score for each participant following the American Heart Association's definition of ideal, intermediate and poor cardiovascular health across seven health metrics (analyses conducted in 2015-2016). Positive childhood experiences were associated with ideal cardiovascular health: compared to individuals in the lowest quartile, respondents in the second, third, and fourth quartile of positive childhood experiences scored 0.42 (standard error (SE)=0.18), 0.92 (SE=0.18) and 1.04 (SE=0.18) units higher on ideal cardiovascular health, adjusting for age, sex, and race. Respondent's education, depression status, and social support fully mediated the direct effect of positive childhood experiences on ideal cardiovascular health, with the largest indirect effect for education. These results suggest that positive childhood experiences are associated with ideal cardiovascular health in midlife. Strategies to promote cardiovascular wellbeing may benefit from a focus on social interventions early in life; educational attainment, major depression, and social support may represent key points of intervention.
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