Evidence map›Paper›PMID 29702049›Full record

ArticleThe Permanente journal2018

Adverse Childhood Experiences among a Community of Resilient Centenarians and Seniors: Implications for a Chronic Disease Prevention Framework.

Rhonda Spencer-Hwang, Xochitl Torres, Johanny Valladares, Marco Pasco-Rubio, Molly Dougherty, Wonha Kim

Abstract read
In one paragraph

Article in The Permanente journal, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

8 citing papers in PubMed.

  1. Review
  2. Article
  3. Resilience in Older People: A Concept Analysis.Healthcare (Basel, Switzerland) · 2023
    Article
  4. Article
  5. Observational
  6. Article
  7. [Action-related resilience in people with longevity-sociological approach].Zeitschrift fur Gerontologie und Geriatrie · 2020
    Article
  8. Exploring health-related quality of life of Spanish domestic adult adoptees: sociodemographic characteristics, chronic medical conditions, and gender differences.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2019
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Rhonda Spencer-HwangAssociate Professor at the Center for Community Resilience in the School of Public Health at Loma Linda University in CA. rspencer@llu.edu.
Xochitl TorresResearch Associate at the Center for Community Resilience in the School of Public Health at Loma Linda University in CA. xtorres@llu.edu.
Johanny ValladaresResearch Associate at the Center for Community Resilience in the School of Public Health at Loma Linda University in CA. jvalladares@llu.edu.
Marco Pasco-RubioResearch Associate at the Center for Community Resilience in the School of Public Health at Loma Linda University in CA. mpascorubio@llu.edu.
Molly DoughertyResearch Assistant at the Center for Community Resilience in the School of Public Health at Loma Linda University in CA. mdougherty@llu.edu.
Wonha KimAssistant Professor of Pediatrics and Preventive Medicine at the Loma Linda University School of Medicine and Director of the Health Policy and Leadership Institute at Loma Linda University in CA. wonkim@llu.edu.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

contextResearch has linked adverse childhood experiences (ACEs) with chronic disease in adults and diminished life span. Adverse biological embedding of ACEs potentially occurs through inflammatory mechanisms; inflammatory marker alterations are identified as candidate biomarkers for mediating health consequences. Lifestyle practices of residents of California's Loma Linda Blue Zone, one of five worldwide longevity hotspots, may provide insight into inflammation remediation and chronic disease prevention. Little research has been done on centenarians' early-life experiences or on ACEs in a longevity community.

objectiveTo interview centenarians and seniors in this region regarding their childhood experiences to inform chronic disease prevention frameworks.

designQualitative study of Loma Linda Blue Zone community members. Childhood exposures and practices were assessed using focus groups and semistructured key informant interviews, with open-ended questions on general hardships and ACEs and supplemented with lifestyle and resiliency factor questions. Data were audiorecorded and transcribed. Integrative grounded theory methods guided coding and theming.

main outcome measuresExposure to ACEs and practice of resiliency factors.

resultsParticipants (7 centenarians and 29 seniors) reported exposure to multiple ACEs (domains: Economic deprivation, family dysfunction, and community violence). Community members reported practicing resiliency factors, each with anti-inflammatory properties suggesting mitigation of ACE-related toxic stress.

conclusionThis is one of the first studies of its kind to identify a community of resilient members despite their tremendous burden of ACEs. Embedding the identified resiliency factors into chronic disease prevention frameworks has potential for mitigating systemic inflammation, alleviating chronic disease burden, and promoting a culture of health.

Indexed as

Life StyleLongevityAdverse Childhood ExperiencesAgedAged, 80 and overChronic DiseaseFamily RelationsFemaleFood SupplyHumansInterviews as TopicMaleNatureQualitative ResearchResilience, PsychologicalSocial Support

Identifiers

PMID29702049
PMCPMC5922855

What OpenQuestion holds

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Registered trials

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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.