ArticleBMC public health2018
How adverse childhood experiences relate to single and multiple health risk behaviours in German public university students: a cross-sectional analysis.
Article in BMC public health, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 1 of them a synthesis that pooled it.
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21 citing papers in PubMed, 1 synthesis or guideline pooled it, 72 citations in OpenAlex.
- Health and financial costs of adverse childhood experiences in 28 European countries: a systematic review and meta-analysis.The Lancet. Public health · 2021Pooled it
- Adverse childhood experiences and cyber aggression among college students: the mediating role of psychological resilience and the moderating role of physical exercise.Frontiers in psychiatry · 2026Article
- Behavioural public policy should take the psychology of poverty into account.Communications psychology · 2025Review
- Relationship between depression, childhood trauma, and psychological resilience in college nursing students: A cross-sectional study.Medicine · 2025Article
- Associations of multiple adverse childhood experiences, attachment insecurity and loneliness with physical and mental health difficulties in a representative Slovak sample.Preventive medicine reports · 2025Article
- Prevalence of Adverse Childhood Experiences and Their Associations with Non-Suicidal Self-Injury Among Chinese Adolescents with Depression.Child psychiatry and human development · 2024Article
- Childhood maltreatment and risk of endocrine diseases: an exploration of mediating pathways using sequential mediation analysis.BMC medicine · 2024Article
- Lifestyle interventions in nonalcoholic fatty liver disease.Nature reviews. Gastroenterology & hepatology · 2023Review
- The intersection of neighborhood and race in urban adolescent health risk behaviors.Journal of community psychology · 2023Article
- Adverse Childhood Experiences and Health Risk Behaviours among the Undergraduate Health Campus Students.The Malaysian journal of medical sciences : MJMS · 2023Article
- Exploring adverse childhood experiences (ACEs) among Ugandan university students: its associations with academic performance, depression, and suicidal ideations.BMC psychology · 2023Article
- Early menarche and adult major depressive disorder among Japanese women: The role of childhood traumatic experience and socioeconomic conditions in young adulthood.PCN reports : psychiatry and clinical neurosciences · 2022Article
- Associations between Adverse Childhood Experiences and the novel inflammatory marker glycoprotein acetyls in two generations of the Avon Longitudinal Study of Parents and Children birth cohort.Brain, behavior, and immunity · 2022Article
- Patterns of adverse childhood experiences and depressive symptom trajectories in young adults: A longitudinal study of college students in China.Frontiers in psychiatry · 2022Article
- Intimate partner violence, adverse childhood experiences and prenatal substance use in South Africa.The South African journal of psychiatry : SAJP : the journal of the Society of Psychiatrists of South Africa · 2022Article
- Mental health status of adolescents with adverse childhood experience and the influencing factors.Zhong nan da xue xue bao. Yi xue ban = Journal of Central South University. Medical sciences · 2021Article
- The geroscience agenda: Toxic stress, hormetic stress, and the rate of aging.Ageing research reviews · 2020Review
- Life-Course Trauma and Later Life Mental, Physical, and Cognitive Health in a Postapartheid South African Population: Findings From the HAALSI study.Journal of aging and health · 2020Article
- Family Structure and History of Childhood Trauma: Associations With Risk-Taking Behavior Among Adolescents in Swaziland.Frontiers in public health · 2020Article
- Adverse childhood experiences and their relationship to gender and depression among young adults in Iraq: a cross-sectional study.BMC public health · 2019Article
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Authors and funding
3 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundAdverse childhood experiences (ACEs) have been shown to be linked to health risk behaviours (HRBs). This study aims to identify risk factors for ACEs and to examine the associations between ACEs and single and multiple HRBs in a sample of university students in Germany.
methodsAn online-based cross-sectional study was conducted among public university students (N = 1466). The widely applied ACE questionnaire was used and extended to operationalise 13 categories of childhood adversity. First, variables for each type of ACE and HRB were dichotomised (single ACEs and single HRBs), and then used for cumulative scores (multiple ACEs and multiple HRBs). Frequencies were assessed, and (multinomial) logistic regression analyses were performed.
resultsPrevalence rates of ACEs ranged from 3.9 to 34.0%, depending on the type of childhood adversity. Sociodemographic risk and protective factors for single/multiple ACEs varied strongly depending on the outcome. In particular, a high family socioeconomic status seemed to be a consistent protective factor for most ACEs. After adjusting for sociodemographic characteristics, both single and multiple HRBs were associated with single events of ACEs. Moreover, dose-response relationships between multiple ACEs and various single and multiple HRBs were found.
conclusionsThe study provides strong evidence that ACEs are associated with HRBs. The number of ACEs may play a role in single or multiple HRBs. Reducing the number of ACEs could thus decrease HRBs, which account for many of the leading causes of morbidity and death. The findings highlight the importance of trauma-informed health interventions designed to prevent the occurrence of ACEs, and build capacity among children and adults.
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