ArticlePsychiatric services (Washington, D.C.)2019
State Legislators' Opinions About Adverse Childhood Experiences as Risk Factors for Adult Behavioral Health Conditions.
Article in Psychiatric services (Washington, D.C.), 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
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Who cites it
8 citing papers in PubMed.
- Adverse childhood experiences affect health outcomes for adults in North Dakota: 2019-2022 BRFSS population profile.Frontiers in public health · 2025Article
- On the Relationship Between Stakeholder Affiliation and Attitudes Toward Behavioral Health Reform in Kansas.Kansas journal of medicine · 2023Article
- Partisan differences in the effects of economic evidence and local data on legislator engagement with dissemination materials about behavioral health: a dissemination trial.Implementation science : IS · 2022Article
- Linking Data on Constituent Health with Elected Officials' Opinions: Associations Between Urban Health Disparities and Mayoral Officials' Beliefs About Health Disparities in Their Cities.The Milbank quarterly · 2021Article
- Determinants of using children's mental health research in policymaking: variation by type of research use and phase of policy process.Implementation science : IS · 2021Article
- Dissemination Strategies to Accelerate the Policy Impact of Children's Mental Health Services Research.Psychiatric services (Washington, D.C.) · 2020Article
- Factors associated with state legislators' support for opioid use disorder parity laws.The International journal on drug policy · 2020Article
- Unintended consequences of disseminating behavioral health evidence to policymakers: Results from a survey-based experiment.Implementation research and practiceArticle
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Authors and funding
5 authors.
Funding
Abstract
objectivesAdverse childhood experiences (ACEs) increase risk of adult behavioral health conditions. State legislators are an important audience to target with evidence about ACEs because they make policy decisions that can prevent ACE exposure and enhance resilience. This study sought to describe state legislators' opinions about ACEs as risk factors for adult behavioral health conditions and identify how opinions vary between legislators with different characteristics.
methodsA multimodal survey was conducted in 2017 (response rate, 16.4%; N=475). Dependent variables were the extent to which legislators thought that four ACEs-sexual abuse, physical abuse, witnessing domestic violence, and childhood neglect-increase risk of adult behavioral health conditions. Independent variables were legislator characteristics (e.g., ideology and gender). Rao-Scott chi-square tests and multivariable logistic regression were conducted.
resultsChildhood sexual abuse was identified as a major risk factor by the largest proportion of respondents (77%), followed by childhood physical abuse (59%), witnessing domestic violence (39%), and childhood neglect (38%). The proportion identifying each ACE as a major risk factor was significantly higher among Democrats than among Republicans, liberals than among conservatives, and women than among men. For example, 56% of liberals identified witnessing domestic violence as a major risk factor, compared with 29% of conservatives (p<.001).
conclusionsOpinions about ACEs as risk factors for adult behavioral health conditions varied between legislators with different characteristics, especially liberals and conservatives. To enhance the policy impact of evidence about ACEs, advocates might consider developing multiple versions of ACE evidence summaries that are tailored on the basis of these characteristics.
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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.