ArticleBMJ open2021
Association of adverse childhood experiences with diabetes in adulthood: results of a cross-sectional epidemiological survey in Singapore.
Article in BMJ open, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.
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Who cites it
11 citing papers in PubMed, 1 synthesis or guideline pooled it, 14 citations in OpenAlex.
- Adverse childhood experiences and risk of diabetes: A systematic review and meta-analysis.Journal of global health · 2022Pooled it
- Prevalence and correlates of suicidal behaviours among patients with depression and anxiety disorders in a multi-ethnic Asian setting.Frontiers in psychiatry · 2026Article
- Adverse childhood experiences and prevalence of type 2 diabetes in a nationwide study of women.European journal of public health · 2025Article
- ACE Enquiry in Primary care: A Qualitative Exploration of the Perspective of General Practitioners in Northern Ireland.Journal of child & adolescent trauma · 2025Article
- Improving Diabetes Control in a Medicaid Managed Care Population With Complex Needs.The Permanente journal · 2024Article
- Neural correlates of perceived and relative resilience in male and female patients with irritable bowel syndrome.Neurogastroenterology and motility · 2024Article
- Association between adverse childhood experiences and type 2 diabetes mellitus in later life: A case-control study.PLOS global public health · 2024Article
- Food insufficiency, adverse childhood experiences and mental health: results of the Singapore Mental Health Study 2016.Public health nutrition · 2023Article
- Adverse Childhood Experience as a Risk Factor for Developing Type 2 Diabetes among the Jazan Population: A Cross-Sectional Study.Children (Basel, Switzerland) · 2023Article
- Associations between adverse childhood experiences and diabetes among middle-aged and older Chinese: a social-ecological perspective.Epidemiology and health · 2023Article
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Authors and funding
10 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesSeveral studies have linked diabetes mellitus to adverse childhood experiences (ACEs). While a number of studies have examined the association between ACEs and diabetes in Western populations, few have done it in Asian populations. The current study aimed to examine (1) the association between ACEs and diabetes, including the association after age stratification, and (2) the association of comorbid depression, resource use and health-related quality of life (HRQoL) among those with diabetes and ACEs in Singapore. SETTINGS: Participants were surveyed in their homes or any other preferred venue of their choice.
participants6126 individuals aged 18 years and above were randomly selected among Singapore residents.
designCross-sectional nationwide epidemiological study.
resultsExposure to any ACE was not associated with increased odds of diabetes; however, those who had experienced parental separation, death or divorce of a parent had higher odds of diabetes. In addition, we observed significant interaction between age and ACEs in relation to odds of diabetes. ACEs were significantly associated with higher odds of diabetes mainly in the younger age group. The prevalence of major depressive disorder was significantly higher among those with diabetes and ACEs than those with diabetes alone (3.7% and 0.3% respectively).
conclusionsEfforts to promote regular exercise and healthy lifestyles both in the population and among those with diabetes must continue for the prevention and management of diabetes. The findings emphasise the need to create more awareness of both the prevalence and impact of ACEs among those treating chronic diseases.
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