How community resources mitigate the association between household poverty and the incidence of adverse childhood experiences

Alexandra Blair; Louise Marryat; John Frank

doi:10.1007/s00038-019-01258-5

How community resources mitigate the association between household poverty and the incidence of adverse childhood experiences

Alexandra Blair (Lead / Corresponding author), Louise Marryat, John Frank

Health Sciences

Research output: Contribution to journal › Article › peer-review

19 Citations (Scopus)

79 Downloads (Pure)

Abstract

Objectives: To assess what proportion of the association between household low income and incidence of adverse childhood experiences (ACE) would be eliminated if all households had access to housing, transportation and childcare services, breastfeeding counselling, and parks.

Methods: Using Growing Up in Scotland birth cohort data (N = 2816), an inverse probability-weighted regression-based mediation technique was applied to assess associations between low-income status (< £11,000 in 2004/5), resource access, and cumulative 8-year ACE incidence (≥ 1, ≥ 3 ACEs). Resource access was measured based on households’ self-reported difficulties (yes/no) in accessing housing, transportation, childcare, and breastfeeding counselling, and park proximity (within 10 min from the residence).

Results: The protective effects of resources were heterogeneous. Only access to transportation was associated with lower ACE incidence in both low- and higher-income households. If all had access to transportation, 21% (95% CI 3%, 41%) of the income-based inequality in incidence of 3 or more ACEs could be eliminated.

Conclusions: While second best to the elimination of child poverty, measures to improve families’ access to community resources such as transportation may mitigate the effects of poverty on ACE incidence.

Original language	English
Pages (from-to)	1059-1068
Number of pages	10
Journal	International Journal of Public Health
Volume	64
Issue number	7
Early online date	28 May 2019
DOIs	https://doi.org/10.1007/s00038-019-01258-5
Publication status	Published - Sept 2019

Keywords

Adverse childhood experiences
Child health
Childhood circumstances
Health equity
Inequalities
Poverty
Social epidemiology

ASJC Scopus subject areas

Public Health, Environmental and Occupational Health

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

Access to Document

10.1007/s00038-019-01258-5Licence: CC BY

Final published version
Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made.
Final published version, 332 KBLicence: CC BY

Cite this

@article{a9b28a6d63184981aadc2c068e59a054,

title = "How community resources mitigate the association between household poverty and the incidence of adverse childhood experiences",

abstract = "Objectives: To assess what proportion of the association between household low income and incidence of adverse childhood experiences (ACE) would be eliminated if all households had access to housing, transportation and childcare services, breastfeeding counselling, and parks. Methods: Using Growing Up in Scotland birth cohort data (N = 2816), an inverse probability-weighted regression-based mediation technique was applied to assess associations between low-income status (< £11,000 in 2004/5), resource access, and cumulative 8-year ACE incidence (≥ 1, ≥ 3 ACEs). Resource access was measured based on households{\textquoteright} self-reported difficulties (yes/no) in accessing housing, transportation, childcare, and breastfeeding counselling, and park proximity (within 10 min from the residence). Results: The protective effects of resources were heterogeneous. Only access to transportation was associated with lower ACE incidence in both low- and higher-income households. If all had access to transportation, 21% (95% CI 3%, 41%) of the income-based inequality in incidence of 3 or more ACEs could be eliminated. Conclusions: While second best to the elimination of child poverty, measures to improve families{\textquoteright} access to community resources such as transportation may mitigate the effects of poverty on ACE incidence.",

keywords = "Adverse childhood experiences, Child health, Childhood circumstances, Health equity, Inequalities, Poverty, Social epidemiology",

author = "Alexandra Blair and Louise Marryat and John Frank",

year = "2019",

month = sep,

doi = "10.1007/s00038-019-01258-5",

language = "English",

volume = "64",

pages = "1059--1068",

journal = "International Journal of Public Health",

issn = "1661-8556",

publisher = "Birkhauser Verlag Basel",

number = "7",

}

TY - JOUR

T1 - How community resources mitigate the association between household poverty and the incidence of adverse childhood experiences

AU - Blair, Alexandra

AU - Marryat, Louise

AU - Frank, John

PY - 2019/9

Y1 - 2019/9

N2 - Objectives: To assess what proportion of the association between household low income and incidence of adverse childhood experiences (ACE) would be eliminated if all households had access to housing, transportation and childcare services, breastfeeding counselling, and parks. Methods: Using Growing Up in Scotland birth cohort data (N = 2816), an inverse probability-weighted regression-based mediation technique was applied to assess associations between low-income status (< £11,000 in 2004/5), resource access, and cumulative 8-year ACE incidence (≥ 1, ≥ 3 ACEs). Resource access was measured based on households’ self-reported difficulties (yes/no) in accessing housing, transportation, childcare, and breastfeeding counselling, and park proximity (within 10 min from the residence). Results: The protective effects of resources were heterogeneous. Only access to transportation was associated with lower ACE incidence in both low- and higher-income households. If all had access to transportation, 21% (95% CI 3%, 41%) of the income-based inequality in incidence of 3 or more ACEs could be eliminated. Conclusions: While second best to the elimination of child poverty, measures to improve families’ access to community resources such as transportation may mitigate the effects of poverty on ACE incidence.

AB - Objectives: To assess what proportion of the association between household low income and incidence of adverse childhood experiences (ACE) would be eliminated if all households had access to housing, transportation and childcare services, breastfeeding counselling, and parks. Methods: Using Growing Up in Scotland birth cohort data (N = 2816), an inverse probability-weighted regression-based mediation technique was applied to assess associations between low-income status (< £11,000 in 2004/5), resource access, and cumulative 8-year ACE incidence (≥ 1, ≥ 3 ACEs). Resource access was measured based on households’ self-reported difficulties (yes/no) in accessing housing, transportation, childcare, and breastfeeding counselling, and park proximity (within 10 min from the residence). Results: The protective effects of resources were heterogeneous. Only access to transportation was associated with lower ACE incidence in both low- and higher-income households. If all had access to transportation, 21% (95% CI 3%, 41%) of the income-based inequality in incidence of 3 or more ACEs could be eliminated. Conclusions: While second best to the elimination of child poverty, measures to improve families’ access to community resources such as transportation may mitigate the effects of poverty on ACE incidence.

KW - Adverse childhood experiences

KW - Child health

KW - Childhood circumstances

KW - Health equity

KW - Inequalities

KW - Poverty

KW - Social epidemiology

UR - http://www.scopus.com/inward/record.url?scp=85066614477&partnerID=8YFLogxK

U2 - 10.1007/s00038-019-01258-5

DO - 10.1007/s00038-019-01258-5

M3 - Article

C2 - 31139849

AN - SCOPUS:85066614477

SN - 1661-8556

VL - 64

SP - 1059

EP - 1068

JO - International Journal of Public Health

JF - International Journal of Public Health

IS - 7

ER -

How community resources mitigate the association between household poverty and the incidence of adverse childhood experiences

Abstract

Keywords

ASJC Scopus subject areas

UN SDGs

Access to Document

Other files and links

Fingerprint

The Scottish eHealth Informatics Research Centre (E-HIRCs) (Joint with Universities of Aberdeen, Glasgow, Edinburgh, Strathclyde, St Andrews & Leicester and ISD)

Marryat, Louise

Cite this

How community resources mitigate the association between household poverty and the incidence of adverse childhood experiences

Abstract

Keywords

ASJC Scopus subject areas

UN SDGs

Access to Document

Other files and links

Fingerprint

Projects

The Scottish eHealth Informatics Research Centre (E-HIRCs) (Joint with Universities of Aberdeen, Glasgow, Edinburgh, Strathclyde, St Andrews & Leicester and ISD)

Profiles

Marryat, Louise

Cite this