Adverse childhood experiences and living in the socially deprived areas in adulthood: a cross-sectional study of the nationwide data in Japan

BMC Public Health

Research

Takahiro Tabuchi¹  Takeo Fujiwara²  Natsu Sasaki³  Daisuke Nishi³ 

[1] Cancer Control Center, Osaka International Cancer Institute, Osaka, Japan;Department of Global Health Promotion, Tokyo Medical and Dental University, Tokyo, Japan;Department of Mental Health, Graduate School of Medicine, The University of Tokyo, 7-3-1 Hongo, Bunkyo-Ku, 1130033, Tokyo, Japan;

关键词: Maltreatment;    Trauma;    Socioeconomic status;    Equity;    Public health;   

DOI  :  10.1186/s12889-023-16557-z

 received in 2023-05-08, accepted in 2023-08-18,  发布年份 2023

来源: Springer

【 摘 要 】

ObjectivesThis study aimed to examine whether having adverse childhood experiences (ACEs) was associated with living in a deprived area in adulthood.MethodsThe cross-sectional study was conducted by using nation-wide data in 2022 of the Japan COVID-19 and Society Internet Survey (JACSIS). Participants were community dwelling people 18 years or older. ACEs were assessed by Japanese version of 15-items ACE measurement tool (ACE-J). Living condition was measured by Area Deprived Index (ADI) and Densely Inhabited District (DID) based on zip code. Multivariable logistic regression to analyze the associations between ADI and ACE 4 + was conducted, controlling for individual-level factors, such as age, sex, marital status, and education, as an additional analysis.ResultsThe total of 27,916 participants were included in the analysis. The prevalence of emotional neglect, childhood poverty, and school bullying were 38.2%, 26.5%, 20.8%, respectively. 75% of the population had one or more ACE(s). The number of ACEs was associated with significantly higher risk of living in deprived area in the adulthood (p = 0.001). ACEs were not associated with living in density area. The association between ADI and ACEs 4 + was non-significant after controlling the individual-level factors.ConclusionPeople with higher number of ACEs tend to live in deprived areas in adulthood. Policy makers in highly deprived areas can apply the trauma-informed approach for the community care and support, which is critical to mitigating deficit perspectives and facilitating comprehensive support for those with ACEs.

【 授权许可】

CC BY   
© BioMed Central Ltd., part of Springer Nature 2023

【 图 表 】

Fig. 2