This study aimed to consider childhood poverty in relation to a count measure of adverse childhood experiences (ACEs) as a predictor of adult health outcomes and to determine whether associations are sensitive to how childhood poverty is operationalized. A sample of 10,784 adult residents was derived using data 2014–2015 Wisconsin annual Behavioral Risk Factor Survey data, derived from the Centers for Disease Control and Prevention (CDC) Behavioral Risk Factor Surveillance System (BRFSS). Adult health outcomes (health risk behaviors, general health problems, chronic health problems, and depression) were predicted using a more conservative and severe indicator of childhood poverty, and authors tested whether observed associations were attenuated by the inclusion of an ACE count variable. Findings showed that severe indicators of childhood poverty are associated with general and chronic health problems as well as adult depression. These associations are attenuated, but remain intact, when ACEs are included in regression models. Using the CDC BRFSS data for Wisconsin, the study showed that associations between childhood poverty and adult health are sensitive to the way in which childhood poverty is operationalized. The relationship between childhood poverty and other ACEs is complex and thus warrants treating the former as a distinct childhood adversity rather than an item in an ACE summary score.

中文翻译：

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童年贫困、不良童年经历和成人健康结果

本研究旨在将儿童贫困与不良童年经历 (ACE) 的计数测量关联起来，作为成人健康结果的预测指标，并确定关联是否对儿童贫困的运作方式敏感。使用来自疾病控制和预防中心 (CDC) 行为风险因素监测系统 (BRFSS) 的 2014-2015 年威斯康星州年度行为风险因素调查数据得出 10,784 名成年居民的样本。成人健康结果（健康风险行为、一般健康问题、慢性健康问题和抑郁症）是使用更保守和更严重的儿童贫困指标预测的，作者测试了观察到的关联是否因包含 ACE 计数变量而减弱。研究结果表明，儿童贫困的严重指标与一般和慢性健康问题以及成人抑郁症有关。当 ACE 包含在回归模型中时，这些关联会减弱，但保持不变。该研究使用威斯康星州的 CDC BRFSS 数据表明，儿童贫困与成人健康之间的关联对儿童贫困的运作方式很敏感。童年贫困与其他 ACE 之间的关系很复杂，因此有必要将前者视为独特的童年逆境，而不是 ACE 总分中的一个项目。研究表明，儿童贫困与成人健康之间的关联对儿童贫困的运作方式很敏感。童年贫困与其他 ACE 之间的关系很复杂，因此有必要将前者视为独特的童年逆境，而不是 ACE 总分中的一个项目。研究表明，儿童贫困与成人健康之间的关联对儿童贫困的运作方式很敏感。童年贫困与其他 ACE 之间的关系很复杂，因此有必要将前者视为独特的童年逆境，而不是 ACE 总分中的一个项目。