Adverse childhood experiences (ACEs) have long been associated with health risk behaviors, but they are poorly studied in Brazilian university students. To estimate the prevalence of ACEs and investigate their association with sociodemographic data, health risk factors and self-related health in a sample of university students. A cross-sectional study conducted with 546 students from a Brazilian public university. The self-reported 10-ACE Study questionnaire (ACE-Q) and sociodemographic information (age, sex, family income), health risk factors (body mass index, physical exercise, alcohol and tobacco use) and self-related health were assessed. Chi-square Test and multivariate logistic regression were used to evaluate the association between the cumulative occurrence of ACE (ACE ≥4) and the studied factors. Of the 546 participants, 464 responded to all ACE-Q questions; 74.4% reported at least one ACE, and 13.1 % reported four or more. Lower family income (OR = 2.02; 95%CI = 1.13–3.61; p = 0.01) and self-related poor health (OR = 2.29; 95%CI = 1.28–4.08; p = 0.00) were associated with the occurrence of ACE ≥4. Most students reported at least one ACE, while a minority reported ≥4 ACEs associated with lower family income and poor self-health. The data suggest that preventive actions should be considered to mitigate the problem, with lower-income students being treated as a priority.

中文翻译：

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巴西大学生样本中不良童年经历（ACE）的患病率和相关因素

不良童年经历（ACE）长期以来一直与健康风险行为相关，但对巴西大学生的研究却很少。评估大学生样本中 ACE 的患病率并调查其与社会人口统计数据、健康风险因素和自我相关健康的关联。对巴西一所公立大学的 546 名学生进行的横断面研究。对自我报告的 10-ACE 研究问卷 (ACE-Q) 和社会人口统计信息（年龄、性别、家庭收入）、健康风险因素（体重指数、体育锻炼、饮酒和吸烟）以及自我相关健康状况进行评估。采用卡方检验和多元逻辑回归来评估ACE（ACE≥4）的累积发生率与研究因素之间的相关性。在 546 名参与者中，464 人回答了所有 ACE-Q 问题； 74.4% 的人报告至少有一项 ACE，13.1% 的人报告有四项或更多。较低的家庭收入（OR = 2.02；95%CI = 1.13–3.61；p = 0.01）和自身健康状况不佳（OR = 2.29；95%CI = 1.28–4.08；p = 0.00）与 ACE 的发生相关≥4。大多数学生报告至少 1 项 ACE，而少数学生报告 ≥4 项 ACE 与家庭收入较低和自我健康状况不佳相关。数据表明，应考虑采取预防措施来缓解这一问题，并优先考虑低收入学生。