The Complexities of Adverse Childhood Experiences: A Study of Health, Behavioral Health, and Quality of Life Among Women with and Without Disabilities
The Complexities of Adverse Childhood Experiences: A Study of Health, Behavioral Health, and Quality of Life Among Women with and Without Disabilities
상세정보
- 자료유형
- 학위논문 서양
- 최종처리일시
- 20250211151343
- ISBN
- 9798383569788
- DDC
- 361
- 서명/저자
- The Complexities of Adverse Childhood Experiences: A Study of Health, Behavioral Health, and Quality of Life Among Women with and Without Disabilities
- 발행사항
- [Sl] : State University of New York at Albany, 2024
- 발행사항
- Ann Arbor : ProQuest Dissertations & Theses, 2024
- 형태사항
- 150 p
- 주기사항
- Source: Dissertations Abstracts International, Volume: 86-01, Section: B.
- 주기사항
- Advisor: Rizzo, Victoria M.
- 학위논문주기
- Thesis (Ph.D.)--State University of New York at Albany, 2024.
- 초록/해제
- 요약Background and Purpose: The negative effects of adverse childhood experiences (ACEs) on behavioral and physical health and well-being long after exposure are a global and national concern. For over two decades, ACEs have been associated with numerous medical conditions, health risk behaviors, and poor mental and physical health outcomes. However, few studies have examined the effects of ACEs on the health outcomes of persons with disabilities (PWDs). The main objective of this study was to examine the impact of ACEs on women with and without disabilities, their health and well-being.Methods: Using the social-ecological model as the theoretical framework, this cross-sectional study examined the relationship between ACEs and health, behavioral health (mental and substance abuse), and quality of life among women with and without disabilities 18 years and older. This study used data from the Expanded Behavioral Risk Factor Surveillance System in New York for the years 2016 and 2019. A series of questions were identified from the survey that assessed ACE Exposure and Levels, health risk behaviors, physical and mental health factors, and covariates, such as sociodemographic factors and a variable for multimorbidity. The data were analyzed using logistic regression.Results: The results indicate that ACEs have different effects on women with disabilities and women without disabilities after adjusting for significant variables. In comparison to women without disabilities, women with disabilities were more likely to engage in health-risk behaviors and report a reduced quality of life. Although this may be the case, children appear to protect women with disabilities and reduce the negative effects of ACEs on their physical and mental health and quality of life.Conclusion: The findings underscore the necessity for tailored interventions and support services for women with disabilities affected by ACEs. By addressing the complex interplay of ACEs, disability, and health outcomes, this research contributes to a deeper understanding of the challenges faced by women with diverse needs. It informs strategies to promote resilience, improve health outcomes, and enhance overall well-being. Recommendations include enhancing accessibility to behavioral health services, promoting family-centered interventions, and advocating for policies that address the unique needs of this population.Limitations: This cross-sectional study has limitations. Relying on self-reported data may introduce recall bias and social desirability bias, potentially impacting accuracy. Furthermore, the study design limits the ability to infer causality between variables. It may also be difficult to generalize the findings given the sample composition (New York State), data limitations, and the omission of women with cognitive disabilities (intellectual, developmental, and mental health illnesses). The study's snapshot nature limits longitudinal insights. These factors should be considered when interpreting the findings.
- 일반주제명
- Social work
- 일반주제명
- Public health
- 일반주제명
- Social research
- 기타저자
- State University of New York at Albany Social Welfare
- 기본자료저록
- Dissertations Abstracts International. 86-01B.
- 전자적 위치 및 접속
- 로그인 후 원문을 볼 수 있습니다.
MARC
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■00520250211151343
■006m o d
■007cr#unu||||||||
■020 ▼a9798383569788
■035 ▼a(MiAaPQ)AAI31242460
■040 ▼aMiAaPQ▼cMiAaPQ
■0820 ▼a361
■1001 ▼aGomes, Anne-Marie.
■24510▼aThe Complexities of Adverse Childhood Experiences: A Study of Health, Behavioral Health, and Quality of Life Among Women with and Without Disabilities
■260 ▼a[Sl]▼bState University of New York at Albany▼c2024
■260 1▼aAnn Arbor▼bProQuest Dissertations & Theses▼c2024
■300 ▼a150 p
■500 ▼aSource: Dissertations Abstracts International, Volume: 86-01, Section: B.
■500 ▼aAdvisor: Rizzo, Victoria M.
■5021 ▼aThesis (Ph.D.)--State University of New York at Albany, 2024.
■520 ▼aBackground and Purpose: The negative effects of adverse childhood experiences (ACEs) on behavioral and physical health and well-being long after exposure are a global and national concern. For over two decades, ACEs have been associated with numerous medical conditions, health risk behaviors, and poor mental and physical health outcomes. However, few studies have examined the effects of ACEs on the health outcomes of persons with disabilities (PWDs). The main objective of this study was to examine the impact of ACEs on women with and without disabilities, their health and well-being.Methods: Using the social-ecological model as the theoretical framework, this cross-sectional study examined the relationship between ACEs and health, behavioral health (mental and substance abuse), and quality of life among women with and without disabilities 18 years and older. This study used data from the Expanded Behavioral Risk Factor Surveillance System in New York for the years 2016 and 2019. A series of questions were identified from the survey that assessed ACE Exposure and Levels, health risk behaviors, physical and mental health factors, and covariates, such as sociodemographic factors and a variable for multimorbidity. The data were analyzed using logistic regression.Results: The results indicate that ACEs have different effects on women with disabilities and women without disabilities after adjusting for significant variables. In comparison to women without disabilities, women with disabilities were more likely to engage in health-risk behaviors and report a reduced quality of life. Although this may be the case, children appear to protect women with disabilities and reduce the negative effects of ACEs on their physical and mental health and quality of life.Conclusion: The findings underscore the necessity for tailored interventions and support services for women with disabilities affected by ACEs. By addressing the complex interplay of ACEs, disability, and health outcomes, this research contributes to a deeper understanding of the challenges faced by women with diverse needs. It informs strategies to promote resilience, improve health outcomes, and enhance overall well-being. Recommendations include enhancing accessibility to behavioral health services, promoting family-centered interventions, and advocating for policies that address the unique needs of this population.Limitations: This cross-sectional study has limitations. Relying on self-reported data may introduce recall bias and social desirability bias, potentially impacting accuracy. Furthermore, the study design limits the ability to infer causality between variables. It may also be difficult to generalize the findings given the sample composition (New York State), data limitations, and the omission of women with cognitive disabilities (intellectual, developmental, and mental health illnesses). The study's snapshot nature limits longitudinal insights. These factors should be considered when interpreting the findings.
■590 ▼aSchool code: 0668.
■650 4▼aSocial work
■650 4▼aPublic health
■650 4▼aSocial research
■653 ▼aAdverse childhood experiences
■653 ▼aPersons with disabilities
■653 ▼aBehavioral health
■690 ▼a0452
■690 ▼a0573
■690 ▼a0344
■71020▼aState University of New York at Albany▼bSocial Welfare.
■7730 ▼tDissertations Abstracts International▼g86-01B.
■790 ▼a0668
■791 ▼aPh.D.
■792 ▼a2024
■793 ▼aEnglish
■85640▼uhttp://www.riss.kr/pdu/ddodLink.do?id=T17161349▼nKERIS▼z이 자료의 원문은 한국교육학술정보원에서 제공합니다.
