Adverse childhood experiences increase the risk for low perceived social participation and health-related quality of life in a large-scale population-based study in Germany

Bürgin, David; Clemens, Vera; Witt, Andreas; Sachser, Cedric; Jud, Andreas; Brähler, Elmar; Strauß, Bernhard; Petrowski, Katja; Schmid, Marc; Fegert, Jörg M.

doi:10.1016/j.chiabu.2023.106382

Please use this identifier to cite or link to this item: https://doi.org/10.21256/zhaw-30191

Publication type:	Article in scientific journal
Type of review:	Peer review (publication)
Title:	Adverse childhood experiences increase the risk for low perceived social participation and health-related quality of life in a large-scale population-based study in Germany
Authors:	Bürgin, David Clemens, Vera Witt, Andreas Sachser, Cedric Jud, Andreas Brähler, Elmar Strauß, Bernhard Petrowski, Katja Schmid, Marc Fegert, Jörg M.
et. al:	No
DOI:	10.1016/j.chiabu.2023.106382 10.21256/zhaw-30191
Published in:	Child Abuse & Neglect
Volume(Issue):	144
Issue:	106382
Issue Date:	Oct-2023
Publisher / Ed. Institution:	Elsevier
ISSN:	0145-2134 1873-7757
Language:	English
Subjects:	Adjustment; Childhood adversity; Childhood trauma; Early life adversity; Epidemiological; Health-related quality of life; Life satisfaction; Representative; Social participation; Stress; Well-being; Humans; Female; Middle aged; Male; Quality of life; Social participation; Family characteristics; Adverse childhood experience; Child abuse
Subject (DDC):	302: Social interaction 362.7: Youth services
Abstract:	Background: Adverse childhood experiences (ACEs) are highly prevalent and increase the risk for long-term adverse health outcomes. Next to well-known ACE-associated risks for morbidity, recent research is increasingly invested in exploring pathways towards health, overall functioning, and partaking in society following early adversity. Objectives: Thus, this study aims to assess the association between latent classes of ACEs with perceived social participation and health-related Quality of Life (QoL) in a large population-based sample and to explore potential moderators of these associations. Method: A representative sample of the German population (N = 2531; Mage = 48.7; 51 % women) was cross-sectionally investigated for ACEs, social participation (KsT-5), and health-related QoL (EuroQol-5D-5L). Latent Class Analysis (LCA) was performed to derive groups with similar ACE patterns. Multiple regression analyses were used to investigate the association of latent classes of ACEs with social participation and health-related QoL and to explore potential moderators. Results: Four distinct latent classes of ACEs were identified; “no/low ACEs” (N = 1968, 77.8 %); “household-dysfunction” (N = 259, 10.2 %), “child abuse and neglect” (N = 188, 7.4 %), and “polyadversity” (N = 116, 4.6 %). Compared to participants in the no/low ACE class, those in the ACE-exposed classes showed overall lower levels of perceived social participation and health-related QoL. The polyadversity class showed lower levels of social participation compared to the two other ACE-exposed classes. Chronic stress, living with a partner, education, current job/educational involvement, and gender were found to moderate these associations in exploratory analyses. Conclusions: This study shows people exposed to ACEs to have a higher risk for lower perceived social participation and lower health-related QoL – an increased risk, however, is not a deterministic uninventable fortune. Reduction of chronic stress, fostering of social support, and educational and vocational paths as interventional targets are discussed to enable those with precarious starting conditions to partake in society.
URI:	https://digitalcollection.zhaw.ch/handle/11475/30191
Fulltext version:	Published version
License (according to publishing contract):	CC BY 4.0: Attribution 4.0 International
Departement:	Social Work
Organisational Unit:	Institute of Childhood, Youth and Family (IKJF)
Appears in collections:	Publikationen Soziale Arbeit

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Bürgin, D., Clemens, V., Witt, A., Sachser, C., Jud, A., Brähler, E., Strauß, B., Petrowski, K., Schmid, M., & Fegert, J. M. (2023). Adverse childhood experiences increase the risk for low perceived social participation and health-related quality of life in a large-scale population-based study in Germany. Child Abuse & Neglect, 144(106382). https://doi.org/10.1016/j.chiabu.2023.106382

Bürgin, D. et al. (2023) ‘Adverse childhood experiences increase the risk for low perceived social participation and health-related quality of life in a large-scale population-based study in Germany’, Child Abuse & Neglect, 144(106382). Available at: https://doi.org/10.1016/j.chiabu.2023.106382.

D. Bürgin et al., “Adverse childhood experiences increase the risk for low perceived social participation and health-related quality of life in a large-scale population-based study in Germany,” Child Abuse & Neglect, vol. 144, no. 106382, Oct. 2023, doi: 10.1016/j.chiabu.2023.106382.

BÜRGIN, David, Vera CLEMENS, Andreas WITT, Cedric SACHSER, Andreas JUD, Elmar BRÄHLER, Bernhard STRAUSS, Katja PETROWSKI, Marc SCHMID und Jörg M. FEGERT, 2023. Adverse childhood experiences increase the risk for low perceived social participation and health-related quality of life in a large-scale population-based study in Germany. Child Abuse & Neglect. Oktober 2023. Bd. 144, Nr. 106382. DOI 10.1016/j.chiabu.2023.106382

Bürgin, David, Vera Clemens, Andreas Witt, Cedric Sachser, Andreas Jud, Elmar Brähler, Bernhard Strauß, Katja Petrowski, Marc Schmid, and Jörg M. Fegert. 2023. “Adverse Childhood Experiences Increase the Risk for Low Perceived Social Participation and Health-Related Quality of Life in a Large-Scale Population-Based Study in Germany.” Child Abuse & Neglect 144 (106382). https://doi.org/10.1016/j.chiabu.2023.106382.

Bürgin, David, et al. “Adverse Childhood Experiences Increase the Risk for Low Perceived Social Participation and Health-Related Quality of Life in a Large-Scale Population-Based Study in Germany.” Child Abuse & Neglect, vol. 144, no. 106382, Oct. 2023, https://doi.org/10.1016/j.chiabu.2023.106382.