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Adverse childhood experiences and disability pension in early midlife: results from a Swedish National Cohort Study
Stockholm University, Faculty of Social Sciences, Centre for Health Equity Studies (CHESS). Karolinska Institutet, Sweden.
Stockholm University, Faculty of Social Sciences, Department of Social Work.
Number of Authors: 3
2017 (English)In: European Journal of Public Health, ISSN 1101-1262, E-ISSN 1464-360X, Vol. 27, no 3, 472-477 p.Article in journal (Refereed) Published
Abstract [en]

Background: Few studies have examined the association between adverse childhood experiences (ACEs) and disability pension (DP). The current study aimed to investigate the relationship between different ACEs, cumulative ACEs, and DP, and the mediating role of school performance. Methods: We used a Swedish cohort of 522 880 individuals born between 1973 and 1978. ACEs included parental death, parental substance abuse and psychiatric disorder, substantial parental criminality, household public assistance, parental DP and child welfare intervention. Estimates of risk of DP in 2008 were calculated as odds ratios (OR) with 95% confidence intervals (CIs). Results: A total of 2.3% (3.0% females, 1.7% males) received DP in 2008. All studied ACEs increased the odds for DP, particularly child welfare intervention and household public assistance. Cumulative ACEs increased the odds of DP in a graded manner. Females exposed to 4+ ACEs had a 4-fold odds (OR: 4.0, 95% CI 3.5-4.5) and males a 7-fold odds (OR: 7.1, 95% CI: 6.2-8.1). School performance mediated the ACEs-DP association. Conclusion: This study provides evidence that ACEs is associated with increased odds of DP, particularly when accumulated. The effects of ACEs should be taken into account when considering the determinants of DP, and when identifying high-risk populations.

Place, publisher, year, edition, pages
2017. Vol. 27, no 3, 472-477 p.
National Category
Public Health, Global Health, Social Medicine and Epidemiology Sociology
Identifiers
URN: urn:nbn:se:su:diva-145236DOI: 10.1093/eurpub/ckw233ISI: 000404018800020PubMedID: 28040736OAI: oai:DiVA.org:su-145236DiVA: diva2:1128696
Available from: 2017-07-27 Created: 2017-07-27 Last updated: 2017-07-27Bibliographically approved

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CiteExportLink to record
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Citation style
  • apa
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