Adverse childhood environment tied to later health problems

Adverse childhood environment tied to later health problems

An adverse childhood family environment is associated with cardiovascular disease (CVD) incidence and all-cause mortality later in life, according to a study published in the May 5 issue of the Journal of the American Heart Association.

Jacob B. Pierce, from the Northwestern University Feinberg School of Medicine in Chicago, and colleagues used data from the Coronary Artery Risk Development in Young Adults Study (baseline 1985 to 1986 with follow-up through 2018) to determine how psychosocial environment relates to CVD incidence and all-cause mortality in middle age. The analysis included 3,646 participants (47 percent black and 56 percent female) who completed the Childhood Family Environment (CFE) questionnaire at year 15 (2000 to 2001).

The researchers found that 198 participants developed CVD (17.9 per 10,000 person-years) during follow-up. For those in the high CFE adversity group, CVD incidence was >50 percent higher versus those in the low CFE adversity group. For participants who reported high and moderate CFE adversity, CVD hazard ratios were 1.40 (95 percent confidence interval [CI], 0.98 to 2.11) and 1.25 (95 percent CI, 0.89 to 1.75), respectively, in fully adjusted models compared with those reporting low CFE adversity. For all-cause mortality among those with high and moderate CFE scores, the adjusted hazard ratios were 1.68 (95 percent CI, 1.17 to 2.41) and 1.55 (95 percent CI, 1.11 to 2.17), respectively.

"Early childhood experiences have a lasting effect on adult mental and physical well-being, and a large number of American kids continue to suffer abuse and dysfunction that will leave a toll of health and social functioning issues throughout their lives," a coauthor said in a statement.

Explore further

Traumatic childhood increases lifelong risk for heart disease, early death

More information: Jacob B. Pierce et al. Association of Childhood Psychosocial Environment With 30‐Year Cardiovascular Disease Incidence and Mortality in Middle Age, Journal of the American Heart Association (2020). DOI: 10.1161/JAHA.119.015326

Abstract/Full Text

Copyright © 2020 HealthDay. All rights reserved.

Citation: Adverse childhood environment tied to later health problems (2020, June 9) retrieved 18 May 2021 from
This document is subject to copyright. Apart from any fair dealing for the purpose of private study or research, no part may be reproduced without the written permission. The content is provided for information purposes only.

Feedback to editors

User comments