142nd APHA Annual Meeting and Exposition

Annual Meeting Recordings are now available for purchase

307698
Childhood stress: The impact of adverse childhood experiences on educational attainment among food insecure families

142nd APHA Annual Meeting and Exposition (November 15 - November 19, 2014): http://www.apha.org/events-and-meetings/annual
Sunday, November 16, 2014

Kimberly Arnold, MPH , Department of Health Management and Policy, Drexel University School of Public Health, Philadelphia, PA
Molly Knowles, MPH , Health Management and Policy, Drexel University School of Public Health, Philadelphia, PA
Mariana Chilton, PhD, MPH , Department of Health Management and Policy, Drexel University School of Public Health, Philadelphia, PA
Home and family environments are powerful determinants of emotional, behavioral, cognitive, social, and physiologic functioning later in life.  Studies using the Adverse Childhood Experience (ACE) Survey found significant association between childhood adversity—including psychological, physical, or sexual abuse; violence against mother; or living with household members who were substance abusers, mentally ill or suicidal, or ever imprisoned—and adult health problems.  Food insecurity and ACEs have been independently shown to negatively affect childhood academic performance and subsequent earning potential as an adult.  Our “Childhood Stress” study builds on this evidence to investigate the relationship between ACEs and educational attainment among food insecure mothers.  Thirty-three mothers of children under age four who reported low or very low food security at the household level completed a quantitative survey—including food security status, ACEs, education level, income, employment characteristics, and public assistance program participation—and participated in a semi-structured interview in which they described their experiences with ACEs, education, and food insecurity.  Twenty-two of the mothers interviewed reported four or more ACEs.  Among the mothers interviewed, 1 was a college graduate; 11 had completed technical school or some college; 12 completed high school or equivalency; and 8 did not graduate high school.  We performed a grounded theory analysis of the interviews, in which the mothers provided testimonies of the detrimental effects of ACEs on educational attainment and subsequent capacity to financially provide for their children.  Results suggest the need for trauma-informed administration of public assistance, and education/training programs.

Learning Areas:

Public health or related research
Social and behavioral sciences

Learning Objectives:
Explain the effects of adverse childhood experiences (ACEs) on emotional, behavioral, cognitive, social, and physiologic functioning later in life. Discuss the impact ACEs can have on educational attainment and earning potential. Identify recommendations for the development of healthy public policies and trauma-informed administration of public assistance and education/training programs.

Keyword(s): Maternal and Child Health, Food Security

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I have taken graduate public health courses relevant to this content, and I have conducted this research for my community-based master's project/master's thesis. I performed an extensive review of the literature on adverse childhood experiences (ACEs), food insecurity, and the effects of ACEs on educational attainment; assisted with interviewing participants; and analyzed interview transcripts.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.