Online Program

Adverse Childhood Exposures and Self-Rated Health among Immigrants

Tuesday, November 3, 2015 : 4:50 p.m. - 5:00 p.m.

Patricia Y. Miranda, MPH, PhD, Department of Health Policy and Administration, The Pennsylvania State University, University Park, PA
Rhonda Belue, PhD, Health Policy and Administration, Penn State University, University Park, PA
Shedra Amy Snipes, PhD, Department of Biobehavioral Health, Pennsylvania State University, University Park, PA
Lori Francis, PhD, Department of Biobehavioral Health, Penn State University, University Park, PA
Background: Adverse childhood exposures (ACES) are associated with poor child development, physical health, mental health problems, stress, and poor coping in adulthood.  Immigrants are disproportionately exposed to ACES, sometimes before immigrating to the United States themselves.  Immigrant children are more likely to have a dramatic change in family structure as the ongoing stressors related to the immigration experience embody themselves across the lifecourse, yet adverse childhood events have remained unexplored as a risk factor for health outcomes in this vulnerable population.  Methods: Data from the 2011-12 National Survey of Children’s Health (N=95,646) were analyzed to examine differences by immigrant generational status in the occurrence of ACES. Multinomial ordinal logit regression was used to examine the relationship between self-reported health and generation status (1st, 2nd and 3rd) while accounting for socio-demographic variables.  Results: After controlling for poverty status and race/ethnicity, 1st generation children report slightly worse self-reported health compared to 3rd generation children. 1st generation children reported significantly fewer ACES compared to 3rd generation children, such as exposure to a incarcerated parent (11.5% 3rd, 5.8% 2nd, 5.6% 1st; p<0.0001) or substance abuse in the home. However, 1st generation children are more likely to report experienced racial/ethnic discrimination or a parent death. Overall, children with more ACES had an increased risk of poor health (OR=1.2(1.1, 1.3)), however ACES were not related to health for 1st generation children, as poverty explained this relationship.  Conclusions:  Further studies are needed to understand the pathways between ACES and health status acrss generations of immigrant families.

Learning Areas:

Diversity and culture

Learning Objectives:
Describe the role of adverse childhood exposures and association with self-rated health among immigrants.

Keyword(s): Children and Adolescents, Immigrant Health

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I have been funded to conduct research on disparities affecting vulnerable populations, specifically immigrant and Latino populations.
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.