Associations between Adverse Childhood Experiences and Sexual Risk among Postpartum Women
Bibliographic Data
| ID | 15478867 |
|---|---|
| Authors | Jordan Thomas (0000-0002-3881-6158, University of California, Los Angeles), Jessica B Lewis (0000-0003-4602-0130, Yale University), Jeannette R Ickovics (0000-0001-5361-8160, Yale-NUS College), Shayna D Cunningham (0000-0001-8876-9962, University of Connecticut, corresponding author) |
| Year | 2021 |
| Volume | 18 |
| Issue | 7 |
| Pages | 3848-3848 |
| Publication date | 2021-04-06 |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | International Journal of Environmental Research and Public Health (JOURNAL) |
| Journal identifiers | ISSN: 1661-7827 • E-ISSN: 1660-4601 |
| Publisher | Multidisciplinary Digital Publishing Institute (PUBLISHER • CH) |
| DOI | 10.3390/ijerph18073848 |
| PMID | 33917634 |
| OpenAlex | W3148632167 |
| Language | EN |
| Citations received | 3 |
| References cited | 45 |
Epidemiological evidence suggests that exposure to adverse childhood experiences (ACEs) is associated with sexual risk, especially during adolescence, and with maternal and child health outcomes for women of reproductive age. However, no work has examined how ACE exposure relates to sexual risk for women during the postpartum period. In a convenience sample of 460 postpartum women, we used linear and logistic regression to investigate associations between ACE exposure (measured using the Adverse Childhood Experiences Scale) and five sexual risk outcomes of importance to maternal health: contraceptive use, efficacy of contraceptive method elected, condom use, rapid repeat pregnancy, and incidence of sexually transmitted infections (STIs). On average, women in the sample were 25.55 years of age (standard deviation = 5.56); most identified as Black (60.4%), White (18%), or Latina (14.8%). Approximately 40% were exposed to adversity prior to age 18, with the modal number of experiences among those exposed as 1. Women exposed to ACEs were significantly less likely to use contraception; more likely to elect less-efficacious contraceptive methods; and used condoms less frequently ( p = 0.041 to 0.008). ACE exposure was not associated with rapid repeat pregnancy or STI acquisition, p > 0.10. Screening for ACEs during pregnancy may be informative to target interventions to reduce risky sexual behavior during the postpartum period
Condom · Environmental health · Family medicine · Human immunodeficiency virus (HIV · Logistic regression · Obstetrics · Population · Postpartum period · Pregnancy · Psychiatry · Psychological intervention · Reproductive health · Adolescent Sexual and Reproductive Health · Child Abuse and Trauma · Demography · Medicine · Prenatal Substance Exposure Effects · Epidemiology
Unintended Pregnancy Among Adult Women Exposed to Abuse or Household Dysfunction During Their Childhood
Agreement Between Prospective and Retrospective Measures of Childhood Maltreatment
Birth Spacing and Risk of Adverse Perinatal Outcomes
Child abuse
Childhood Adversities and First Onset of Psychiatric Disorders in a National Sample of US Adolescents
The Association Between Adverse Childhood Experiences and Adolescent Pregnancy, Long-Term Psychosocial Consequences, and Fetal Death
Childhood Adversities and Adult Psychiatric Disorders in the National Comorbidity Survey Replication I
The effect of multiple adverse childhood experiences on health
Relationship of Childhood Abuse and Household Dysfunction to Many of the Leading Causes of Death in Adults
Psychosocial Predictors of HIV-Associated Sexual Behaviors and the Efficacy of Prevention Interventions in Adolescents at-Risk for HIV Infection
Adverse life experiences and risk of unintended pregnancy in adolescence and early adulthood
Adverse Childhood Experiences on Reproductive Plans and Adolescent Pregnancy in the Gulf Resilience on Women’s Health Cohort
Early Childhood Adversity and Pregnancy Outcomes
Adverse Childhood Experiences are Associated with Miscarriage in Adulthood
The Association between Adverse Childhood Experiences and Alcohol Use during Pregnancy in a Representative Sample of Adult Women
Adverse Childhood Experiences and Pregnancy Intentions among Pregnant Women Seeking Prenatal Care
Effects of Birth Spacing on Maternal, Perinatal, Infant, and Child Health
Cluster Randomized Controlled Trial of Group Prenatal Care
Pregnancy as a Window of Opportunity for HIV Prevention
| Citations per year | 0.75 |
|---|---|
| Citation span | 2022 - 2026 (5) |
| Highly cited | No |