Childhood adversity and self-rated health disparities by citizenship in middle-aged-and-older Latino adults in California.

ABSTRACT:

Objectives

We assessed the association between adverse childhood experiences (ACEs) and fair/poor self-rated health (SRH), and whether citizenship modifies it among Latinos aged ≥50 years.

Methods

Latinos aged ≥50 from the 2021-2022 California Health Interview Survey (n = 5493) were included. Weighted log-binomial generalized linear models estimated prevalence ratios (PRs) of the associations between ACEs, citizenship, and fair/poor SRH, including interaction terms to assess effect modification on multiplicative and additive scales.

Results

High ACE exposure (≥4) was associated with a higher fair/poor SRH prevalence (PR = 1.38, 95% CI:1.21, 1.57) relative to low ACEs. Immigrant Latinos had higher fair/poor SRH prevalence than U.S.-born Latinos, strongest among

SUBMITTER: Haro-Ramos AY 

PROVIDER: S-EPMC12861051 | biostudies-literature | 2026 Feb

REPOSITORIES: biostudies-literature