Health and financial burden of adverse childhood experiences in England and Wales: a combined primary data study of five surveys.

ABSTRACT:

Objective

To estimate the health and financial burden of adverse childhood experiences (ACEs) in England and Wales.

Design

The study combined data from five randomly stratified cross-sectional ACE studies. Population attributable fractions (PAFs) were calculated for major health risks and causes of ill health and applied to disability adjusted life years (DALYs), with financial costs estimated using a modified human capital method.

Setting

Households in England and Wales.

Participants

15 285 residents aged 18-69.

Outcome measures

The outcome measures were PAFs for single (1 ACE) and multiple (2-3 and ≥4 ACEs) ACE exposure categories for four health risks (smoking, alcohol use, drug use, high body mass index) and nine causes of ill health (cancer, type 2

SUBMITTER: Hughes K 

PROVIDER: S-EPMC7282338 | biostudies-literature | 2020 Jun

REPOSITORIES: biostudies-literature