?url_ver=Z39.88-2004&rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Adc&rft.relation=http%3A%2F%2Fd-scholarship-dev.library.pitt.edu%2F20065%2F&rft.title=Childhood+Adversity+and+its+Effects+on+Health+Over+the+Lifespan%3A+Analysis+of+the+Allegheny+County+Health+Survey+&rft.creator=Bear%2C+Todd+M&rft.description=It+has+been+estimated+that+75%25+of+the+U.S.+adult+population+has+experienced+some+type+of+childhood+adversity+(CA)%2C+such+as+child+maltreatment%2C+parental+divorce+or+violence+and+evidence+continues+to+mount+that+exposure+to+such+adversities+can+lead+to+serious+mental+and+physical+health+consequences+that+extend+well+into+late+life.++The+life+course+perspective+(LCP)+is+a+theoretical+perspective+often+used+to+explain+how+early+life+exposures+influence+health+and+behavior+across+the+lifespan.+Using+the+LCP+and+secondary+data+collected+from+the+2009-2010+Allegheny+County+Health+Survey+(N%3D5442)%2C+this+study+describes+the+prevalence+and+disparities+in+CA+in+terms+of+social%2C+demographic%2C+and+geographic+characteristics.+A+series+of+bivariate+and+multivariate+logistic+regressions+are+conducted+to+determine+which+adult+health+indicators+(e.g.%2C+smoking%2C+perceived+social+support%2C+serious+mental+illness%2C+cancer%2C+cardiovascular+disease)+are+most+associated+with+CA+and+to+what+extent+the+prevalence+of+these+health+issues+could+be+reduced+if+CA+was+prevented+or+eliminated.++++Furthermore%2C+social%2C+behavioral%2C+and+environmental+pathways+are+evaluated+in+statistical+models+to+determine+which+factors+moderate+and+mediate+the+relationship+between+CA+and+adult+health+and+behavior.++Results+indicate+that+CA+is+prevalent+in+the+adult+population+of+Allegheny+County%2C+Pennsylvania+with+an+estimated+59.8%25+reporting+at+least+one+adverse+childhood+event.++CA+disparities+were+observed+by+gender%2C+race%2C+socioeconomic+status%2C+unemployment+status+and+disability+status.+++Population+Attributable+Risk+(PAR)+fractions+were+calculated+and+revealed+that+approximately+42%25+of+serious+mental+illness+and+26%25+of+cardiovascular+disease+in+the+population+could+be+eliminated+if+ACEs+were+prevented.+++Social+and+behavioral+factors+that+mediate+the+CA+adult+health+relationships+included+adult+socioeconomic+status%2C+social+support%2C+smoking%2C+and+body+mass+index.++The+effects+of+CA+on+adult+health+appeared+stronger+and+more+independent+for+mental+health+outcomes+than+physical+health+outcomes.+For+those+at-risk+of+and+those+who+have+experiencing+CA%2C+programs+and+policies+that+increase+resources%2C+teach+positive+strategies+for+coping+with+stress%2C+and+help+families+to+increase+their+human+and+social+capital+may+greatly+reduce+adult+morbidly+associated+with+CA+and+help+to+reduce+current+and+intergenerational+CA+disparities+by+race+and+socioeconomic+status.&rft.date=2014-01-29&rft.type=University+of+Pittsburgh+ETD&rft.type=PeerReviewed&rft.format=application%2Fpdf&rft.language=en&rft.identifier=http%3A%2F%2Fd-scholarship-dev.library.pitt.edu%2F20065%2F1%2FBear_Dissertation_dec_13_1-27-2014.pdf&rft.identifier=++Bear%2C+Todd+M++(2014)+Childhood+Adversity+and+its+Effects+on+Health+Over+the+Lifespan%3A+Analysis+of+the+Allegheny+County+Health+Survey.++Doctoral+Dissertation%2C+University+of+Pittsburgh.++++(Unpublished)++