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Emerging Infectious Diseases Journal


Volume 7: No. 3, May 2010

Health-Related Outcomes of Adverse Childhood Experiences in Texas, 2002

Outcome No Household Dysfunction or Childhood Abuse, % (95% CI) Household Dysfunction Only, % (95% CI) Childhood Abuse Only, % (95% CI) Both Household Dysfunction and Childhood Abuse, % (95% CI)
Current smoker 18.4 (16.8-20.2) 25.5 (22.4-28.8) 23.0 (18.7-28.0) 31.6 (28.1-35.3)
Obesity 22.8 (21.1-24.6) 24.8 (21.7-28.1) 31.1 (26.0-36.6) 28.6 (25.0-32.5)
Fair or poor general health 16.6 (15.1-18.3) 22.5 (19.6-25.6) 22.9 (19.2-27.1) 26.1 (22.6-29.8)

Figure. Age-adjusted prevalence rates of current smoking, obesity, and fair or poor general health by adverse childhood experience categories, Texas, 2002. The bars represent 95% confidence intervals. Data are from the 2002 Texas Behavioral Risk Surveillance System, age-standardized to the 2000 US census. Current smoking was defined as smoking at least 100 cigarettes and now smoking some days or every day. Obesity was defined as having a body mass index of ≥30 kg/m2. Fair or poor self-reported general health was defined as reporting “fair” or “poor” compared with “excellent,” “very good,” or “good.” Childhood abuse was determined through responses to questions regarding psychological, physical, and sexual abuse. Household dysfunction was determined through responses to questions regarding substance abuse, mental illness, whether mother or stepmother was treated violently, and incarceration of a household member.

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The findings and conclusions in this report are those of the authors and do not necessarily represent the official position of the Centers for Disease Control and Prevention.


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