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Desch J, Bakour C, Mansuri F, Tran D, Schwartz S. The association between adverse childhood experiences and insomnia symptoms from adolescence to adulthood: Evidence from the Add Health study. Sleep Health 2023; 9:646-653. [PMID: 37419708 DOI: 10.1016/j.sleh.2023.06.001] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/18/2022] [Revised: 05/25/2023] [Accepted: 06/01/2023] [Indexed: 07/09/2023]
Abstract
OBJECTIVES Adverse childhood experiences are potentially traumatic events that occur up to age 17, including abuse, neglect, and household dysfunction. Such trauma often results in chronic stress and poor sleep health, which are linked to negative health outcomes across the lifespan. This study examines the longitudinal association between adverse childhood experiences (ACEs) and insomnia symptoms from adolescence to adulthood. METHODS Data from the National Longitudinal Study of Adolescent to Adult Health were used to examine the association between ACEs and insomnia symptoms (trouble falling asleep or staying asleep, dichotomized based on self-reported frequency of 3 times per week or more). We used weighted logistic regression to examine the association between cumulative ACE score (0, 1, 2-3, 4+), 10 specific ACEs, and insomnia symptoms. RESULTS Of 12,039 participants, 75.3% experienced at least one adverse childhood experience and 14.7% experienced 4 or more. We found specific adverse childhood experiences, including physical abuse, emotional abuse, neglect, parental incarceration, parental alcoholism, foster home placement, and community violence were associated with experiencing insomnia symptoms throughout the entire 22-year follow-up period from adolescence to mid-adulthood (p < .05), while childhood poverty was only associated with insomnia symptoms in mid-adulthood. The number of adverse childhood experiences showed a dose-response association with insomnia symptoms in adolescence (1 adverse childhood experience: adjusted odds ratio (aOR)=1.47 [1.16, 1.87], 4+ adverse childhood experiences: aOR= 2.76, [2.18, 3.50]), early adulthood (1 adverse childhood experience: aOR= 1.43 [1.16, 1.75], 4+ adverse childhood experiences: aOR= 3.07 [2.47, 3.83]) and mid-adulthood (1 adverse childhood experience: aOR= 1.13 [0.94, 1.37], 4+ adverse childhood experiences: aOR= 1.89 [confidence interval: 1.53, 2.32]). CONCLUSIONS Adverse childhood experiences are associated with an increased risk for insomnia symptoms across the lifespan.
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Affiliation(s)
- Jill Desch
- College of Public Health, University of South Florida, Tampa, Florida, USA.
| | - Chighaf Bakour
- College of Public Health, University of South Florida, Tampa, Florida, USA.
| | - Fahad Mansuri
- College of Public Health, University of South Florida, Tampa, Florida, USA
| | - Dieu Tran
- College of Public Health, University of South Florida, Tampa, Florida, USA.
| | - Skai Schwartz
- College of Public Health, University of South Florida, Tampa, Florida, USA.
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Desch J, Mansuri F, Tran D, Schwartz SW, Bakour C. The association between adverse childhood experiences and depression trajectories in the Add Health study. Child Abuse Negl 2023; 137:106034. [PMID: 36706612 DOI: 10.1016/j.chiabu.2023.106034] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/22/2022] [Revised: 12/28/2022] [Accepted: 01/09/2023] [Indexed: 06/18/2023]
Abstract
BACKGROUND Adverse childhood experiences (ACEs) are potentially traumatic experiences that occur before age 18. ACEs are linked to depression in adulthood, but little is known about the association between ACEs and depression trajectories across the lifespan. OBJECTIVE To examine the association between specific types of ACEs, cumulative ACE scores, and depression trajectories from adolescence to adulthood. PARTICIPANTS AND SETTING Waves 1-4 of the National Longitudinal Study of Adolescent to Adult Health (N = 12,888), spanning ages 12 years to 43 years. METHODS We constructed trajectories of depression scores using a modified 9-item Center for Epidemiologic Studies Depression Scale (CES-D-9). We used weighted logistic regression to calculate odds ratios and confidence intervals for each ACE and ACE score and depression trajectories after adjusting for confounders. RESULTS We found 75.3 % experienced at least one ACE and 14.7 % experienced 4+ ACEs. We identified three CES-D-9 trajectories: consistently low (Group 1), decreasing (Group 2), and increasing (Group 3) depression scores. All types of abuse, neglect, and community violence were significantly associated with trajectory Groups 2 and 3 vs 1 (p < .05). Foster home placement, poverty, and parental incarceration were associated with Group 2 vs 1. ACE scores showed a dose-response association with Group 3 vs 1 [aORs for 1ACE = 1.43 (0.93-2.20); 2-3ACEs = 1.97 (1.30-3.00); 4+ACEs = 3.08 (1.86-5.09)], and Group 2 vs 1 [aORs for 1ACE = 1.26 (0.87-1.83); 2-3ACEs = 1.93 (1.36-2.74); 4+ACES = 2.70 (1.90-3.84)]. CONCLUSIONS ACEs can have a lasting impact on depression through adulthood, highlighting the need to mitigate their impact to prevent depression-associated morbidity and mortality.
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Affiliation(s)
- Jill Desch
- College of Public Health, University of South Florida, Tampa, FL, USA.
| | - Fahad Mansuri
- College of Public Health, University of South Florida, Tampa, FL, USA.
| | - Dieu Tran
- College of Public Health, University of South Florida, Tampa, FL, USA.
| | - Skai W Schwartz
- College of Public Health, University of South Florida, Tampa, FL, USA.
| | - Chighaf Bakour
- College of Public Health, University of South Florida, Tampa, FL, USA.
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Bakour C, Mansuri F, Johns-Rejano C, Crozier M, Wilson R, Sappenfield W. Association between screen time and obesity in US adolescents: A cross-sectional analysis using National Survey of Children's Health 2016-2017. PLoS One 2022; 17:e0278490. [PMID: 36454793 PMCID: PMC9714705 DOI: 10.1371/journal.pone.0278490] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/27/2022] [Accepted: 11/16/2022] [Indexed: 12/03/2022] Open
Abstract
OBJECTIVE This study examines the association between time spent watching TV, playing video games, using a computer or handheld device (screen time), and BMI among U.S. adolescents, and potential effect modification of these associations by sex, sleep duration, and physical activity. METHODS A secondary analysis of 10-17-year-old participants in the 2016-2017 National Survey of Children's Health was conducted. Multivariable logistic regression was used to examine the association between parent-reported screen time and BMI categories and effect modification by sex, sleep duration and physical activity. RESULTS The analysis included 29,480 adolescents (49.4% female). Those with ≥1 hour (vs <1 hour) of TV/video games per day were more likely to be overweight/obese (adjusted Odds Ratio (aOR) 1-3 hours = 1.4; 95% Confidence Interval (CI)1.19, 1.65; aOR ≥4 hours = 2.19; 95% CI 1.73, 2.77). This association was stronger in adolescents who did not meet the guidelines for physical activity (aOR ≥ 4 hours = 3.04; 95% CI: 2.1, 4.4) compared with those who did (aOR ≥ 4 hours = 1.64; 95% CI: 0.72, 3.72). Using computers/handheld devices was associated with a smaller increase in odds of overweight/obesity (aOR ≥4 hours = 1.53; 95% CI:1.19, 1.97). CONCLUSION Watching TV or playing video games for ≥1 hour per day is associated with obesity in adolescents who did not meet the guidelines for physical activity. Using computers or handheld devices seems to have a weaker association with BMI compared with TV/video games.
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Affiliation(s)
- Chighaf Bakour
- College of Public Health, University of South Florida, Tampa, Florida, United States of America,University of South Florida, The Chiles Center, Tampa, Florida, United States of America,* E-mail:
| | - Fahad Mansuri
- College of Public Health, University of South Florida, Tampa, Florida, United States of America
| | - Courtney Johns-Rejano
- Morsani College of Medicine, University of South Florida, Tampa, Florida, United States of America
| | - Michelle Crozier
- College of Public Health, University of South Florida, Tampa, Florida, United States of America,School of Global Health Management and Informatics, University of Central Florida, Orlando, Florida, United States of America
| | - Ronee Wilson
- College of Public Health, University of South Florida, Tampa, Florida, United States of America,University of South Florida, The Chiles Center, Tampa, Florida, United States of America
| | - William Sappenfield
- College of Public Health, University of South Florida, Tampa, Florida, United States of America,University of South Florida, The Chiles Center, Tampa, Florida, United States of America
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Pathak R, Kang D, Lu Y, Mansuri F, Kasen S, Deng Y, Chen H. Should we abandon annual physical examination? - A meta-analysis of annual physical examination and all-cause mortality in adults based on observational studies. Prev Med 2022; 161:107130. [PMID: 35787845 DOI: 10.1016/j.ypmed.2022.107130] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/18/2022] [Revised: 06/16/2022] [Accepted: 06/27/2022] [Indexed: 11/25/2022]
Abstract
Several meta-analyses based on randomized clinical trials data have failed to find an association between the annual physical examination (APE) and reduced mortality; however, no comparable meta-analysis based on observational data exists. We conducted a meta-analysis of observational studies comparing APE versus non-APE in adults for all-cause mortality. English-language searches of four databases (PubMed, CINAHL, EMBASE, and Google Scholar) between the years 2000 to 2019 yielded seven observational studies that investigated APE versus non-APE in healthy adults in relation to all-cause mortality. Random effects models were used to calculate pooled hazard ratios and 95% confidence intervals (CI), and to incorporate variation between studies. During follow-up periods that ranged from two to 25 years, there were 35,055 deaths among 633,957 participants. APE was significantly associated with a 45% lower hazard of all-cause mortality, with pooled hazard ratio of 0.55 (95% CI 0.48 to 0.64, P < 0.01) for all participants. This meta-analysis of seven observational studies in the past 20 years provides evidence of an association between APE and a lower hazard of all-cause mortality, a finding that contrasts with findings based on meta-analyses of randomized clinical trials data. Nonetheless, at present the evidence available about the effectiveness or ineffectiveness of APE on all-cause mortality still needs further study.
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Affiliation(s)
- Rashmi Pathak
- Study Design and Data Analysis Center, College of Public Health, University of South Florida, USA; University of Oklahoma Health Science Center, USA
| | - Di Kang
- Study Design and Data Analysis Center, College of Public Health, University of South Florida, USA; Department of Bioinformatics and Biostatistics, The Moffitt Cancer Center & Research Institute, USA
| | - Yuanyuan Lu
- Study Design and Data Analysis Center, College of Public Health, University of South Florida, USA
| | - Fahad Mansuri
- Study Design and Data Analysis Center, College of Public Health, University of South Florida, USA
| | - Stephanie Kasen
- Department of Psychiatry, Columbia University, New York, NY, USA; Division of Epidemiology, New York State Psychiatric Institute, New York, NY, USA
| | - Yunlong Deng
- The 3(rd) Xiangya Hospital, Central South University, Changsha, Hunan Province, China
| | - Henian Chen
- Study Design and Data Analysis Center, College of Public Health, University of South Florida, USA.
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Bakour C, Desch J, Mansuri F, Schwartz SW. 331 Adverse Childhood Experience and Sleep Quality in Adulthood. Sleep 2021. [DOI: 10.1093/sleep/zsab072.330] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
Abstract
Abstract
Introduction
Poor sleep quality, a risk factor for many negative health outcomes, may result from physical or emotional disturbance including chronic stress. Adverse childhood experiences (ACEs) have been linked with chronic stress, and may therefore be associated with poor sleep quality in adulthood. This study examines the longitudinal association between specific ACEs and the number of ACEs and sleep quality in adulthood.
Methods
Using data from the National Longitudinal Study of Adolescent to Adult Health, we examined the association between ACEs and trouble falling asleep or staying asleep (rarely or never, sometimes, frequently) in waves 1 (age 12–18), 4 (age 24–32), and 5 (age 33–43). We examined ten ACEs (physical, sexual, or emotional abuse; neglect; parental death, incarceration, alcoholism, divorce or separation; foster home placement; poverty; and exposure to community violence) and the number of ACEs (0, 1, 2–3, 4+), using weighted logistic regression to calculate odds ratios and confidence intervals for each of the ACEs and ACE score and each of the outcomes after adjusting for relevant confounders.
Results
The analysis included 12,768 participants, 75.3% of whom experienced at least one ACE, including 14.7% who experienced 4 or more. Physical and emotional abuse were associated with frequent sleep complaints at waves 1, 4, and 5. Sexual abuse, neglect and community violence were associated with frequent complaints in two waves, while parental alcoholism, parental incarceration, and foster home placement were associated with frequent complaints in one wave. The number of ACEs experienced showed a dose-response association with frequent sleep complaints in wave 1 ([1 ACE: aOR=2.12 (1.16, 3.9), 2–3 ACEs: aOR=2.86 (1.70, 4.82), 4+ ACEs: aOR=4.17 (2.33, 7.48)], wave 4 [1 ACE: aOR=1.02 (0.77, 1.36); 2–3 ACEs: aOR= 1.66 (1.30, 2.10); 4+ ACEs: aOR=2.68 (1.99, 3.61) and in wave 5 [1 ACE: aOR=1.22 (0.93, 1.60)), 2–3 ACEs: aOR=1.42 (1.11, 1.81), 4+ ACEs: aOR=1.88 (1.40, 2.53)]
Conclusion
Certain adverse childhood experiences such as physical, sexual, and emotional abuse and neglect have a lasting impact on sleep quality in adulthood, highlighting the need to mitigate their impact to prevent negative health outcomes associated with poor sleep quality
Support (if any):
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Loux T, Mansuri F, Brooks SE, Slye N, Lewis B, Lu Y, Chen H, Kip KE. Factors associated with pediatric drowning admissions and outcomes at a trauma center, 2010–2017. Am J Emerg Med 2021; 39:86-91. [DOI: 10.1016/j.ajem.2020.01.025] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/28/2019] [Revised: 01/08/2020] [Accepted: 01/11/2020] [Indexed: 10/25/2022] Open
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Nguyen ATH, Saeed A, Bambs CE, Swanson J, Emechebe N, Mansuri F, Talreja K, Reis SE, Kip KE. Usefulness of the American Heart Association's Ideal Cardiovascular Health Measure to Predict Long-term Major Adverse Cardiovascular Events (From the Heart SCORE Study). Am J Cardiol 2021; 138:20-25. [PMID: 33065086 DOI: 10.1016/j.amjcard.2020.10.019] [Citation(s) in RCA: 7] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/11/2020] [Revised: 10/05/2020] [Accepted: 10/07/2020] [Indexed: 01/08/2023]
Abstract
To further reduce the burden of cardiovascular disease (CVD) and expand prevention efforts, the American Heart Association (AHA) introduced in 2010 the concept of Ideal Cardiovascular Health (ICH), which includes 7 metrics (smoking status, body mass index, physical activity, diet, total cholesterol, blood pressure, and fasting plasma glucose). Limited data exist on the relation between ICH and long-term CVD risk. The Heart Strategies Concentrating on Risk Evaluation (Heart SCORE) study cohort was used to examine the relation between ICH and incident major adverse cardiovascular events (MACE: first occurrence of death, myocardial infarction, stroke, acute ischemic syndrome, or coronary revascularization). The 7 factors of the ICH were scored at study entry on a 0 to 2 scale, resulting in possible range of 0 to 14, with higher scores representing "better" health. Cox regression analyses were used to estimate hazard ratios (HR) of MACE, along with 95% confidence intervals. Over a median follow-up of 12 years, the study population (n = 1,863, 67% women, 42% Black race, mean age 59 years [range 45 to 75]) had 218 MACE. In unadjusted analysis, the ICH score (per 1 unit) was associated with an estimated 12% lower risk of MACE (HR [95% Confidence Interval]: 0.88 [0.82, 0.93]). Adjusting for demographics, education, and quality of life, ICH score was associated with a 10% lower risk of MACE (HR 0.90 [0.84, 0.96]). In a community-based sample of adults, the AHA ICH construct, which includes 7 modifiable CVD risk factors, appears to be a valid measure for predicting long-term risk of MACE.
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Mansuri F, Nash MC, Bakour C, Kip K. Adverse Childhood Experiences (ACEs) and Headaches Among Children: A Cross‐Sectional Analysis. Headache 2020; 60:735-744. [DOI: 10.1111/head.13773] [Citation(s) in RCA: 14] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/06/2019] [Revised: 01/09/2020] [Accepted: 01/09/2020] [Indexed: 12/15/2022]
Affiliation(s)
- Fahad Mansuri
- College of Public Health University of South Florida Tampa FL USA
| | | | - Chighaf Bakour
- College of Public Health University of South Florida Tampa FL USA
| | - Kevin Kip
- College of Public Health University of South Florida Tampa FL USA
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Swanson J, Emechebe N, Mansuri F, Talreja K, Kip K. ANALYSIS OF AMERICAN HEART ASSOCIATION IDEAL CARDIOVASCULAR HEALTH MEASURE IN RELATION TO LONG-TERM RISK OF MAJOR ADVERSE CARDIOVASCULAR EVENTS. J Am Coll Cardiol 2019. [DOI: 10.1016/s0735-1097(19)32416-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
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Kip K, Duong L, Emechebe N, Mansuri F, Swanson J, Bell J. UPDATED META-ANALYSIS OF TESTOSTERONE SUPPLEMENTATION AND RISK OF MAJOR ADVERSE CARDIOVASCULAR EVENTS. J Am Coll Cardiol 2019. [DOI: 10.1016/s0735-1097(19)32401-5] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
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Izhar R, Tahir S, Mansuri F. O332 COMPARISON OF SALINE HYSTEROSONOGRAPHY & HYSTEROSALPINGOGRAM IN ASSESSMENT OF FALLOPIAN TUBE PATENCY & INTRAUTERINE ABNORMALITIES IN INFERTILITY ASSESSMENT. Int J Gynaecol Obstet 2012. [DOI: 10.1016/s0020-7292(12)60762-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
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Majid M, Momeny M, Mansuri F, Abdol-Azimi Y, Ghaffari S, Tabrizi M, Modarressi M. 1076 Autocrine human growth hormone expression leads to resistance of MCF-7 cells to tamoxifen. EJC Suppl 2009. [DOI: 10.1016/s1359-6349(09)70369-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022] Open
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