Adverse childhood experiences, alcohol consumption, and the modifying role of social participation: population-based study of adults in southwestern Uganda

Background: Adverse childhood experiences (ACEs) include multiple forms of child maltreatment, including abuse and neglect, as well as other forms of household dysfunction. Studies from Uganda have revealed a high prevalence of child abuse, as well as one of the highest levels of alcohol consumption in Africa. Few population-based studies from Africa have estimated associations between ACEs and adult alcohol use, or assessed the potential buffering effects of social participation. Methods: This cross-sectional, population-based study was conducted in a rural parish in southwestern Uganda between 2016 and 2018. We assessed self-reported ACEs using a modified version of the Adverse Childhood Experiences – International Questionnaire (ACE-IQ) scale. We measured heavy alcohol consumption using a 3-item scale previously validated in this population. We measured social participation using a 10-item scale eliciting participants’ membership and participation in different community groups over the past two months. We fitted multivariable Poisson regression models to estimate the associations between ACEs and heavy alcohol consumption, and to assess for the potential buffering effects of social participation. Results: We estimated statistically significant associations between the total ACE score and heavy alcohol consumption (adjusted relative risk [ARR] per ACE = 1.17; 95% CI, 1.09–1.25; P ≤ 0.001). Social participation had a statistically significant moderating effect on the association between total ACE score and heavy alcohol consumption (P = 0.047 for interaction): the estimated association between total ACE score and heavy alcohol consumption among study participants who did not participate in a community group was larger, with a narrower confidence interval (ARR = 1.21 per ACE; 95% CI, 1.11–1.33; P < 0.001), while the estimated association among study participants who did participate in a community group was smaller and less precisely estimated (ARR = 1.12 per ACE; 95% CI, 1.02–1.24; P = 0.02). Conclusions: Our findings demonstrate an association between ACEs and heavy alcohol consumption behavior among adults in rural Uganda. The adverse effects of ACEs were buffered in part by social participation. To prevent or reduce harmful alcohol use behaviors among adults, it is important to address the chronic stress caused by ACEs. Ausführliche Beschreibung

Gespeichert in:

Autor*in:	Scholastic Ashaba [verfasserIn] Bernard Kakuhikire [verfasserIn] Charles Baguma [verfasserIn] Emily N. Satinsky [verfasserIn] Jessica M. Perkins [verfasserIn] Justin D. Rasmussen [verfasserIn] Christine E. Cooper-Vince [verfasserIn] Phionah Ahereza [verfasserIn] Patrick Gumisiriza [verfasserIn] Justus Kananura [verfasserIn] David R. Bangsberg [verfasserIn] Alexander C. Tsai [verfasserIn]

Format:	E-Artikel
Sprache:	Englisch

Erschienen:	2022

Schlagwörter:	Adverse childhood experiences Buffering hypothesis Heavy alcohol consumption Social integration Social participation Stress buffering

Übergeordnetes Werk:	In: SSM - Mental Health - Elsevier, 2021, 2(2022), Seite 100062-
Übergeordnetes Werk:	volume:2 ; year:2022 ; pages:100062-

Links:	Link aufrufen Link aufrufen Link aufrufen Journal toc

DOI / URN:	10.1016/j.ssmmh.2022.100062

Katalog-ID:	DOAJ015583414

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520			\|a Background: Adverse childhood experiences (ACEs) include multiple forms of child maltreatment, including abuse and neglect, as well as other forms of household dysfunction. Studies from Uganda have revealed a high prevalence of child abuse, as well as one of the highest levels of alcohol consumption in Africa. Few population-based studies from Africa have estimated associations between ACEs and adult alcohol use, or assessed the potential buffering effects of social participation. Methods: This cross-sectional, population-based study was conducted in a rural parish in southwestern Uganda between 2016 and 2018. We assessed self-reported ACEs using a modified version of the Adverse Childhood Experiences – International Questionnaire (ACE-IQ) scale. We measured heavy alcohol consumption using a 3-item scale previously validated in this population. We measured social participation using a 10-item scale eliciting participants’ membership and participation in different community groups over the past two months. We fitted multivariable Poisson regression models to estimate the associations between ACEs and heavy alcohol consumption, and to assess for the potential buffering effects of social participation. Results: We estimated statistically significant associations between the total ACE score and heavy alcohol consumption (adjusted relative risk [ARR] per ACE = 1.17; 95% CI, 1.09–1.25; P ≤ 0.001). Social participation had a statistically significant moderating effect on the association between total ACE score and heavy alcohol consumption (P = 0.047 for interaction): the estimated association between total ACE score and heavy alcohol consumption among study participants who did not participate in a community group was larger, with a narrower confidence interval (ARR = 1.21 per ACE; 95% CI, 1.11–1.33; P < 0.001), while the estimated association among study participants who did participate in a community group was smaller and less precisely estimated (ARR = 1.12 per ACE; 95% CI, 1.02–1.24; P = 0.02). Conclusions: Our findings demonstrate an association between ACEs and heavy alcohol consumption behavior among adults in rural Uganda. The adverse effects of ACEs were buffered in part by social participation. To prevent or reduce harmful alcohol use behaviors among adults, it is important to address the chronic stress caused by ACEs.
650		4	\|a Adverse childhood experiences
650		4	\|a Buffering hypothesis
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700	0		\|a Charles Baguma \|e verfasserin \|4 aut
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700	0		\|a Jessica M. Perkins \|e verfasserin \|4 aut
700	0		\|a Justin D. Rasmussen \|e verfasserin \|4 aut
700	0		\|a Christine E. Cooper-Vince \|e verfasserin \|4 aut
700	0		\|a Phionah Ahereza \|e verfasserin \|4 aut
700	0		\|a Patrick Gumisiriza \|e verfasserin \|4 aut
700	0		\|a Justus Kananura \|e verfasserin \|4 aut
700	0		\|a David R. Bangsberg \|e verfasserin \|4 aut
700	0		\|a Alexander C. Tsai \|e verfasserin \|4 aut
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allfields	10.1016/j.ssmmh.2022.100062 doi (DE-627)DOAJ015583414 (DE-599)DOAJ1cb7fb59983d4efdb81b088d3b158bd0 DE-627 ger DE-627 rakwb eng RZ400-408 RA1-1270 Scholastic Ashaba verfasserin aut Adverse childhood experiences, alcohol consumption, and the modifying role of social participation: population-based study of adults in southwestern Uganda 2022 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Background: Adverse childhood experiences (ACEs) include multiple forms of child maltreatment, including abuse and neglect, as well as other forms of household dysfunction. Studies from Uganda have revealed a high prevalence of child abuse, as well as one of the highest levels of alcohol consumption in Africa. Few population-based studies from Africa have estimated associations between ACEs and adult alcohol use, or assessed the potential buffering effects of social participation. Methods: This cross-sectional, population-based study was conducted in a rural parish in southwestern Uganda between 2016 and 2018. We assessed self-reported ACEs using a modified version of the Adverse Childhood Experiences – International Questionnaire (ACE-IQ) scale. We measured heavy alcohol consumption using a 3-item scale previously validated in this population. We measured social participation using a 10-item scale eliciting participants’ membership and participation in different community groups over the past two months. We fitted multivariable Poisson regression models to estimate the associations between ACEs and heavy alcohol consumption, and to assess for the potential buffering effects of social participation. Results: We estimated statistically significant associations between the total ACE score and heavy alcohol consumption (adjusted relative risk [ARR] per ACE = 1.17; 95% CI, 1.09–1.25; P ≤ 0.001). Social participation had a statistically significant moderating effect on the association between total ACE score and heavy alcohol consumption (P = 0.047 for interaction): the estimated association between total ACE score and heavy alcohol consumption among study participants who did not participate in a community group was larger, with a narrower confidence interval (ARR = 1.21 per ACE; 95% CI, 1.11–1.33; P < 0.001), while the estimated association among study participants who did participate in a community group was smaller and less precisely estimated (ARR = 1.12 per ACE; 95% CI, 1.02–1.24; P = 0.02). Conclusions: Our findings demonstrate an association between ACEs and heavy alcohol consumption behavior among adults in rural Uganda. The adverse effects of ACEs were buffered in part by social participation. To prevent or reduce harmful alcohol use behaviors among adults, it is important to address the chronic stress caused by ACEs. Adverse childhood experiences Buffering hypothesis Heavy alcohol consumption Social integration Social participation Stress buffering Mental healing Public aspects of medicine Bernard Kakuhikire verfasserin aut Charles Baguma verfasserin aut Emily N. Satinsky verfasserin aut Jessica M. Perkins verfasserin aut Justin D. Rasmussen verfasserin aut Christine E. Cooper-Vince verfasserin aut Phionah Ahereza verfasserin aut Patrick Gumisiriza verfasserin aut Justus Kananura verfasserin aut David R. Bangsberg verfasserin aut Alexander C. Tsai verfasserin aut In SSM - Mental Health Elsevier, 2021 2(2022), Seite 100062- (DE-627)1776297989 26665603 nnns volume:2 year:2022 pages:100062- https://doi.org/10.1016/j.ssmmh.2022.100062 kostenfrei https://doaj.org/article/1cb7fb59983d4efdb81b088d3b158bd0 kostenfrei http://www.sciencedirect.com/science/article/pii/S2666560322000020 kostenfrei https://doaj.org/toc/2666-5603 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_206 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_602 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2007 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2034 GBV_ILN_2038 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2056 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2088 GBV_ILN_2106 GBV_ILN_2110 GBV_ILN_2112 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_2336 GBV_ILN_2470 GBV_ILN_2507 GBV_ILN_4012 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4393 GBV_ILN_4700 AR 2 2022 100062-
spelling	10.1016/j.ssmmh.2022.100062 doi (DE-627)DOAJ015583414 (DE-599)DOAJ1cb7fb59983d4efdb81b088d3b158bd0 DE-627 ger DE-627 rakwb eng RZ400-408 RA1-1270 Scholastic Ashaba verfasserin aut Adverse childhood experiences, alcohol consumption, and the modifying role of social participation: population-based study of adults in southwestern Uganda 2022 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Background: Adverse childhood experiences (ACEs) include multiple forms of child maltreatment, including abuse and neglect, as well as other forms of household dysfunction. Studies from Uganda have revealed a high prevalence of child abuse, as well as one of the highest levels of alcohol consumption in Africa. Few population-based studies from Africa have estimated associations between ACEs and adult alcohol use, or assessed the potential buffering effects of social participation. Methods: This cross-sectional, population-based study was conducted in a rural parish in southwestern Uganda between 2016 and 2018. We assessed self-reported ACEs using a modified version of the Adverse Childhood Experiences – International Questionnaire (ACE-IQ) scale. We measured heavy alcohol consumption using a 3-item scale previously validated in this population. We measured social participation using a 10-item scale eliciting participants’ membership and participation in different community groups over the past two months. We fitted multivariable Poisson regression models to estimate the associations between ACEs and heavy alcohol consumption, and to assess for the potential buffering effects of social participation. Results: We estimated statistically significant associations between the total ACE score and heavy alcohol consumption (adjusted relative risk [ARR] per ACE = 1.17; 95% CI, 1.09–1.25; P ≤ 0.001). Social participation had a statistically significant moderating effect on the association between total ACE score and heavy alcohol consumption (P = 0.047 for interaction): the estimated association between total ACE score and heavy alcohol consumption among study participants who did not participate in a community group was larger, with a narrower confidence interval (ARR = 1.21 per ACE; 95% CI, 1.11–1.33; P < 0.001), while the estimated association among study participants who did participate in a community group was smaller and less precisely estimated (ARR = 1.12 per ACE; 95% CI, 1.02–1.24; P = 0.02). Conclusions: Our findings demonstrate an association between ACEs and heavy alcohol consumption behavior among adults in rural Uganda. The adverse effects of ACEs were buffered in part by social participation. To prevent or reduce harmful alcohol use behaviors among adults, it is important to address the chronic stress caused by ACEs. Adverse childhood experiences Buffering hypothesis Heavy alcohol consumption Social integration Social participation Stress buffering Mental healing Public aspects of medicine Bernard Kakuhikire verfasserin aut Charles Baguma verfasserin aut Emily N. Satinsky verfasserin aut Jessica M. Perkins verfasserin aut Justin D. Rasmussen verfasserin aut Christine E. Cooper-Vince verfasserin aut Phionah Ahereza verfasserin aut Patrick Gumisiriza verfasserin aut Justus Kananura verfasserin aut David R. Bangsberg verfasserin aut Alexander C. Tsai verfasserin aut In SSM - Mental Health Elsevier, 2021 2(2022), Seite 100062- (DE-627)1776297989 26665603 nnns volume:2 year:2022 pages:100062- https://doi.org/10.1016/j.ssmmh.2022.100062 kostenfrei https://doaj.org/article/1cb7fb59983d4efdb81b088d3b158bd0 kostenfrei http://www.sciencedirect.com/science/article/pii/S2666560322000020 kostenfrei https://doaj.org/toc/2666-5603 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_206 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_602 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2007 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2034 GBV_ILN_2038 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2056 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2088 GBV_ILN_2106 GBV_ILN_2110 GBV_ILN_2112 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_2336 GBV_ILN_2470 GBV_ILN_2507 GBV_ILN_4012 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4393 GBV_ILN_4700 AR 2 2022 100062-
allfields_unstemmed	10.1016/j.ssmmh.2022.100062 doi (DE-627)DOAJ015583414 (DE-599)DOAJ1cb7fb59983d4efdb81b088d3b158bd0 DE-627 ger DE-627 rakwb eng RZ400-408 RA1-1270 Scholastic Ashaba verfasserin aut Adverse childhood experiences, alcohol consumption, and the modifying role of social participation: population-based study of adults in southwestern Uganda 2022 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Background: Adverse childhood experiences (ACEs) include multiple forms of child maltreatment, including abuse and neglect, as well as other forms of household dysfunction. Studies from Uganda have revealed a high prevalence of child abuse, as well as one of the highest levels of alcohol consumption in Africa. Few population-based studies from Africa have estimated associations between ACEs and adult alcohol use, or assessed the potential buffering effects of social participation. Methods: This cross-sectional, population-based study was conducted in a rural parish in southwestern Uganda between 2016 and 2018. We assessed self-reported ACEs using a modified version of the Adverse Childhood Experiences – International Questionnaire (ACE-IQ) scale. We measured heavy alcohol consumption using a 3-item scale previously validated in this population. We measured social participation using a 10-item scale eliciting participants’ membership and participation in different community groups over the past two months. We fitted multivariable Poisson regression models to estimate the associations between ACEs and heavy alcohol consumption, and to assess for the potential buffering effects of social participation. Results: We estimated statistically significant associations between the total ACE score and heavy alcohol consumption (adjusted relative risk [ARR] per ACE = 1.17; 95% CI, 1.09–1.25; P ≤ 0.001). Social participation had a statistically significant moderating effect on the association between total ACE score and heavy alcohol consumption (P = 0.047 for interaction): the estimated association between total ACE score and heavy alcohol consumption among study participants who did not participate in a community group was larger, with a narrower confidence interval (ARR = 1.21 per ACE; 95% CI, 1.11–1.33; P < 0.001), while the estimated association among study participants who did participate in a community group was smaller and less precisely estimated (ARR = 1.12 per ACE; 95% CI, 1.02–1.24; P = 0.02). Conclusions: Our findings demonstrate an association between ACEs and heavy alcohol consumption behavior among adults in rural Uganda. The adverse effects of ACEs were buffered in part by social participation. To prevent or reduce harmful alcohol use behaviors among adults, it is important to address the chronic stress caused by ACEs. Adverse childhood experiences Buffering hypothesis Heavy alcohol consumption Social integration Social participation Stress buffering Mental healing Public aspects of medicine Bernard Kakuhikire verfasserin aut Charles Baguma verfasserin aut Emily N. Satinsky verfasserin aut Jessica M. Perkins verfasserin aut Justin D. Rasmussen verfasserin aut Christine E. Cooper-Vince verfasserin aut Phionah Ahereza verfasserin aut Patrick Gumisiriza verfasserin aut Justus Kananura verfasserin aut David R. Bangsberg verfasserin aut Alexander C. Tsai verfasserin aut In SSM - Mental Health Elsevier, 2021 2(2022), Seite 100062- (DE-627)1776297989 26665603 nnns volume:2 year:2022 pages:100062- https://doi.org/10.1016/j.ssmmh.2022.100062 kostenfrei https://doaj.org/article/1cb7fb59983d4efdb81b088d3b158bd0 kostenfrei http://www.sciencedirect.com/science/article/pii/S2666560322000020 kostenfrei https://doaj.org/toc/2666-5603 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_206 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_602 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2007 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2034 GBV_ILN_2038 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2056 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2088 GBV_ILN_2106 GBV_ILN_2110 GBV_ILN_2112 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_2336 GBV_ILN_2470 GBV_ILN_2507 GBV_ILN_4012 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4393 GBV_ILN_4700 AR 2 2022 100062-
allfieldsGer	10.1016/j.ssmmh.2022.100062 doi (DE-627)DOAJ015583414 (DE-599)DOAJ1cb7fb59983d4efdb81b088d3b158bd0 DE-627 ger DE-627 rakwb eng RZ400-408 RA1-1270 Scholastic Ashaba verfasserin aut Adverse childhood experiences, alcohol consumption, and the modifying role of social participation: population-based study of adults in southwestern Uganda 2022 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Background: Adverse childhood experiences (ACEs) include multiple forms of child maltreatment, including abuse and neglect, as well as other forms of household dysfunction. Studies from Uganda have revealed a high prevalence of child abuse, as well as one of the highest levels of alcohol consumption in Africa. Few population-based studies from Africa have estimated associations between ACEs and adult alcohol use, or assessed the potential buffering effects of social participation. Methods: This cross-sectional, population-based study was conducted in a rural parish in southwestern Uganda between 2016 and 2018. We assessed self-reported ACEs using a modified version of the Adverse Childhood Experiences – International Questionnaire (ACE-IQ) scale. We measured heavy alcohol consumption using a 3-item scale previously validated in this population. We measured social participation using a 10-item scale eliciting participants’ membership and participation in different community groups over the past two months. We fitted multivariable Poisson regression models to estimate the associations between ACEs and heavy alcohol consumption, and to assess for the potential buffering effects of social participation. Results: We estimated statistically significant associations between the total ACE score and heavy alcohol consumption (adjusted relative risk [ARR] per ACE = 1.17; 95% CI, 1.09–1.25; P ≤ 0.001). Social participation had a statistically significant moderating effect on the association between total ACE score and heavy alcohol consumption (P = 0.047 for interaction): the estimated association between total ACE score and heavy alcohol consumption among study participants who did not participate in a community group was larger, with a narrower confidence interval (ARR = 1.21 per ACE; 95% CI, 1.11–1.33; P < 0.001), while the estimated association among study participants who did participate in a community group was smaller and less precisely estimated (ARR = 1.12 per ACE; 95% CI, 1.02–1.24; P = 0.02). Conclusions: Our findings demonstrate an association between ACEs and heavy alcohol consumption behavior among adults in rural Uganda. The adverse effects of ACEs were buffered in part by social participation. To prevent or reduce harmful alcohol use behaviors among adults, it is important to address the chronic stress caused by ACEs. Adverse childhood experiences Buffering hypothesis Heavy alcohol consumption Social integration Social participation Stress buffering Mental healing Public aspects of medicine Bernard Kakuhikire verfasserin aut Charles Baguma verfasserin aut Emily N. Satinsky verfasserin aut Jessica M. Perkins verfasserin aut Justin D. Rasmussen verfasserin aut Christine E. Cooper-Vince verfasserin aut Phionah Ahereza verfasserin aut Patrick Gumisiriza verfasserin aut Justus Kananura verfasserin aut David R. Bangsberg verfasserin aut Alexander C. Tsai verfasserin aut In SSM - Mental Health Elsevier, 2021 2(2022), Seite 100062- (DE-627)1776297989 26665603 nnns volume:2 year:2022 pages:100062- https://doi.org/10.1016/j.ssmmh.2022.100062 kostenfrei https://doaj.org/article/1cb7fb59983d4efdb81b088d3b158bd0 kostenfrei http://www.sciencedirect.com/science/article/pii/S2666560322000020 kostenfrei https://doaj.org/toc/2666-5603 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_206 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_602 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2007 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2034 GBV_ILN_2038 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2056 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2088 GBV_ILN_2106 GBV_ILN_2110 GBV_ILN_2112 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_2336 GBV_ILN_2470 GBV_ILN_2507 GBV_ILN_4012 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4393 GBV_ILN_4700 AR 2 2022 100062-
allfieldsSound	10.1016/j.ssmmh.2022.100062 doi (DE-627)DOAJ015583414 (DE-599)DOAJ1cb7fb59983d4efdb81b088d3b158bd0 DE-627 ger DE-627 rakwb eng RZ400-408 RA1-1270 Scholastic Ashaba verfasserin aut Adverse childhood experiences, alcohol consumption, and the modifying role of social participation: population-based study of adults in southwestern Uganda 2022 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Background: Adverse childhood experiences (ACEs) include multiple forms of child maltreatment, including abuse and neglect, as well as other forms of household dysfunction. Studies from Uganda have revealed a high prevalence of child abuse, as well as one of the highest levels of alcohol consumption in Africa. Few population-based studies from Africa have estimated associations between ACEs and adult alcohol use, or assessed the potential buffering effects of social participation. Methods: This cross-sectional, population-based study was conducted in a rural parish in southwestern Uganda between 2016 and 2018. We assessed self-reported ACEs using a modified version of the Adverse Childhood Experiences – International Questionnaire (ACE-IQ) scale. We measured heavy alcohol consumption using a 3-item scale previously validated in this population. We measured social participation using a 10-item scale eliciting participants’ membership and participation in different community groups over the past two months. We fitted multivariable Poisson regression models to estimate the associations between ACEs and heavy alcohol consumption, and to assess for the potential buffering effects of social participation. Results: We estimated statistically significant associations between the total ACE score and heavy alcohol consumption (adjusted relative risk [ARR] per ACE = 1.17; 95% CI, 1.09–1.25; P ≤ 0.001). Social participation had a statistically significant moderating effect on the association between total ACE score and heavy alcohol consumption (P = 0.047 for interaction): the estimated association between total ACE score and heavy alcohol consumption among study participants who did not participate in a community group was larger, with a narrower confidence interval (ARR = 1.21 per ACE; 95% CI, 1.11–1.33; P < 0.001), while the estimated association among study participants who did participate in a community group was smaller and less precisely estimated (ARR = 1.12 per ACE; 95% CI, 1.02–1.24; P = 0.02). Conclusions: Our findings demonstrate an association between ACEs and heavy alcohol consumption behavior among adults in rural Uganda. The adverse effects of ACEs were buffered in part by social participation. To prevent or reduce harmful alcohol use behaviors among adults, it is important to address the chronic stress caused by ACEs. Adverse childhood experiences Buffering hypothesis Heavy alcohol consumption Social integration Social participation Stress buffering Mental healing Public aspects of medicine Bernard Kakuhikire verfasserin aut Charles Baguma verfasserin aut Emily N. Satinsky verfasserin aut Jessica M. Perkins verfasserin aut Justin D. Rasmussen verfasserin aut Christine E. Cooper-Vince verfasserin aut Phionah Ahereza verfasserin aut Patrick Gumisiriza verfasserin aut Justus Kananura verfasserin aut David R. Bangsberg verfasserin aut Alexander C. Tsai verfasserin aut In SSM - Mental Health Elsevier, 2021 2(2022), Seite 100062- (DE-627)1776297989 26665603 nnns volume:2 year:2022 pages:100062- https://doi.org/10.1016/j.ssmmh.2022.100062 kostenfrei https://doaj.org/article/1cb7fb59983d4efdb81b088d3b158bd0 kostenfrei http://www.sciencedirect.com/science/article/pii/S2666560322000020 kostenfrei https://doaj.org/toc/2666-5603 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_206 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_602 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2007 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2034 GBV_ILN_2038 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2056 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2088 GBV_ILN_2106 GBV_ILN_2110 GBV_ILN_2112 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_2336 GBV_ILN_2470 GBV_ILN_2507 GBV_ILN_4012 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4393 GBV_ILN_4700 AR 2 2022 100062-
language	English
source	In SSM - Mental Health 2(2022), Seite 100062- volume:2 year:2022 pages:100062-
sourceStr	In SSM - Mental Health 2(2022), Seite 100062- volume:2 year:2022 pages:100062-
format_phy_str_mv	Article
institution	findex.gbv.de
topic_facet	Adverse childhood experiences Buffering hypothesis Heavy alcohol consumption Social integration Social participation Stress buffering Mental healing Public aspects of medicine
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authorswithroles_txt_mv	Scholastic Ashaba @@aut@@ Bernard Kakuhikire @@aut@@ Charles Baguma @@aut@@ Emily N. Satinsky @@aut@@ Jessica M. Perkins @@aut@@ Justin D. Rasmussen @@aut@@ Christine E. Cooper-Vince @@aut@@ Phionah Ahereza @@aut@@ Patrick Gumisiriza @@aut@@ Justus Kananura @@aut@@ David R. Bangsberg @@aut@@ Alexander C. Tsai @@aut@@
publishDateDaySort_date	2022-01-01T00:00:00Z
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Studies from Uganda have revealed a high prevalence of child abuse, as well as one of the highest levels of alcohol consumption in Africa. Few population-based studies from Africa have estimated associations between ACEs and adult alcohol use, or assessed the potential buffering effects of social participation. Methods: This cross-sectional, population-based study was conducted in a rural parish in southwestern Uganda between 2016 and 2018. We assessed self-reported ACEs using a modified version of the Adverse Childhood Experiences – International Questionnaire (ACE-IQ) scale. We measured heavy alcohol consumption using a 3-item scale previously validated in this population. We measured social participation using a 10-item scale eliciting participants’ membership and participation in different community groups over the past two months. We fitted multivariable Poisson regression models to estimate the associations between ACEs and heavy alcohol consumption, and to assess for the potential buffering effects of social participation. Results: We estimated statistically significant associations between the total ACE score and heavy alcohol consumption (adjusted relative risk [ARR] per ACE = 1.17; 95% CI, 1.09–1.25; P ≤ 0.001). 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callnumber-first	R - Medicine
author	Scholastic Ashaba
spellingShingle	Scholastic Ashaba misc RZ400-408 misc RA1-1270 misc Adverse childhood experiences misc Buffering hypothesis misc Heavy alcohol consumption misc Social integration misc Social participation misc Stress buffering misc Mental healing misc Public aspects of medicine Adverse childhood experiences, alcohol consumption, and the modifying role of social participation: population-based study of adults in southwestern Uganda
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topic_title	RZ400-408 RA1-1270 Adverse childhood experiences, alcohol consumption, and the modifying role of social participation: population-based study of adults in southwestern Uganda Adverse childhood experiences Buffering hypothesis Heavy alcohol consumption Social integration Social participation Stress buffering
topic	misc RZ400-408 misc RA1-1270 misc Adverse childhood experiences misc Buffering hypothesis misc Heavy alcohol consumption misc Social integration misc Social participation misc Stress buffering misc Mental healing misc Public aspects of medicine
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author_browse	Scholastic Ashaba Bernard Kakuhikire Charles Baguma Emily N. Satinsky Jessica M. Perkins Justin D. Rasmussen Christine E. Cooper-Vince Phionah Ahereza Patrick Gumisiriza Justus Kananura David R. Bangsberg Alexander C. Tsai
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title_sort	adverse childhood experiences, alcohol consumption, and the modifying role of social participation: population-based study of adults in southwestern uganda
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title_auth	Adverse childhood experiences, alcohol consumption, and the modifying role of social participation: population-based study of adults in southwestern Uganda
abstract	Background: Adverse childhood experiences (ACEs) include multiple forms of child maltreatment, including abuse and neglect, as well as other forms of household dysfunction. Studies from Uganda have revealed a high prevalence of child abuse, as well as one of the highest levels of alcohol consumption in Africa. Few population-based studies from Africa have estimated associations between ACEs and adult alcohol use, or assessed the potential buffering effects of social participation. Methods: This cross-sectional, population-based study was conducted in a rural parish in southwestern Uganda between 2016 and 2018. We assessed self-reported ACEs using a modified version of the Adverse Childhood Experiences – International Questionnaire (ACE-IQ) scale. We measured heavy alcohol consumption using a 3-item scale previously validated in this population. We measured social participation using a 10-item scale eliciting participants’ membership and participation in different community groups over the past two months. We fitted multivariable Poisson regression models to estimate the associations between ACEs and heavy alcohol consumption, and to assess for the potential buffering effects of social participation. Results: We estimated statistically significant associations between the total ACE score and heavy alcohol consumption (adjusted relative risk [ARR] per ACE = 1.17; 95% CI, 1.09–1.25; P ≤ 0.001). Social participation had a statistically significant moderating effect on the association between total ACE score and heavy alcohol consumption (P = 0.047 for interaction): the estimated association between total ACE score and heavy alcohol consumption among study participants who did not participate in a community group was larger, with a narrower confidence interval (ARR = 1.21 per ACE; 95% CI, 1.11–1.33; P < 0.001), while the estimated association among study participants who did participate in a community group was smaller and less precisely estimated (ARR = 1.12 per ACE; 95% CI, 1.02–1.24; P = 0.02). Conclusions: Our findings demonstrate an association between ACEs and heavy alcohol consumption behavior among adults in rural Uganda. The adverse effects of ACEs were buffered in part by social participation. To prevent or reduce harmful alcohol use behaviors among adults, it is important to address the chronic stress caused by ACEs.
abstractGer	Background: Adverse childhood experiences (ACEs) include multiple forms of child maltreatment, including abuse and neglect, as well as other forms of household dysfunction. Studies from Uganda have revealed a high prevalence of child abuse, as well as one of the highest levels of alcohol consumption in Africa. Few population-based studies from Africa have estimated associations between ACEs and adult alcohol use, or assessed the potential buffering effects of social participation. Methods: This cross-sectional, population-based study was conducted in a rural parish in southwestern Uganda between 2016 and 2018. We assessed self-reported ACEs using a modified version of the Adverse Childhood Experiences – International Questionnaire (ACE-IQ) scale. We measured heavy alcohol consumption using a 3-item scale previously validated in this population. We measured social participation using a 10-item scale eliciting participants’ membership and participation in different community groups over the past two months. We fitted multivariable Poisson regression models to estimate the associations between ACEs and heavy alcohol consumption, and to assess for the potential buffering effects of social participation. Results: We estimated statistically significant associations between the total ACE score and heavy alcohol consumption (adjusted relative risk [ARR] per ACE = 1.17; 95% CI, 1.09–1.25; P ≤ 0.001). Social participation had a statistically significant moderating effect on the association between total ACE score and heavy alcohol consumption (P = 0.047 for interaction): the estimated association between total ACE score and heavy alcohol consumption among study participants who did not participate in a community group was larger, with a narrower confidence interval (ARR = 1.21 per ACE; 95% CI, 1.11–1.33; P < 0.001), while the estimated association among study participants who did participate in a community group was smaller and less precisely estimated (ARR = 1.12 per ACE; 95% CI, 1.02–1.24; P = 0.02). Conclusions: Our findings demonstrate an association between ACEs and heavy alcohol consumption behavior among adults in rural Uganda. The adverse effects of ACEs were buffered in part by social participation. To prevent or reduce harmful alcohol use behaviors among adults, it is important to address the chronic stress caused by ACEs.
abstract_unstemmed	Background: Adverse childhood experiences (ACEs) include multiple forms of child maltreatment, including abuse and neglect, as well as other forms of household dysfunction. Studies from Uganda have revealed a high prevalence of child abuse, as well as one of the highest levels of alcohol consumption in Africa. Few population-based studies from Africa have estimated associations between ACEs and adult alcohol use, or assessed the potential buffering effects of social participation. Methods: This cross-sectional, population-based study was conducted in a rural parish in southwestern Uganda between 2016 and 2018. We assessed self-reported ACEs using a modified version of the Adverse Childhood Experiences – International Questionnaire (ACE-IQ) scale. We measured heavy alcohol consumption using a 3-item scale previously validated in this population. We measured social participation using a 10-item scale eliciting participants’ membership and participation in different community groups over the past two months. We fitted multivariable Poisson regression models to estimate the associations between ACEs and heavy alcohol consumption, and to assess for the potential buffering effects of social participation. Results: We estimated statistically significant associations between the total ACE score and heavy alcohol consumption (adjusted relative risk [ARR] per ACE = 1.17; 95% CI, 1.09–1.25; P ≤ 0.001). Social participation had a statistically significant moderating effect on the association between total ACE score and heavy alcohol consumption (P = 0.047 for interaction): the estimated association between total ACE score and heavy alcohol consumption among study participants who did not participate in a community group was larger, with a narrower confidence interval (ARR = 1.21 per ACE; 95% CI, 1.11–1.33; P < 0.001), while the estimated association among study participants who did participate in a community group was smaller and less precisely estimated (ARR = 1.12 per ACE; 95% CI, 1.02–1.24; P = 0.02). Conclusions: Our findings demonstrate an association between ACEs and heavy alcohol consumption behavior among adults in rural Uganda. The adverse effects of ACEs were buffered in part by social participation. To prevent or reduce harmful alcohol use behaviors among adults, it is important to address the chronic stress caused by ACEs.
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title_short	Adverse childhood experiences, alcohol consumption, and the modifying role of social participation: population-based study of adults in southwestern Uganda
url	https://doi.org/10.1016/j.ssmmh.2022.100062 https://doaj.org/article/1cb7fb59983d4efdb81b088d3b158bd0 http://www.sciencedirect.com/science/article/pii/S2666560322000020 https://doaj.org/toc/2666-5603
remote_bool	true
author2	Bernard Kakuhikire Charles Baguma Emily N. Satinsky Jessica M. Perkins Justin D. Rasmussen Christine E. Cooper-Vince Phionah Ahereza Patrick Gumisiriza Justus Kananura David R. Bangsberg Alexander C. Tsai
author2Str	Bernard Kakuhikire Charles Baguma Emily N. Satinsky Jessica M. Perkins Justin D. Rasmussen Christine E. Cooper-Vince Phionah Ahereza Patrick Gumisiriza Justus Kananura David R. Bangsberg Alexander C. Tsai
ppnlink	1776297989
callnumber-subject	RZ - Other Systems of Medicine
mediatype_str_mv	c
isOA_txt	true
hochschulschrift_bool	false
doi_str	10.1016/j.ssmmh.2022.100062
callnumber-a	RZ400-408
up_date	2024-07-03T15:51:35.154Z
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Studies from Uganda have revealed a high prevalence of child abuse, as well as one of the highest levels of alcohol consumption in Africa. Few population-based studies from Africa have estimated associations between ACEs and adult alcohol use, or assessed the potential buffering effects of social participation. Methods: This cross-sectional, population-based study was conducted in a rural parish in southwestern Uganda between 2016 and 2018. We assessed self-reported ACEs using a modified version of the Adverse Childhood Experiences – International Questionnaire (ACE-IQ) scale. We measured heavy alcohol consumption using a 3-item scale previously validated in this population. We measured social participation using a 10-item scale eliciting participants’ membership and participation in different community groups over the past two months. We fitted multivariable Poisson regression models to estimate the associations between ACEs and heavy alcohol consumption, and to assess for the potential buffering effects of social participation. Results: We estimated statistically significant associations between the total ACE score and heavy alcohol consumption (adjusted relative risk [ARR] per ACE = 1.17; 95% CI, 1.09–1.25; P ≤ 0.001). Social participation had a statistically significant moderating effect on the association between total ACE score and heavy alcohol consumption (P = 0.047 for interaction): the estimated association between total ACE score and heavy alcohol consumption among study participants who did not participate in a community group was larger, with a narrower confidence interval (ARR = 1.21 per ACE; 95% CI, 1.11–1.33; P < 0.001), while the estimated association among study participants who did participate in a community group was smaller and less precisely estimated (ARR = 1.12 per ACE; 95% CI, 1.02–1.24; P = 0.02). Conclusions: Our findings demonstrate an association between ACEs and heavy alcohol consumption behavior among adults in rural Uganda. The adverse effects of ACEs were buffered in part by social participation. 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Adverse childhood experiences, alcohol consumption, and the modifying role of social participation: population-based study of adults in southwestern Uganda

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