Prevalence of Positive Childhood Experiences Among Adults - Behavioral Risk Factor Surveillance System, Four States, 2015-2021.

Publisher: U.S. Centers for Disease Control Country of Publication: United States NLM ID: 7802429 Publication Model: Electronic Cited Medium: Internet ISSN: 1545-861X (Electronic) Linking ISSN: 01492195 NLM ISO Abbreviation: MMWR Morb Mortal Wkly Rep Subsets: MEDLINE

Publication: Atlanta, GA : U.S. Centers for Disease Control
Original Publication: [Atlanta] U. S. Dept. of Health, Education, and Welfare, Public Health Service, Center for Disease Control.

Behavioral Risk Factor Surveillance System*; Humans ; Male ; Adult ; Female ; Young Adult ; Middle Aged ; Adolescent ; Prevalence ; Kansas/epidemiology ; South Carolina/epidemiology ; Aged ; Wisconsin/epidemiology ; Montana/epidemiology ; United States/epidemiology ; Child

Positive childhood experiences (PCEs) promote optimal health and mitigate the effects of adverse childhood experiences, but PCE prevalence in the United States is not well-known. Using Behavioral Risk Factor Surveillance System data, this study describes the prevalence of individual and cumulative PCEs among adults residing in four states: Kansas (2020), Montana (2019), South Carolina (2020), and Wisconsin (2015). Cumulative PCE scores were calculated by summing affirmative responses to seven questions. Subscores were created for family-related (three questions) and community-related (four questions) PCEs. The prevalence of individual PCEs varied from 59.5% (enjoyed participating in community traditions) to 90.5% (adult in respondents' household made them feel safe), and differed significantly by race and ethnicity, age, and sexual orientation. Fewer non-Hispanic Black or African American (49.2%), non-Hispanic Alaska Native or American Indian (37.7%), and Hispanic or Latino respondents (38.9%) reported 6-7 PCEs than did non-Hispanic White respondents (55.2%). Gay or lesbian, and bisexual respondents were less likely than were straight respondents to report 6-7 PCEs (38.1% and 27.4% versus 54.7%, respectively). A PCE score of 6-7 was more frequent among persons with higher income and education. Improved understanding of the relationship of PCEs to adult health and well-being and variation among population subgroups might help reduce health inequities.
Competing Interests: All authors have completed and submitted the International Committee of Medical Journal Editors form for disclosure of potential conflicts of interest. Dina Burstein reports institutional support from the JPB Foundation for operating the HOPE National Resource Center. Jennifer Jones reports travel and meeting attendance support and payment to Prevent Child Abuse America from Georgia State University. Robert Sege reports institutional support from the JPB Foundation for operating the HOPE National Resource Center, receipt of royalties from UpToDate, Inc., for content related to youth violence, and service as a member of the Massachusetts Children’s Trust Board and the Prevent Child Abuse America Board (term ended September 2022). No other potential conflicts of interest were disclosed.

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Date Created: 20240502 Date Completed: 20240502 Latest Revision: 20240504

20240504

PMC11065470

10.15585/mmwr.mm7317a3

38696345