The association between adverse childhood experiences and sensory impairment in middle-aged and older adults: Evidence from a nationwide cohort study in China

Ziyue Sheng; Wenhan Xiao; Siyu Zhu; Jiajun Hao; Jiaying Ma; Lingzi Yao; Peige Song

doi:10.1016/j.chiabu.2023.106598

The association between adverse childhood experiences and sensory impairment in middle-aged and older adults: Evidence from a nationwide cohort study in China

Ziyue Sheng, Wenhan Xiao, Siyu Zhu, Jiajun Hao, Jiaying Ma, Lingzi Yao, Peige Song

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Abstract

Background: Sensory impairment (SI), as prevalent condition among the elderly, presents a substantial public health burden.

Objectives: To investigate the association of cumulative and individual adverse childhood experiences (ACEs) with SI.

Methods: Chinese residents aged 45 years and above were recruited from the China Health and Retirement Longitudinal Study 2011-2018, using stratified random sampling. The number of ACEs was classified into "0 ACE", "1 to 3 ACEs", and "≥4 ACEs". SI was assessed with self-rated visual or hearing status. SI categories included single sensory impairment (SSI), which can be divided into single vision impairment and single hearing impairment. Possessing both vision impairment and hearing impairment was considered as dual sensory impairment (DSI). Longitudinal SI progression encompassed "maintained no SI", "no SI to SSI", "no SI to DSI", "maintained SSI", "SSI to DSI", and "maintained DSI". Logistic regression and restricted cubic splines models were used for analysis.

Results: A total of 6812 participants entered the cross-sectional analysis and 5299 entered the longitudinal analysis. Compared to 0 ACE, ≥4 ACEs had a positive association with DSI (OR = 1.57, 95 % CI = 1.20-2.06) but not with single vision impairment (OR = 1.17, 95 % CI: 0.88-1.55) or single hearing impairment (OR = 1.10, 95 % CI: 0.71-1.70), and this association was observed only in females (OR = 1.73, 95 % CI = 1.20-2.51). A linear association was found between cumulative ACEs and both single vision impairment (p = 0.044) and DSI (p < 0.001). Compared to 0 ACE, ≥4 ACEs was associated with a higher risk of progression from SSI to DSI (OR = 1.71, 95 % CI = 1.03-2.84), and the maintained DSI (OR = 2.23, 95 % CI =1.37-3.65).

Conclusion: ACEs were found to be associated with an increased risk and more severe progression of SI later in life. It is imperative to address different types of ACE and incorporate sex-specific measures to mitigate the enduring sensory impact of ACEs.

Original language	English
Article number	106598
Pages (from-to)	1-15
Number of pages	15
Journal	Child Abuse and Neglect
Volume	149
DOIs	https://doi.org/10.1016/j.chiabu.2023.106598
Publication status	Published - Mar 2024
Externally published	Yes

Bibliographical note

Copyright © 2023 The Author(s). Published by Elsevier Ltd. Version archived for private and non-commercial use with the permission of the author/s and according to publisher conditions. For further rights please contact the publisher.

Keywords

Adverse childhood experience
Sensory impairment
Vision impairment
Hearing impairment

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10.1016/j.chiabu.2023.106598Licence: CC BY-NC

Publisher version (open access)Final published version, 1.66 MBLicence: CC BY-NC

Cite this

@article{8801110b0b724423b655c60e6c8d7b68,

title = "The association between adverse childhood experiences and sensory impairment in middle-aged and older adults: Evidence from a nationwide cohort study in China",

abstract = "Background: Sensory impairment (SI), as prevalent condition among the elderly, presents a substantial public health burden.Objectives: To investigate the association of cumulative and individual adverse childhood experiences (ACEs) with SI.Methods: Chinese residents aged 45 years and above were recruited from the China Health and Retirement Longitudinal Study 2011-2018, using stratified random sampling. The number of ACEs was classified into {"}0 ACE{"}, {"}1 to 3 ACEs{"}, and {"}≥4 ACEs{"}. SI was assessed with self-rated visual or hearing status. SI categories included single sensory impairment (SSI), which can be divided into single vision impairment and single hearing impairment. Possessing both vision impairment and hearing impairment was considered as dual sensory impairment (DSI). Longitudinal SI progression encompassed {"}maintained no SI{"}, {"}no SI to SSI{"}, {"}no SI to DSI{"}, {"}maintained SSI{"}, {"}SSI to DSI{"}, and {"}maintained DSI{"}. Logistic regression and restricted cubic splines models were used for analysis.Results: A total of 6812 participants entered the cross-sectional analysis and 5299 entered the longitudinal analysis. Compared to 0 ACE, ≥4 ACEs had a positive association with DSI (OR = 1.57, 95 \% CI = 1.20-2.06) but not with single vision impairment (OR = 1.17, 95 \% CI: 0.88-1.55) or single hearing impairment (OR = 1.10, 95 \% CI: 0.71-1.70), and this association was observed only in females (OR = 1.73, 95 \% CI = 1.20-2.51). A linear association was found between cumulative ACEs and both single vision impairment (p = 0.044) and DSI (p < 0.001). Compared to 0 ACE, ≥4 ACEs was associated with a higher risk of progression from SSI to DSI (OR = 1.71, 95 \% CI = 1.03-2.84), and the maintained DSI (OR = 2.23, 95 \% CI =1.37-3.65).Conclusion: ACEs were found to be associated with an increased risk and more severe progression of SI later in life. It is imperative to address different types of ACE and incorporate sex-specific measures to mitigate the enduring sensory impact of ACEs.",

keywords = "Adverse childhood experience, Sensory impairment, Vision impairment, Hearing impairment",

author = "Ziyue Sheng and Wenhan Xiao and Siyu Zhu and Jiajun Hao and Jiaying Ma and Lingzi Yao and Peige Song",

note = "Copyright {\textcopyright} 2023 The Author(s). Published by Elsevier Ltd. Version archived for private and non-commercial use with the permission of the author/s and according to publisher conditions. For further rights please contact the publisher.",

year = "2024",

month = mar,

doi = "10.1016/j.chiabu.2023.106598",

language = "English",

volume = "149",

pages = "1--15",

journal = "Child Abuse and Neglect",

issn = "0145-2134",

publisher = "Elsevier",

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TY - JOUR

T1 - The association between adverse childhood experiences and sensory impairment in middle-aged and older adults

T2 - Evidence from a nationwide cohort study in China

AU - Sheng, Ziyue

AU - Xiao, Wenhan

AU - Zhu, Siyu

AU - Hao, Jiajun

AU - Ma, Jiaying

AU - Yao, Lingzi

AU - Song, Peige

N1 - Copyright © 2023 The Author(s). Published by Elsevier Ltd. Version archived for private and non-commercial use with the permission of the author/s and according to publisher conditions. For further rights please contact the publisher.

PY - 2024/3

Y1 - 2024/3

N2 - Background: Sensory impairment (SI), as prevalent condition among the elderly, presents a substantial public health burden.Objectives: To investigate the association of cumulative and individual adverse childhood experiences (ACEs) with SI.Methods: Chinese residents aged 45 years and above were recruited from the China Health and Retirement Longitudinal Study 2011-2018, using stratified random sampling. The number of ACEs was classified into "0 ACE", "1 to 3 ACEs", and "≥4 ACEs". SI was assessed with self-rated visual or hearing status. SI categories included single sensory impairment (SSI), which can be divided into single vision impairment and single hearing impairment. Possessing both vision impairment and hearing impairment was considered as dual sensory impairment (DSI). Longitudinal SI progression encompassed "maintained no SI", "no SI to SSI", "no SI to DSI", "maintained SSI", "SSI to DSI", and "maintained DSI". Logistic regression and restricted cubic splines models were used for analysis.Results: A total of 6812 participants entered the cross-sectional analysis and 5299 entered the longitudinal analysis. Compared to 0 ACE, ≥4 ACEs had a positive association with DSI (OR = 1.57, 95 % CI = 1.20-2.06) but not with single vision impairment (OR = 1.17, 95 % CI: 0.88-1.55) or single hearing impairment (OR = 1.10, 95 % CI: 0.71-1.70), and this association was observed only in females (OR = 1.73, 95 % CI = 1.20-2.51). A linear association was found between cumulative ACEs and both single vision impairment (p = 0.044) and DSI (p < 0.001). Compared to 0 ACE, ≥4 ACEs was associated with a higher risk of progression from SSI to DSI (OR = 1.71, 95 % CI = 1.03-2.84), and the maintained DSI (OR = 2.23, 95 % CI =1.37-3.65).Conclusion: ACEs were found to be associated with an increased risk and more severe progression of SI later in life. It is imperative to address different types of ACE and incorporate sex-specific measures to mitigate the enduring sensory impact of ACEs.

AB - Background: Sensory impairment (SI), as prevalent condition among the elderly, presents a substantial public health burden.Objectives: To investigate the association of cumulative and individual adverse childhood experiences (ACEs) with SI.Methods: Chinese residents aged 45 years and above were recruited from the China Health and Retirement Longitudinal Study 2011-2018, using stratified random sampling. The number of ACEs was classified into "0 ACE", "1 to 3 ACEs", and "≥4 ACEs". SI was assessed with self-rated visual or hearing status. SI categories included single sensory impairment (SSI), which can be divided into single vision impairment and single hearing impairment. Possessing both vision impairment and hearing impairment was considered as dual sensory impairment (DSI). Longitudinal SI progression encompassed "maintained no SI", "no SI to SSI", "no SI to DSI", "maintained SSI", "SSI to DSI", and "maintained DSI". Logistic regression and restricted cubic splines models were used for analysis.Results: A total of 6812 participants entered the cross-sectional analysis and 5299 entered the longitudinal analysis. Compared to 0 ACE, ≥4 ACEs had a positive association with DSI (OR = 1.57, 95 % CI = 1.20-2.06) but not with single vision impairment (OR = 1.17, 95 % CI: 0.88-1.55) or single hearing impairment (OR = 1.10, 95 % CI: 0.71-1.70), and this association was observed only in females (OR = 1.73, 95 % CI = 1.20-2.51). A linear association was found between cumulative ACEs and both single vision impairment (p = 0.044) and DSI (p < 0.001). Compared to 0 ACE, ≥4 ACEs was associated with a higher risk of progression from SSI to DSI (OR = 1.71, 95 % CI = 1.03-2.84), and the maintained DSI (OR = 2.23, 95 % CI =1.37-3.65).Conclusion: ACEs were found to be associated with an increased risk and more severe progression of SI later in life. It is imperative to address different types of ACE and incorporate sex-specific measures to mitigate the enduring sensory impact of ACEs.

KW - Adverse childhood experience

KW - Sensory impairment

KW - Vision impairment

KW - Hearing impairment

UR - https://www.scopus.com/pages/publications/85181135641

U2 - 10.1016/j.chiabu.2023.106598

DO - 10.1016/j.chiabu.2023.106598

M3 - Article

C2 - 38158282

SN - 0145-2134

VL - 149

SP - 1

EP - 15

JO - Child Abuse and Neglect

JF - Child Abuse and Neglect

M1 - 106598

ER -

The association between adverse childhood experiences and sensory impairment in middle-aged and older adults: Evidence from a nationwide cohort study in China

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