Adverse childhood experiences among Latina women and its association with mastery of stress and health |
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| Institution: | 1. Johns Hopkins University School of Nursing, 525 N. Wolfe St, Baltimore, MD, 21205, United States;2. University of Vigo, Campus Ourense, Avda. Castelao s/n, 32004 Ourense, Spain;3. Casa de Esperanza: National Latin@ Network, P.O. Box 40115, St. Paul, MN, 55104, United States;1. Te Puaruruhau (Child Protection Team), Starship Children’s Health, Private Bag 92024, Auckland 1142, New Zealand;2. Department of Paediatrics: Child and Youth Health, Faculty of Medical and Health Sciences, University of Auckland, Private Bag 92019, Auckland 1142, New Zealand;1. Université du Québec à Montréal, Department of Psychology, C.P. 8888, succ. Centre-ville, Montreal, Quebec H3C 3P8, Canada;2. Université du Québec à Montréal, Department of Sexology, C.P. 8888, succ. Centre-ville, Montreal, Quebec H3C 3P8, Canada;3. Centre de recherche, Institut Philippe-Pinel de Montréal, Montreal, Quebec, Canada;1. Departments of Emergency Medicine and Pediatrics, Section of Pediatric Emergency Medicine, Brown University/Hasbro Children''s Hospital, Providence, Rhode Island;2. Warren Alpert Medical School of Brown University/Hasbro Children''s Hospital, Providence, Rhode Island;3. School of Public Health, Brown University, Providence, Rhode Island;4. Bradley/Hasbro Children''s Research Center and Department of Psychiatry, Rhode Island Hospital, Providence, Rhode Island |
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| Abstract: | BackgroundAdverse childhood experience (ACE) and intimate partner violence (IPV) have sustained, deleterious effects on physical and mental health. Few studies have examined how to help Latina survivors of ACEs and/or IPV regain control of their health.ObjectiveTo inform interventions for this population, we examined whether mastery of stress and patient activation mediate the relationship between a history of ACE and/or IPV and mental and physical health.Participants and settingWe recruited 235 Latina women (M age = 29.6, SD = 5.75) from primary care clinics.MethodFor this cross-sectional study, we used linear regressions to examine the association between ACEs, history of IPV, and health, and the sobel’s test to determine whether patient activation and mastery of stress mediated the relationships between ACEs, IPV, and health.ResultsMost women reported at least one ACE (61.7%, n = 137) and 22.2% (n = 55) reported a history of IPV. Mastery of stress mediated the relationship between ACE and physical health (b= -3.16 p = .002) and mental health (b= -3.83, p < .001). Mastery of stress also mediated the relationship between history of IPV and physical health (b= -2.62, p = .008) and mental health (b= -2.74, p = .006). Patient activation was not associated with a history of trauma or mental health.ConclusionWhile past experiences of trauma cannot be changed, results from this study suggest that improving an individual’s mastery of stress may be a point of intervention for improving mental and physical health among survivors of ACEs and IPV. |
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| Keywords: | Adverse childhood experiences Latina Immigrant Mental health |
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