A Study of Health-Related Screening Behaviors among Individuals in Texas with Adverse Childhood Experiences

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Data from this dissertation was obtained from the Texas Behavioral Risk Factor Surveillance System (BRFSS). The Texas BRFSS questionnaire used a cross-sectional retrospective research design while asking questions about individuals' exposure to adverse childhood experiences (ACEs) and included 11 questions. The sample included 9096 individuals over the age of 18 who had exposure to at least one ACE. An ACE score was calculated for all participants and were divided into two groups (less than 4 ACEs and more than 4 ACEs) to compare whether differences in ACE score would impact participating in routine health screening or not. Additionally, whether different … continued below

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Baniya, Ganesh August 2021.

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  • Baniya, Ganesh

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Description

Data from this dissertation was obtained from the Texas Behavioral Risk Factor Surveillance System (BRFSS). The Texas BRFSS questionnaire used a cross-sectional retrospective research design while asking questions about individuals' exposure to adverse childhood experiences (ACEs) and included 11 questions. The sample included 9096 individuals over the age of 18 who had exposure to at least one ACE. An ACE score was calculated for all participants and were divided into two groups (less than 4 ACEs and more than 4 ACEs) to compare whether differences in ACE score would impact participating in routine health screening or not. Additionally, whether different kinds of ACEs would impact health screening was also examined. Logistic regression was used to assess whether different kinds of ACEs impact participation in routine health screening. This study found that individuals with a history of childhood adversities including experiencing childhood emotional abuse, living in a dysfunctional household impeded them from participating in routine health screenings. It is recommended that both primary care physicians and mental health providers to use motivational interviewing while interacting with patients with ACE histories. It is also suggested that using trauma-informed care (TIC) in primary care can help patients talk about their abuse histories and utilize healthcare without any judgment.

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  • August 2021

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  • Aug. 26, 2021, 9:05 p.m.

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Thumbnail image of item number 1 in: 'A Study of Health-Related Screening Behaviors among Individuals in Texas with Adverse Childhood Experiences'.
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Baniya, Ganesh. A Study of Health-Related Screening Behaviors among Individuals in Texas with Adverse Childhood Experiences, dissertation, August 2021; Denton, Texas. (https://digital.library.unt.edu/ark:/67531/metadc1833543/: accessed May 26, 2024), University of North Texas Libraries, UNT Digital Library, https://digital.library.unt.edu; .

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