%0 Journal Article %J Int Public Health J %D 2016 %T Stress pathways to health inequalities: Embedding ACEs within social and behavioral contexts. %A Nurius, Paula S %A Green, Sara %A Logan-Greene, Patricia %A Longhi, Dario %A Song, Chiho %X

OBJECTIVE: This study addresses whether adverse childhood experiences (ACEs) demonstrate disproportional prevalence across demographic- and health-affecting characteristics, offer significant explanation of adult health outcomes, and show patterned association with illness susceptibility early within and across adulthood when viewed in combination with income and psychosocial resources.

METHODS: Data were derived from a population-based state health survey using stratified random sampling of household adults (n=7,470): ages 18-99 (M=55), 59.9% females, and race/ethnicity, income and education levels representative of the region. We assessed ACEs by aggregating 8 adversity forms, 5 health behaviors and 3 psychosocial resources; and health outcomes (number of chronic conditions, subjective wellness).

RESULTS: Disproportionality was evident in ACEs levels by demographics, adult SES, health behaviors, and psychosocial resources in expected directions. Stepped multiple regressions of health outcomes demonstrated significant betas and R(2) change for each predictor block, revealing cumulative as well as unique explanatory utility. Early onset chronic illness was evident on the basis of ACEs levels. These illnesses were amplified for low income respondents. Prevalence was highest across adulthood for those also reporting low psychosocial assets.

CONCLUSIONS: Findings offer novel insights as to the "long reach" of childhood adversity on health, conditioned by circumstances under which these effects may occur. Health resilience offered by health behaviors and psychosocial resources should shape thinking about preventive and remedial interventions by social work and allied professionals across a range of settings.

%B Int Public Health J %V 8 %P 241-256 %8 2016 Apr-Jun %G ENG %N 2 %1 http://www.ncbi.nlm.nih.gov/pubmed/27274786?dopt=Abstract %0 Journal Article %J J Hum Behav Soc Environ %D 2013 %T Spouse Psychological Well-Being: A Keystone to Military Family Health. %A Green, Sara %A Nurius, Paula S %A Lester, Patricia %X

Understanding predictors of military spouse psychosocial vulnerability informs efforts to assess, identify, and support at-risk spouses and families. In this analysis we test the effects of family stress and strain on military spouse psychological health, using a sample of female civilian spouses (n=161). Regression findings confirm expectations of the significant contribution of family stressors, strain, and resources in explaining variation in spouses' psychological health, controlling for deployment and socioeconomic factors. Identifying the effects of family stress on military spouse psychological health supports the need for family-centered interventions and prevention programs.

%B J Hum Behav Soc Environ %V 23 %8 2013 Jan 1 %G eng %N 6 %R 10.1080/10911359.2013.795068 %0 Journal Article %J Vict Offender %D 2013 %T The sustained impact of adolescent violence histories on early adulthood outcomes. %A Logan-Greene, Patricia %A Nurius, Paula S %A Hooven, Carole %A Thompson, Elaine A %X

A history of victimization and violence perpetration are well-established risk factors that hamper positive development in early adulthood, yet their separate and overlapping effects are rarely examined simultaneously, confounding understanding of their relative impacts. This study follows a diverse sample of at-risk adolescents (N=570) into early adulthood, comparing roles and resources, stress and distress, and maladaptive behaviors for those with a history of no violence, victimization only, perpetration only, and both perpetration and victimization. Results demonstrate four distinctive profiles, although all violence-exposed youth report more problems in the three assessed domains relative to those with no violence histories. Implications for intervention are discussed.

%B Vict Offender %V 8 %P 231-252 %8 2013 Apr 1 %G eng %N 2 %R 10.1080/15564886.2012.755139