Brief ReportAdverse Childhood Experiences and Geriatric Depression: Results from the 2010 BRFSS
Section snippets
Sample
This study utilizes data from the 2010 Behavioral Risk Factor Surveillance System (BRFSS), available at the U.S. Centers for Disease Control and Prevention (CDC) website. The BRFSS consists of a randomly selected, nationally representative group of participants interviewed via telephone. The surveys consist of three main types: a fixed core of questions asked of all participants, optional modules that states may add if desired, and state-added questions. Complete information about the survey
Results
Our sample comprised 8,051 individuals aged 60 years and older who completed questions regarding depression and ACEs. Their demographics are represented in Table 1. As noted in the table, there are significant differences between the depressed and nondepressed groups in terms of race and number of ACEs, with no differences on sex or age.
Table 2 notes the point prevalence of depression, the crude odds ratio, and the odds ratio adjusted for sex, age, and race. Both prior to and after controlling
Discussion
In a large community sample of subjects 60 years or older, we found that depression point prevalence is significantly higher among those reporting repeated ACEs of any type. Overall, a onetime ACE is not significantly related to an increased point prevalence of depression in older adults, the one exception being forced sex, where one occurrence is enough to increase the point prevalence of depression. When all ACEs are included in one single model, significance is noted only for repeated acts
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