Adverse childhood experiences in a sample of patients with chronic diseases in Cali, Colombia

Main Article Content

Alejandro Castillo Martínez
Daniela Cleves Luna
Ángela María García Cifuentes
Luis Laverde Martínez
Venessa Medina Medina
Hebly Cortés Ruiz
Daniela Ramírez Martínez
Diana María Dávalos Pérez

Abstract

Objective: To evaluate the frequency of Adverse Childhood Experiences (ACEs) and the sociodemographic characteristics of the population with chronic disease.


Methodology: Cross-sectional descriptive study that was conducted with 121 patients over age 18 with non-communicable, chronic diseases that sought internal medicine outpatient services at Fundación Valle del Lili from September to December of 2015. Validated scales to assess ACEs and other clinical variables of interest were applied to patients. Descriptive analysis of the data was conducted.


Results: Of the participants, 69.4% was female; the median age was 62 years, with an IQR of 50 to 72 years. It was found that 64% of those surveyed presented at least one type of ACE, and 23% presented four or more ACEs, while physical abuse and parental separation were the most frequent (32% and 23%, respectively).


Conclusions: Adverse Childhood Experiences are prevalent events in our population; however, such events have not received the attention needed. Further studies are warranted to measure the short- and long-term actual impact, with the respective implications for our health system.

Keywords:
mental health, public health, chronic disease

Article Details

Author Biographies

Alejandro Castillo Martínez, Valle del Lili Foundation.

Department of Psychiatry, Fundación Valle del Lili. Cali, Colombia.

Daniela Cleves Luna, Valle del Lili Foundation.

Center for Clinical Research, Fundación Valle del Lili. Cali, Colombia.

Ángela María García Cifuentes, Valle del Lili Foundation.

Department of Pediatrics, Fundación Valle del Lili. Cali, Colombia.

Luis Laverde Martínez, Icesi University.

Faculty of Health Sciences, Icesi University. Cali, Colombia.

Venessa Medina Medina, Icesi University.

Faculty of Health Sciences, Icesi University. Cali, Colombia.

Hebly Cortés Ruiz, Icesi University.

Faculty of Health Sciences, Icesi University. Cali, Colombia.

Daniela Ramírez Martínez, Icesi University.

Faculty of Health Sciences, Icesi University. Cali, Colombia.

Diana María Dávalos Pérez, Icesi University.

Department of Public Health and Community Medicine, Faculty of Health Sciences, Icesi University. Cali, Colombia.

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