title: Adverse Childhood Experiences Related to Poor Adult Health Among Lesbian, Gay, and Bisexual Individuals.
abstract: OBJECTIVE
  We explored the association of sexual orientation with poor adult health outcomes before and after adjustment for exposure to adverse childhood experiences (ACEs).
  
  
  METHODS
  Data were from the 2012 North Carolina, 2011 Washington, and 2011 and 2012 Wisconsin Behavioral Risk Factor Surveillance System (BRFSS) surveys regarding health risks, perceived poor health, and chronic conditions by sexual orientation and 8 categories of ACEs. There were 711 lesbian, gay, and bisexual (LGB) respondents and 29,690 heterosexual respondents.
  
  
  RESULTS
  LGB individuals had a higher prevalence of all ACEs than heterosexuals, with odds ratios ranging from 1.4 to 3.1. After adjustment for cumulative exposure to ACEs, sexual orientation was no longer associated with poor physical health, current smoking, and binge drinking. Associations with poor mental health, activity limitation, HIV risk behaviors, current asthma, depression, and disability remained, but were attenuated.
  
  
  CONCLUSIONS
  The higher prevalence of ACEs among LGB individuals may account for some of their excess risk for poor adult health outcomes.
authors.affiliation: At the time of the study, Anna Austin and Scott Proescholdbell were with the Injury Epidemiology and Surveillance Unit, Injury and Violence Prevention Branch, Chronic Disease and Injury Section, Division of Public Health, North Carolina Department of Health and Human Services, Raleigh. Harry Herrick was with the Behavioral Risk Factor Surveillance System, State Center for Health Statistics, Division of Public Health, North Carolina Department of Health and Human Services, Raleigh.
authors.forename: Anna
authors.initials: A
authors.lastname: Austin
authors.affiliation: At the time of the study, Anna Austin and Scott Proescholdbell were with the Injury Epidemiology and Surveillance Unit, Injury and Violence Prevention Branch, Chronic Disease and Injury Section, Division of Public Health, North Carolina Department of Health and Human Services, Raleigh. Harry Herrick was with the Behavioral Risk Factor Surveillance System, State Center for Health Statistics, Division of Public Health, North Carolina Department of Health and Human Services, Raleigh.
authors.forename: Harry
authors.initials: H
authors.lastname: Herrick
authors.affiliation: At the time of the study, Anna Austin and Scott Proescholdbell were with the Injury Epidemiology and Surveillance Unit, Injury and Violence Prevention Branch, Chronic Disease and Injury Section, Division of Public Health, North Carolina Department of Health and Human Services, Raleigh. Harry Herrick was with the Behavioral Risk Factor Surveillance System, State Center for Health Statistics, Division of Public Health, North Carolina Department of Health and Human Services, Raleigh.
authors.forename: Scott
authors.initials: S
authors.lastname: Proescholdbell
mesh_terms: D000328:Adult; D000368:Aged; D040343:Behavioral Risk Factor Surveillance System; D001727:Bisexuality; D002648:Child; D002649:Child Abuse / Q000523:psychology; D002908:Chronic Disease; D005260:Female; D006304:Health Status; D006716:Homosexuality; D006801:Humans; D008297:Male; D008875:Middle Aged; D009657:North Carolina; D015995:Prevalence; D014861:Washington; D014922:Wisconsin; D055815:Young Adult