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. 2021 Oct 19;6(11):e848–e857. doi: 10.1016/S2468-2667(21)00232-2

Table 2.

Pooled relative risks for risk factors and causes of ill health

Samples, n* Individuals, n 1 ACE
≥2 ACEs
Pooled relative risk (95% CI) Heterogeneity, I2 (95% CI) Pooled relative risk (95% CI) Heterogeneity, I2 (95% CI)
Risk factors
Harmful alcohol use 15 29 013 1·64 (1·43–1·88) 51·6% (0–71·8) 2·60 (2·07–3·27) 87·8% (81·8–91·1)
Smoking 17 32 173 1·27 (1·18–1·35) 31·7% (0–61·0) 1·74 (1·55–1·95) 83·1% (73·9–88·1)
Illicit drug use 17 32 513 1·59 (1·44–1·76) 48·6% (0–69·4) 2·63 (2·27–3·05) 84·0% (75·4–88·6)
High BMI 5 12 586 1·02 (0·97–1·06) 0% (0–64·1) 1·07 (1·02–1·12) 36·2% (0–75·7)
Causes of ill health
Depression 6 1 473 863 1·44 (1·34–1·56) 86·1% (69·2–91·8) 2·19 (1·92–2·51) 95·3% (92·7–96·6)
Anxiety 3 6744 1·49 (1·27–1·74) 0% (0–72·9) 2·71 (1·89–3·89) 85·1% (24·9–93·3)
Interpersonal violence 5 15 267 1·31 (0·93–1·86) 50·3% (0–79·9) 3·72 (2·79–4·97) 65·6% (0–84·7)
Cancer 6 25 035 1·13 (0·95–1·33) 30% (0–71·7) 1·51 (1·28–1·78) 18% (0–67·6)
Type 2 diabetes 5 19 178 1·15 (0·89–1·48) 65·5% (0–84·7) 1·45 (1·08–1·94) 75·7% (11·6–88·2)
Cardiovascular disease 6 20 909 1·08 (0·99–1·19) 0% (0–61) 1·46 (1·25–1·69) 36·9% (0–73·9)
Stroke 4 12 769 1·28 (0·84–1·96) 0% (0–67·9) 1·76 (1·22–2·52) 0% (0–67·9)
Respiratory disease 5 19 215 1·32 (1·09–1·59) 0% (0–64·1) 2·26 (1·88–2·72) 0% (0–64·1)

ACE=adverse childhood experience. BMI=body-mass index.

*

See appendix (p 2) for included studies.

Defined in included studies as BMI ≥25 kg/m2.