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The impact of adverse childhood experiences on an urban pediatric population
Open accessAbstract
Objective The goal of this study was to investigate the adverse childhood experiences (ACEs) in youth in a low-income, urban community. Study design Data from a retrospective chart review of 701 subjects from the Bayview Child Health Center in San Francisco are presented. Medical chart documentation of ACEs as defined in previous studies were coded and each ACE criterion endorsed by a traumatic event received a score of 1 (range=0-9). This study reports on the prevalence of various ACE categories in this population, as well as the association between ACE score and two pediatric problems: learning/behavior problems and body mass index (BMI)≥85% (i.e., overweight or obese). Results The majority of subjects (67.2%, N=471) had experienced 1 or more categories of adverse childhood experiences (ACE≥1) and 12.0% (N=84) had experienced 4 or more ACEs (ACE≥4). Increased ACE scores correlated with increased risk of learning/behavior problems and obesity. Conclusions There was a significant prevalence of endorsed ACE categories in this urban population. Exposure to 4 or greater ACE categories was associated with increased risk for learning/behavior problems, as well as obesity. Practice implications Results from this study demonstrate the need both for screening of ACEs among youth in urban areas and for developing effective primary prevention and intervention models.
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“Since the landmark study, other researchers have expanded the range of categories and methods for identifying those ACEs (Burke et al., 2011; Finkelhor et al., 2013).”
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Background
Metadata
- Authors
- Burke, N. J., Hellman, J. L., Scott, B. G., Weems, C. F., & Carrion, V. G.
- Affiliations
- California Pacific Medical Center (US)
- LSU New Orleans (US)
- Venue
- Child Abuse & Neglect
- Publisher
- Elsevier BV
- Published
- 2011-06
- Volume
- 35
- Issue
- 6
- Pages
- 408-413
- ISSN
- 0145-2134 (ISSN-L)
- PMC
- PMC3119733
- OpenAlex
- W2079494095
- Cited by
- 594
- References
- 26
- Citations by year
- 2026: 16 · 2025: 34 · 2024: 40 · 2023: 44 · 2022: 71 · 2021: 106 · 2020: 58 · 2019: 57 · 2018: 38 · 2017: 35 · 2016: 36 · 2015: 21 · 2014: 10 · 2013: 17 · 2012: 10
- FWCI
- 12.78
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Child Abuse & Neglect (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institute of Mental Health (K23MH063893, MH 63893)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Child Abuse and Trauma
- Social Sciences › Sociology and Political Science › Child Welfare and Adoption
- Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Child Abuse and Related Trauma
- Keywords
- adverse childhood experiences, low-income youth, childhood obesity, body mass index, ACE score, ACE screening, primary prevention
- MeSH terms
- Adolescent, Child, Child Abuse, Child, Preschool, Female, Humans, Infant, Infant, Newborn, Learning Disabilities, Male, Medical Records, Obesity, Parent-Child Relations, Poverty, Retrospective Studies, Risk Factors, San Francisco, Urban Population, Logistic Models, Young Adult
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