Cited by 670Child Abuse and TraumaChild Welfare and AdoptionResilience and Mental Health

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Adverse Childhood Experiences: Assessing The Impact On Health And School Engagement And The Mitigating Role Of Resilience

Bethell, Christina D., Newacheck, Paul, Hawes, Eva, Halfon, Neal·2014·Health Affairs

DOI 10.1377/hlthaff.2014.0914

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Abstract

The ongoing longitudinal Adverse Childhood Experiences Study of adults has found significant associations between chronic conditions; quality of life and life expectancy in adulthood; and the trauma and stress associated with adverse childhood experiences, including physical or emotional abuse or neglect, deprivation, or exposure to violence. Less is known about the population-based epidemiology of adverse childhood experiences among US children. Using the 2011-12 National Survey of Children's Health, we assessed the prevalence of adverse childhood experiences and associations between them and factors affecting children's development and lifelong health. After we adjusted for confounding factors, we found lower rates of school engagement and higher rates of chronic disease among children with adverse childhood experiences. Our findings suggest that building resilience-defined in the survey as "staying calm and in control when faced with a challenge," for children ages 6-17-can ameliorate the negative impact of adverse childhood experiences. We found higher rates of school engagement among children with adverse childhood experiences who demonstrated resilience, as well as higher rates of resilience among children with such experiences who received care in a family-centered medical home. We recommend a coordinated effort to fill knowledge gaps and translate existing knowledge about adverse childhood experiences and resilience into national, state, and local policies, with a foc…

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Authors: Bethell, C. D., Newacheck, P., Hawes, E., & Halfon, N.
Affiliations: Johns Hopkins University (US)
University of California, San Francisco (US)
Eva Hawes is a research associate at CAHMI.
University of California, Los Angeles (US)
ORCID: Bethell, Christina D.
Halfon, Neal
Venue: Health Affairs
Publisher: Health Affairs Publishing, LLC
Published: 2014-12
Volume: 33
Issue: 12
Pages: 2106-2115
ISSN: 0278-2715 (ISSN-L)
1544-5208
DOI: 10.1377/hlthaff.2014.0914
OpenAlex: W2062375389
Cited by: 669
References: 27
Citations by year: 2026: 32 · 2025: 61 · 2024: 63 · 2023: 57 · 2022: 84 · 2021: 97 · 2020: 87 · 2019: 61 · 2018: 46 · 2017: 41 · 2016: 25 · 2015: 12 · 2014: 1
FWCI: 31.07
Type: journal article
Language: en
Open access: closed
Locations: Health Affairs (publishedVersion)
PubMed (publishedVersion)
Topics: Social Sciences › Psychology › Clinical Psychology › Child Abuse and Trauma
Social Sciences › Sociology and Political Science › Child Welfare and Adoption
Social Sciences › Psychology › Clinical Psychology › Resilience and Mental Health
Keywords: adverse childhood experiences, resilience, school engagement, children with chronic illness, childhood trauma, child health, National Survey of Children's Health, childhood abuse and neglect, child deprivation, violence exposure, health policy
MeSH terms: Emotional Adjustment, Adolescent, Child, Child Abuse, Child, Preschool, Chronic Disease, Educational Status, Family, Female, Health Surveys, Humans, Infant, Infant, Newborn, Male, Residence Characteristics, Risk Factors, United States, Prevalence, Resilience, Psychological

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Adverse Childhood Experiences: Assessing The Impact On Health And School Engagement And The Mitigating Role Of Resilience

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