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Adverse Childhood Experiences: Assessing The Impact On Health And School Engagement And The Mitigating Role Of Resilience
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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Felitti, V. J., Anda, R. F., Nordenberg, D., Williamson, D. F., Spitz, A. M., Edwards, V., Koss, M. P., & Marks, J. S. (1998) · American Journal of Preventive Medicine · doi:10.1016/s0749-3797(98)00017-8 · Cited by 18,943
The Lifelong Effects of Early Childhood Adversity and Toxic Stress
Shonkoff, J. P., Garner, A. S., THE COMMITTEE ON PSYCHOSOCIAL ASPECTS OF CHILD AND FAMILY HEALTH, C. O. E. C., Siegel, B. S., Dobbins, M. I., Earls, M. F., Garner, A. S., McGuinn, L., Pascoe, J., & Wood, D. L. (2012) · Pediatrics · doi:10.1542/peds.2011-2663 · Cited by 5,164
Anda, R. F., Felitti, V. J., Bremner, J. D., Walker, J. D., Whitfield, C., Perry, B. D., Dube, S. R., & Giles, W. H. (2006) · European archives of psychiatry and clinical neuroscience · doi:10.1007/s00406-005-0624-4 · Cited by 4,292
Life Course Health Development: An Integrated Framework for Developing Health, Policy, and Research
Halfon, N., & Hochstein, M. (2002) · Milbank Quarterly · doi:10.1111/1468-0009.00019 · Cited by 1,070
Self-citationDube, S. R., Felitti, V. J., Dong, M., Giles, W. H., & Anda, R. F. (2003) · Preventive Medicine · doi:10.1016/s0091-7435(03)00123-3 · Cited by 1,034
The Biological Effects of Childhood Trauma
De Bellis, M. D., & Zisk, A. (2014) · Child and Adolescent Psychiatric Clinics of North America · doi:10.1016/j.chc.2014.01.002 · Cited by 892
Chartier, M. J., Walker, J. R., & Naimark, B. (2010) · Child Abuse & Neglect · doi:10.1016/j.chiabu.2009.09.020 · Cited by 519
The Prevalence of Confirmed Maltreatment Among US Children, 2004 to 2011
Wildeman, C., Emanuel, N., Leventhal, J. M., Putnam‐Hornstein, E., Waldfogel, J., & Lee, H. E. (2014) · Archives of Pediatrics and Adolescent Medicine · doi:10.1001/jamapediatrics.2014.410 · Cited by 505
Fitting multilevel models in complex survey data with design weights: Recommendations
Carle, A. C. (2009) · BMC Medical Research Methodology · doi:10.1186/1471-2288-9-49 · Cited by 414
Long-term economic costs of psychological problems during childhood
Smith, J. P., & Smith, G. C. (2010) · Social Science & Medicine · doi:10.1016/j.socscimed.2010.02.046 · Cited by 264
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Items 601–670 of 670
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Lee, H. Y., & Kim, I. (2024) · Children and Youth Services Review · doi:10.1016/j.childyouth.2024.107859
Healthier School Systems for Learners: Government Role in Fostering Holistic Interventions
George, N. S., Shomuyiwa, D. O., Ogbodum, M. U., Imoke, F. I., & Domagała, A. (2024) · Journal of Education and Community Health · doi:10.34172/jech.2881
Ozturk, B., Sualp, K., BARUT, B., & McLeod, D. A. (2024) · Social Sciences · doi:10.3390/socsci13100553
Martin, K. (2024) · Cambridge University Press eBooks · doi:10.1017/9781009289771.009
Beaudoin, J., & D’Amico, M. (2024) · IJAR – International Journal of Action Research · doi:10.3224/ijar.v20i3.02
Robinson, H. B. (2021) · University of North Texas Digital Library (University of North Texas) · doi:10.12794/metadc1833545
O’Connell, K., & Berger, E. (2025) · Social Psychology of Education · doi:10.1007/s11218-024-09984-2
Fostering Students’ Posttraumatic Growth: A Multitiered Approach for School Counselors
Kitching, E., & Poandl, M. M. (2025) · Professional School Counseling · doi:10.1177/2156759x251320931 · Cited by 1
Lappan, S. N., Boyd, D., Files, M., & Coleman, M. L. (2025) · Journal of Community Psychology · doi:10.1002/jcop.23185
Harnessing Information Technology to Address ACEs and PACEs
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Balico, L. C. M., Selistre, L. D. S., Hessler, D., Thakur, N., Long, D., da Silva, E. R., & de Souza, V. D. (2025) · Jornal Brasileiro de Psiquiatria · doi:10.1590/0047-2085-2024-0059 · Cited by 1
Balico, L. C. M., Schramm, G. S., ROTTA, E. T., Selistre, L. D. S., Thakur, N., Long, D., da Silva, E. R., & de Souza, V. (2025) · Jornal Brasileiro de Psiquiatria · doi:10.1590/0047-2085-2024-0061
Eisman, A. B., Koffkey, C., Fridline, J., Harvey, C., Hasson, R. E., Palinkas, L. A., & Kilbourne, A. M. (2025) · Implementation Research and Practice · doi:10.1177/26334895251330520 · Cited by 1
Perveen, A., Khatoon, Z., & Haider, A. (2025) · Vulnerable Children and Youth Studies · doi:10.1080/17450128.2025.2489967
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Sims, W. M., Tran, N., Neuhaus, J. M., & Pantell, M. S. (2024) · Child Abuse & Neglect · doi:10.1016/j.chiabu.2025.107477 · Cited by 1
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Best, C. K. (2021) · Scholars Archive - University at Albany (University at Albany, State University of New York) · doi:10.54014/ejdy-eemc
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Ahmed, H. (2025) · Carleton University's Institutional Repository (MacOdrum Library, Carleton University) · doi:10.22215/etd/2025-16515
Dorji, T., & Nima, P. (2025) · Research Square · doi:10.21203/rs.3.rs-6840865/v1
Kim, J., Lee, H. Y., & Kim, I. (2025) · Journal of School Health · doi:10.1111/josh.70072 · Cited by 1
Tawiah, N. A., Appiah, E. A., & White, F. (2025) · Behavioral Sciences · doi:10.3390/bs15091216
Ladhani, Z., & Rajan, S. (2025) · American Journal of Preventive Medicine · doi:10.1016/j.amepre.2025.108125
Verhagen, M., Vries, C. R., van Loon, L. M. A., Stoopendaal, M., Raaijmakers, L. G. M., Huizink, A. C., van den Berg, S. A. A., & Mathijssen, J. J. P. (2025) · medRxiv · doi:10.1101/2025.10.07.25337469
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Ahmetoğlu, E., Kurtça, T. T., & Ozturk, M. A. (2025) · Bartın University Journal of Faculty of Education · doi:10.14686/buefad.1738493
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Laffier, J., Westley, M., & Rehman, A. (2025) · Springer texts in education · doi:10.1007/978-3-032-02333-9_10
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Çağış, Z. G., & Yıldırım, M. (2025) · Springer eBooks · doi:10.1007/978-3-032-00025-5_25
Barbel, P. (2022) · Emerald Group Publishing Limited eBooks · doi:10.1108/978-1-64802-879-320251008
Webb, N. J., Miller, T. L., & Stockbridge, E. L. (2022) · Figshare · doi:10.6084/m9.figshare.21581924
Kurani, S. S., Webb, L., Cadet, K., Ma, M., Gibson, M., Jallah, N., Park, J. N., & Johnson, R. M. (2022) · Figshare · doi:10.6084/m9.figshare.19641808
Guo, W., Zhao, Y., Chen, H., Liu, J., Chen, X., Tang, H., Zhou, J., & Wang, X. (2023) · Figshare · doi:10.6084/m9.figshare.23625423
Webb, N. J., Miller, T. L., & Stockbridge, E. L. (2022) · Figshare · doi:10.6084/m9.figshare.21581927
Agbaje, O. S., Nnaji, C. P., Nwagu, E. N., Iweama, C. N., Umoke, P. C. I., Ozoemena, E. L., & Abba, C. C. (2021) · Figshare · doi:10.6084/m9.figshare.14516689
Kurani, S. S., Webb, L., Cadet, K., Ma, M., Gibson, M., Jallah, N., Park, J. N., & Johnson, R. M. (2022) · Figshare · doi:10.6084/m9.figshare.19641811
Vazquez-Sanroman, D. B., Quijada, C., Zabel, O., & Zabel, J. (2025) · Emerging issues in family and individual resilience · doi:10.1007/978-3-031-98937-7_2
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Lewis, T., Jones, K. D., Koch, K., Glosson, K., & Harrington, K. (2020) · Emerald Group Publishing Limited eBooks · doi:10.1108/book-978-1-64802-114-520251004
Branch, S., & Porter, M. A. (2025) · Neuropsychological Rehabilitation · doi:10.1080/09602011.2025.2607143
Coy-Pérez, A., Carrere, J., Fernández, A., Borrell, C., Serral, G., Sánchez, E., Macaya, I., Vásquez-Vera, H., Vásquez-Vera, C., Mehdipanah, R., et al. (2026) · Public health reviews · doi:10.3389/phrs.2025.1609177 · Cited by 1
Lee, E. (2026) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph23030277
Rowe, O., & O'Connell, M. (2026) · Child Abuse & Neglect · doi:10.1016/j.chiabu.2026.107989 · Cited by 1
Scott, B. A., Stilwell, S. M., Murphy, H., Lee, E., Schliebe, M., & Pearson, Z. V. (2026) · School Mental Health · doi:10.1007/s12310-026-09874-2
DeBoth, K. K., & DeLisio, K. (2026) · Occupational Therapy in Mental Health · doi:10.1080/0164212x.2026.2648142
Opadele, A. P., Alabi, B. O., Bolorunduro, O., Olorunfemi, B. E., Ayoola, O., Akinreni, T., Akinwale, O. D., Ajao, O., Faramade, I. O., & Omisore, A. G. (2026) · BMC Psychology · doi:10.1186/s40359-026-04530-5
Arroyo, A., Richardson, E. W., Futris, T. G., Brown, R. A., & Gilbert, A. S. (2026) · Journal of Social and Personal Relationships · doi:10.1177/02654075261445143
Ömerustaoğlu, A., USTA, T. K., Filiz, A., Sayı, A. K., & Mutlu, G. (2026) · Research Square · doi:10.21203/rs.3.rs-9663521/v1
Wood, D. M., Foote, D. A., Osborne, T. V., Vejar-Preece, C. L., & Ferro, A. L. (2026) · Military Psychology · doi:10.1080/08995605.2026.2681306
Guevara, A. M. M., Cottam, S., Wall, C., Preves, A. M., & Johnson, S. L. (2026) · Improving Schools · doi:10.1177/13654802261453121
Yang, T., Luo, Y., Chang, L., & Zhang, H. (2026) · Current Psychology · doi:10.1007/s12144-026-09610-8
Ghasemi, M., Meissel, K., McIntosh, T., & Hashemi, L. (2026) · Adversity and Resilience Science · doi:10.1007/s42844-026-00229-z
Gül, Y. E., Arpacı, İ., Adsız, R., Erdem, N., & Baloglu, M. (2026) · Frontiers in Education · doi:10.3389/feduc.2026.1868753 · Cited by 1
Son, H., Svynarenko, R., Tran, P., & Girdwood, T. (2026) · Journal of Family Nursing · doi:10.1177/10748407261459949
Munyadziwa, M., & Makhado, L. (2026) · Discover Social Science and Health · doi:10.1007/s44155-026-00456-w
Ajayi, A. A., Zhao, C., Schachter, J., Wade, B., & Bonilla, G. G. S. (2026) · Journal of American College Health · doi:10.1080/07448481.2026.2692541
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Brown, D., & Anda, R. F. (2026) · Behavioral Sciences · doi:10.3390/bs16091652
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Mitani, H. (2026) · British Journal of Sociology of Education · doi:10.1080/01425692.2026.2734838
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Metadata
- 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)
- 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
- 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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