The DOI matches its Crossref record; 27 of the 27 references it cites were found in a registry or an index.
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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- Bethell C, Acad Pediatr
- Dworkin P, 2009, A framework for child health services: supporting the healthy development and school readiness of Connecticut’s children
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Bethell, C., Jones, J., Gombojav, N., Linkenbach, J., & Sege, R. (2019) · JAMA Pediatrics · doi:10.1001/jamapediatrics.2019.3007 · Cited by 792
Self-citationBethell, C. D., Carle, A., Hudziak, J., Gombojav, N., Powers, K., Wade, R., & Braveman, P. (2017) · Academic Pediatrics · doi:10.1016/j.acap.2017.04.161 · Cited by 483
Self-citationThe frequencies and disparities of adverse childhood experiences in the U.S.
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Systematic review of pediatric health outcomes associated with childhood adversity
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Gottlieb, L. M., Hessler, D., Long, D., Laves, E., Burns, A. R., Amaya, A., Sweeney, P., Schudel, C., & Adler, N. E. (2016) · JAMA Pediatrics · doi:10.1001/jamapediatrics.2016.2521 · Cited by 419
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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