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Parental Adverse Childhood Experiences and Pediatric Healthcare Use by 2 Years of Age

Emily A Eismann1, Alonzo T Folger2, Nicole B Stephenson1

  • 1Mayerson Center for Safe and Healthy Children, Cincinnati Children's Hospital Medical Center, Cincinnati, OH.

The Journal of Pediatrics
|May 14, 2019
PubMed

Insights

Maternal adverse childhood experiences (ACEs) are linked to missed well-child visits in children by age two. Paternal ACEs did not show this association, highlighting a potential area for targeted family support.

Area of Science:

  • Pediatric primary care
  • Public health
  • Child development

Background:

  • Adverse Childhood Experiences (ACEs) can impact long-term health outcomes.
  • Understanding the intergenerational effects of parental ACEs on child healthcare utilization is crucial.

Purpose of the Study:

  • To investigate the association between maternal and paternal exposure to ACEs and offspring healthcare use by age two.
  • To determine if parental ACEs influence well-child visits, sick visits, or immunization adherence.

Main Methods:

  • Retrospective cohort study of 454 pediatric patients.
  • Parental ACE surveys were analyzed in relation to child healthcare use up to two years of age.
  • Multivariable negative binomial regression adjusted for child sex, payer source, and preterm birth.

Main Results:

  • Maternal ACE exposure was significantly associated with an increased incidence of missed well-child visits (12% increase per additional ACE).
  • Paternal ACE exposure was not significantly associated with missed well-child visits.
  • Neither maternal nor paternal ACE scores were significantly linked to increased sick visits or delayed/missed immunizations.

Conclusions:

  • Maternal ACE exposure negatively impacts adherence to preventive healthcare visits in early childhood.
  • Further research is needed to understand the underlying mechanisms and develop family-based interventions.
  • Targeted support for mothers with a history of ACEs may improve child healthcare adherence.
Abstract

Keywords:
ACEadversitycheck-uppreventiveusewell care

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