The intersectionality of adverse childhood experiences, race/ethnicity, and income: Implications for policy

Adverse childhood experiences (ACEs) are traumatic events that occur in a child's life. These negative experiences have been related to poor adult health and wellbeing outcomes. While previous research has established that ACEs are common, poor adult health outcomes occur at higher rates for persons of color and those with low-incomes compared to their relative counterparts. Examining the intersectionality of ACE, race/ethnicity, and income is important for targeted prevention and intervention efforts, especially as policies at the state and national level are created to address these inequities. The current study examined the prevalence of ACE by race/ethnicity and income. Results of the analyses demonstrate the need for policy makers and others to use tools to examine the unintended consequences of policy change or action. Racial equity impact assessments can be used to examine the impact of a policy change or action to prevent or address ACE on communities of color.