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Prevalence and Impact of Adverse Childhood Experiences in an Interdisciplinary, School-Based Pediatric Clinic
Insights
Adverse childhood experiences (ACEs) are common in children, with over half experiencing at least one. Higher ACEs correlate with numerous health and developmental issues, highlighting the need for trauma-informed care.
Area of Science:
- Pediatric Health
- Public Health
- Child Psychology
Background:
- Adverse Childhood Experiences (ACEs) represent a significant public health concern.
- Understanding ACEs prevalence in pediatric populations is crucial for early intervention.
Purpose of the Study:
- To determine the prevalence of ACEs in a pediatric cohort.
- To investigate the association between ACEs and other health history factors in children.
Main Methods:
- Retrospective, descriptive study design.
- Utilized health history data from 1,028 children.
- Data collected from a school-based, interprofessional clinic over one academic year.
Main Results:
- Nearly 58% of children reported at least one ACE.
- 9.5% of children experienced four or more ACEs.
- Increased ACEs linked to higher rates of intrauterine drug exposure, intensive care at delivery, homelessness, substance abuse, behavioral problems, mental illness, learning difficulties, and weight issues.
Conclusions:
- ACEs are highly prevalent in the pediatric population.
- Pediatric providers should implement trauma-informed care principles.
- Promoting a supportive adult presence is vital for children's well-being.
Introduction:
This study's purpose was to ascertain the prevalence of adverse childhood experiences (ACEs) in a pediatric population and their connection to other health history information.
Method:
Using health history data, a retrospective, descriptive study was undertaken with 1,028 children seen at a school-based, interprofessional clinic over 1 academic year.
Results:
Nearly 58% of children had at least one ACE, and 9.5% had four or more, similar to the prevalence of ACEs in adults reported in the original study by Felitti et al. (1998). With increasing ACEs, children had higher rates of intrauterine drug exposure, intensive care on delivery, homelessness, substance abuse, behavioral problems, mental illness, learning difficulties, and weight issues.
Discussion:
Because ACEs are prevalent among children, pediatric providers should use trauma-informed care principles and teach and model a loving and supportive adult presence in children's lives.
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