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.
Abstract

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