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Adverse childhood experiences among high-risk children living in socially vulnerable areas

Leticia Gramazio Soares1, Sabrina Dos Santos Tomé1, Isabella Schroeder Abreu1

  • 1Universidade Estadual do Centro-Oeste. Guarapuava, Paraná, Brazil.

Revista Brasileira De Enfermagem
|March 19, 2025
PubMed

Insights

Adverse childhood experiences (ACEs) affect 18.6% of high-risk children, with violence and socioeconomic hardship being prevalent. Addressing these multifactorial issues is crucial for child development and aligns with the 2030 Agenda.

Area of Science:

  • Child Development
  • Public Health
  • Social Epidemiology

Background:

  • Adverse Childhood Experiences (ACEs) pose significant risks to child development.
  • High-risk children are particularly vulnerable to the long-term impacts of ACEs.
  • Understanding ACEs prevalence is vital for targeted interventions.

Purpose of the Study:

  • To determine the occurrence of ACEs in high-risk newborns.
  • To identify specific types of ACEs experienced by this population.

Main Methods:

  • Quantitative, cross-sectional, descriptive study.
  • Conducted in Paraná, Brazil, with 45 caregivers of high-risk children.
  • Data collected via home-based questionnaires and analyzed descriptively.

Main Results:

  • 18.6% prevalence of ACEs among high-risk children.
  • Most common ACEs include violence (64.3%), difficulty acquiring basic necessities (73.3%), and caregiver unemployment/low income (62.2%).
  • Other reported ACEs include parental divorce, substance abuse, conflict-prone living areas, and lack of sewage access.

Conclusions:

  • ACEs are multifactorial and cross-sectoral, significantly impacting child development.
  • Investment in childhood, as proposed by the 2030 Agenda, is essential for mitigating ACEs.
  • Interventions must address socioeconomic factors and violence to protect vulnerable children.
Abstract

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