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The impact of adverse childhood experiences on an urban pediatric population (Author Manuscript)

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dc.contributor.author Burke, Nadine
dc.contributor.author Hellman, Julia
dc.contributor.author Scott, Brandon
dc.contributor.author Weems, Carl
dc.contributor.author Carrion, Victor
dc.date.accessioned 2018-01-04T16:00:24Z
dc.date.available 2018-01-04T16:00:24Z
dc.date.issued 2011
dc.identifier.citation Burke, Nadine; Hellman, Julia; Scott, Brandon; Weems, Carl; Carrion, Victor. (2011). The impact of adverse childhood experiences on an urban pediatric population (Author Manuscript). Child Abuse and Neglect: 35(6), 408–413. en_US
dc.identifier.uri https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3119733/pdf/nihms292567.pdf
dc.identifier.uri http://hdl.handle.net/20.500.11990/563
dc.description.abstract Objective: The goal of this study was to investigate the adverse childhood experiences (ACEs) in youth in a low-income, urban community. Study design: Data from a retrospective chart review of 701 subjects from the Bayview Child Health Center in San Francisco are presented. Medical chart documentation of ACEs as defined in previous studies were coded and each ACE criterion endorsed by a traumatic event received a score of 1 (range = 0 to 9). This study reports on the prevalence of various ACE categories in this population, as well as the association between ACE score and two pediatric problems: learning/behavior problems and body mass index (BMI) ≥ 85% (i.e., overweight or obese). Results: The majority of subjects (67.2%, N = 471) had experienced 1 or more categories of adverse childhood experiences (ACE ≥ 1) and 12.0% (N = 84) had experienced 4 or more ACEs (ACE ≥ 4). Increased ACE scores correlated with increased risk of learning/behavior problems and obesity. Conclusions: There was a significant prevalence of endorsed ACE categories in this urban population. Exposure to 4 or greater ACE categories was associated with increased risk for learning/behavior problems, as well as obesity. Practice implications: Results from this study demonstrate the need both for screening of ACEs among youth in urban areas and for developing effective primary prevention and intervention models. [CVRL Note: See also congressional briefing slide set summarizing this study, “Adverse Childhood Experiences: Link Between Exposures and Health”]. (Author Abstract) en_US
dc.language.iso en_US en_US
dc.publisher National Institutes of Health (NIH) en_US
dc.subject Research en_US
dc.subject Childhood en_US
dc.subject Child Abuse en_US
dc.subject Child Maltreatment en_US
dc.subject Family Violence en_US
dc.subject Children Exposed to Violence en_US
dc.subject Long Term Effects en_US
dc.subject Psychological Consequences en_US
dc.subject Trauma en_US
dc.subject Polyvictimization en_US
dc.subject Poly-victimization en_US
dc.subject Health Consequences en_US
dc.title The impact of adverse childhood experiences on an urban pediatric population (Author Manuscript) en_US
dc.type Article en_US


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