Journal article
Adverse Childhood Experiences Expanding the Concept of Adversity
American journal of preventive medicine, v 49(3), pp 354-361
01 Sep 2015
PMID: 26296440
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
Introduction: Current knowledge of Adverse Childhood Experiences (ACEs) relies on data predominantly collected from white, middle- / upper-middle-class participants and focuses on experiences within the home. Using a more socioeconomically and racially diverse urban population, Conventional and Expanded (community-level) ACEs were measured to help understand whether Conventional ACEs alone can sufficiently measure adversity, particularly among various subgroups.
Methods: Participants from a previous large, representative, community-based health survey in Southeast Pennsylvania who were aged >= 18 years were contacted between November 2012 and January 2013 to complete another phone survey measuring ACEs. Ordinal logistic regression models were used to test associations between Conventional and Expanded ACEs scores and demographic characteristics. Analysis was conducted in 2013 and 2014.
Results: Of 1,784 respondents, 72.9% had at least one Conventional ACE, 63.4% at least one Expanded ACE, and 49.3% experienced both. A total of 13.9% experienced only Expanded AEs and would have gone unrecognized if only Conventional ACEs were assessed. Certain demographic characteristics were associated with higher risk for Conventional ACEs but were not predictive of Expanded ACEs, and vice versa. Few adversities were associated with both Conventional and Expanded ACEs.
Conclusions: To more accurately represent the level of adversity experienced across various sociodemographic groups, these data support extending the Conventional ACEs measure. (C) 2015 American Journal of Preventive Medicine
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Details
- Title
- Adverse Childhood Experiences Expanding the Concept of Adversity
- Creators
- Peter F. Cronholm - University of PennsylvaniaChristine M. Forke - Department of Epidemiology and Biostatistics, University of Pennsylvania; Violence Prevention Initiative, Center for Injury Research Prevention.Roy Wade - Children's Hospital of PhiladelphiaMegan H. Bair-Merritt - Boston Medical CenterMartha Davis - Robert Wood Johnson FoundationMary Harkins-Schwarz - Drexel UniversityLee M. Pachter - St. Christopher's Hospital for ChildrenJoel A. Fein - Children's Hospital of Philadelphia
- Publication Details
- American journal of preventive medicine, v 49(3), pp 354-361
- Publisher
- Elsevier
- Number of pages
- 8
- Grant note
- Robert Wood Johnson Foundation; Robert Wood Johnson Foundation (RWJF) ISF; Israel Science Foundation
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Physician Assistant
- Web of Science ID
- WOS:000359954200003
- Scopus ID
- 2-s2.0-84941330137
- Other Identifier
- 991019168568904721
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- Collaboration types
- Domestic collaboration
- Web of Science research areas
- Public, Environmental & Occupational Health