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Perceived Persuasiveness of Evidence About Adverse Childhood Experiences: Results From a National Survey
Journal article   Peer reviewed

Perceived Persuasiveness of Evidence About Adverse Childhood Experiences: Results From a National Survey

Jonathan Purtle, Katherine L. Nelson, Aditi Srivastav and Sarah E. Gollust
Academic pediatrics, v 21(3), pp 529-533
01 Apr 2021
PMID: 32553780

Abstract

Life Sciences & Biomedicine Pediatrics Science & Technology
OBJECTIVE: Advocates must make decisions about the types of evidence they emphasize when communicating to cultivate support for adverse childhood experience (ACE) prevention policies. This study sought to characterize public perceptions of the persuasiveness of 12 ACE evidence statements and assess differences by ideology in the strength of these evidence messages as rationales for ACE prevention policies. METHODS: A web-based survey of a nationally representative sample of US adults was conducted using the KnowledgePanel (N = 503, completion rate = 60.5%). Respondents read ACE evidence statements and answered questions about the extent to which each was perceived as persuasive. Data were collected and analyzed in 2019. RESULTS: The evidence statements perceived as most persuasive (scoring range 3-17) were those about ACEs as risk factors for mental health and substance use conditions (mean = 12.39) and suicide (mean = 12.14); ACEs generating financial costs for society (mean = 12.03); and the consequences of ACEs being preventable by a supportive adult (mean = 11.97). The evidence statements perceived as least persuasive were about ACEs generating health care costs for individuals (mean = 9.42) and ACEs as risk factors for physical health conditions (mean = 9.47). A larger proportion of liberals than conservatives rated every statement as providing a "strong reason" for ACE prevention policies. These differences were largest for evidence about ACEs generating financial costs for society (84.6% vs 42.8%, P < .0001) and socioeconomic disparities in ACEs (65.1% vs 32.9%, P < .0001). CONCLUSIONS: Many ACE evidence statements commonly used in policy advocacy differ from those perceived as most persuasive among a nationally representative sample of US adults.

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Collaboration types
Domestic collaboration
Web of Science research areas
Pediatrics
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