Evidence map›Paper›PMID 27940981›Full record

SynthesisPediatrics2016

The Association Between Adverse Childhood Experiences and Risk of Cancer in Adulthood: A Systematic Review of the Literature.

Dawn M Holman, Katie A Ports, Natasha D Buchanan, Nikki A Hawkins, Melissa T Merrick, Marilyn Metzler, Katrina F Trivers

Open access · bronzeAbstract readSystematic Review
In one paragraph

Synthesis in Pediatrics, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 105 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
105citing papers in PubMed, 5 pooled it
21.0field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

105 citing papers in PubMed, 5 syntheses or guidelines pooled it, 214 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Pooled it
  5. Pooled it
  6. Childhood Adversities and the ATTACHInternational journal of environmental research and public health · 2024
    Trial
  7. Trial
  8. Trial
  9. Article
  10. Improving Neonatal Adverse Childhood Experiences (ACEs) Screening in the NICU: A Quality Improvement Initiative.Journal of perinatology : official journal of the California Perinatal Association · 2026
    Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Review
  18. Article
  19. Article
  20. Article

45 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 1 institution in 1 country.

Dawn M HolmanDivisions of Cancer Prevention and Control and dholman@cdc.gov.
Katie A PortsViolence Prevention, Centers for Disease Control and Prevention, Atlanta, Georgia.
Natasha D BuchananDivisions of Cancer Prevention and Control and.
Nikki A HawkinsDivisions of Cancer Prevention and Control and.
Melissa T MerrickViolence Prevention, Centers for Disease Control and Prevention, Atlanta, Georgia.
Marilyn MetzlerViolence Prevention, Centers for Disease Control and Prevention, Atlanta, Georgia.
Katrina F TriversDivisions of Cancer Prevention and Control and.
Centers for Disease Control and Prevention · US

Funding

Intramural CDC HHS CC999999
6 · The paper itself

Abstract

contextAdverse childhood experiences (ACEs) can affect health and well-being across the life course.

objectiveThis systematic review summarizes the literature on associations between ACEs and risk of cancer in adulthood. DATA SOURCES: We searched PubMed to identify relevant publications published on or before May 31, 2015. STUDY SELECTION: We included original research quantifying the association between ACEs and adult cancer incidence. Case reports and reviews were excluded. DATA ABSTRACTION: Two reviewers independently abstracted and summarized key information (eg, ACE type, cancer type, risk estimates) from included studies and resolved all discrepancies.

resultsTwelve studies were included in the review. In studies in which ACE summary scores were calculated, significant associations were observed between the scores and an increased risk of cancer in adulthood. Of the different types of ACEs examined, physical and psychological abuse victimization were associated with risk of any cancer in 3 and 2 studies, respectively. Two studies also reported significant associations with regard to sexual abuse victimization (1 for cervical cancer and 1 for any cancer). However, 2 other studies reported no significant associations between childhood sexual or physical abuse and incidence of cervical or breast cancer. LIMITATIONS: Because of heterogeneity across studies, we were unable to compute a summary effect estimate.

conclusionsThese findings suggest that childhood adversity in various forms may increase a person's cancer risk. Further research is needed to understand the mechanisms driving this relationship and to identify opportunities to prevent and mitigate the deleterious effects of early adversity on long-term health.

Indexed as

Child AbuseAdultAdult Survivors of Child Adverse EventsChildCrime VictimsFamily RelationsHumansNeoplasmsRisk FactorsViolence

Identifiers

PMID27940981
PMCPMC5892430
OpenAlexW2548406050

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.