Evidence map›Paper›PMID 28126359›Full record

ArticleChild abuse & neglect2017

Spanking and adult mental health impairment: The case for the designation of spanking as an adverse childhood experience.

Tracie O Afifi, Derek Ford, Elizabeth T Gershoff, Melissa Merrick, Andrew Grogan-Kaylor, Katie A Ports, Harriet L MacMillan, George W Holden, Catherine A Taylor, Shawna J Lee and 1 more

Open access · hybridAbstract read
In one paragraph

Article in Child abuse & neglect, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 73 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
73citing papers in PubMed, 1 pooled it
30.2field-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

73 citing papers in PubMed, 1 synthesis or guideline pooled it, 236 citations in OpenAlex.

  1. Pooled it
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  11. Sexual identity, child maltreatment, mental health, and substance use among emerging adults aged 18 to 23 years.Canadian journal of public health = Revue canadienne de sante publique · 2025
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  16. Parenting Interventions to Prevent and Reduce Physical Punishment: A Scoping Review.International journal of environmental research and public health · 2024
    Article
  17. Article
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13 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

11 authors at 8 institutions in 2 countries.

Tracie O AfifiDepartments of Community Health Sciences and Psychiatry, University of Manitoba, Canada. Electronic address: tracie.afifi@umanitoba.ca.
Derek FordDivision of Violence Prevention, National Center for Injury Prevention and Control, Centers for Disease Control and Prevention, Atlanta, GA, USA. Electronic address: wsn4@cdc.gov.
Elizabeth T GershoffDepartment of Human Development and Family Sciences, University of Texas at Austin, USA. Electronic address: liz.gershoff@asutin.utexas.edu.
Melissa MerrickDivision of Violence Prevention, National Center for Injury Prevention and Control, Centers for Disease Control and Prevention, Atlanta, GA, USA. Electronic address: mmerrick@cdc.gov.
Andrew Grogan-KaylorSchool of Social Work, University of Michigan, USA. Electronic address: agrogan@umich.edu.
Katie A PortsDivision of Violence Prevention, National Center for Injury Prevention and Control, Centers for Disease Control and Prevention, Atlanta, GA, USA. Electronic address: kports@cdc.gov.
Harriet L MacMillanDepartment of Psychiatry and Behavioural Neurosciences and Department of Pediatrics, McMaster University, Hamilton, Canada. Electronic address: macmilnh@mcmaster.ca.
George W HoldenDepartment of Psychology, Southern Methodist University, Dallas, TX, USA. Electronic address: gholden@smu.edu.
Catherine A TaylorDepartment of Global Community Health and Behavioral Sciences, Tulane University School of Public Health and Tropical Medicine, USA. Electronic address: ctaylor5@tulane.edu.
Shawna J LeeSchool of Social Work, University of Michigan, USA. Electronic address: shawnal@umich.edu.
Robbyn Peters BennettChild Mental Health Specialist, Psychotherapist Private Practice, Portland, OR, USA. Electronic address: robbynpeters@comcast.net.
National Center for Injury Prevention and Control · USUniversity of Michigan–Ann Arbor · USCenters for Disease Control and Prevention · USMcMaster University · CASouthern Methodist University · USThe University of Texas at Austin · USTulane University · USUniversity of Manitoba · CA

Funding

Scientific & Technical CoreP2CHD042849 · NICHD · UNIVERSITY OF TEXAS AT AUSTIN · PI Elizabeth T. Gershoff · 2017 to 2026
$5.2M
Intramural CDC HHS CC999999NICHD NIH HHS P2C HD042849
6 · The paper itself

Abstract

Adverse Childhood Experiences (ACEs) such as child abuse are related to poor health outcomes. Spanking has indicated a similar association with health outcomes, but to date has not been considered an ACE. Physical and emotional abuse have been shown in previous research to correlate highly and may be similar in nature to spanking. To determine if spanking should be considered an ACE, this study aimed to examine 1): the grouping of spanking with physical and emotional abuse; and 2) if spanking has similar associations with poor adult health problems and accounts for additional model variance. Adult mental health problems included depressive affect, suicide attempts, moderate to heavy drinking, and street drug use. Data were from the CDC-Kaiser ACE study (N=8316, response rate=65%). Spanking loaded on the same factor as the physical and emotional abuse items. Additionally, spanking was associated with increased odds of suicide attempts (Adjusted Odds Ratios (AOR)=1.37; 95% CI=1.02 to1.86), moderate to heavy drinking (AOR)=1.23; 95% CI=1.07 to 1.41), and the use of street drugs (AOR)=1.32; 95% CI=1.4 to 1.52) in adulthood over and above experiencing physical and emotional abuse. This indicates spanking accounts for additional model variance and improves our understanding of these outcomes. Thus, spanking is empirically similar to physical and emotional abuse and including spanking with abuse adds to our understanding of these mental health problems. Spanking should also be considered an ACE and addressed in efforts to prevent violence.

Indexed as

Life Change EventsAdultAlcoholismChildChild AbuseFemaleHumansMaleManitobaMental DisordersOdds RatioPhysical AbuseRisk FactorsStatistics as TopicSubstance-Related DisordersSuicide, AttemptedAdverse childhood experiences (ACEs)AlcoholChild abuseDrug useEmotional abusePhysical abuseSpankingSuicide attempts

Identifiers

PMID28126359
PMCPMC7983058
OpenAlexW2580781680

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.