ArticleJournal of public health (Oxford, England)2018
Adverse childhood experiences and access and utilization of health care.
Article in Journal of public health (Oxford, England), 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 37 papers, 1 of them a synthesis that pooled 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.
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.
Who cites it
37 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Impact of parental adverse childhood experiences on children's healthcare utilisation: a systematic review.Journal of epidemiology and community health · 2026Pooled it
- Impact of Adverse Childhood Experiences (ACEs) on Mental Health Help-Seeking Among Asian American Adults: Findings from the 2021 California Health Interview Survey.Journal of immigrant and minority health · 2026Article
- "It Feels Like They Cut off My Wings": Cervical Cancer Stories and Experiences Among Middle- to Older-Age Latina Survivors in the United States.International journal of environmental research and public health · 2026Article
- Exploring the Association Between Adverse Childhood Experiences and Missed Primary Care Appointments in Adult Patients.The Permanente journal · 2026Article
- Internal Medicine Residents' Challenges in Trauma-Informed Care and Impact on Patient Care: A Multiple-Methods Study.Journal of general internal medicine · 2026Article
- Feasibility, usability, and acceptability of the asynchronous trauma-focused CARE training program for healthcare providers: a cross-sectional study.BMC medical education · 2026Article
- Can Adverse Childhood Experiences Screening Promote Health Care Utilization?Journal of general internal medicine · 2026Article
- Social connectedness and healthcare engagement among adults with disabilities: The role of living arrangement.PloS one · 2026Article
- Observational
- The associations between childhood vaccine history and COVID-19 vaccine uptake among older adults in 28 high-income countries.Research square · 2025Article
- Adverse childhood experiences and chronic health outcomes: evidence from 33 US states in the Behavioral Risk Factor Surveillance System, 2019-2023.BMC public health · 2025Article
- Article
- Association of Family Member Incarceration During Childhood and Smoking and Unhealthy Drinking Behaviors, Access to Care, and Functional Status Among Adults in the United States.Journal of general internal medicine · 2025Article
- Does Early Life Adversity Limit Delivery of High-Quality Health Care Among Children?Child: care, health and development · 2025Article
- Adverse childhood experiences and adult dental care utilization in the United States: Variation by race and ethnicity.PloS one · 2025Article
- Adverse childhood experiences and COVID-19 vaccination uptake: Examining the intersection of sex and urban-rural residence.PloS one · 2025Article
- "It's a tool, it's got hardships": a qualitative study of patient experience of colonoscopy and implications for trauma-informed care.Therapeutic advances in gastroenterology · 2025Article
- The Association Between ACE Score and Having Pre-Pregnancy Health Conversations with a Healthcare Provider (2016-2020).Maternal and child health journal · 2024Article
- Associations between adverse childhood experiences, viral suppression, and quality of life among persons living with HIV in Washington state.AIDS care · 2024Article
- Adverse childhood experiences and dental cleaning during pregnancy: Findings from the North and South Dakota PRAMS, 2017-2021.Journal of public health dentistry · 2024Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
3 authors.
Funding
Abstract
Background: Adverse childhood experiences (ACEs) have been associated with a variety of negative health outcomes. However, the association between ACEs and access and utilization of health care have been largely ignored. Methods: This study examined data from the 2011 Behavioral Risk Factor Surveillance System (N = 101 527). We conducted logistic regression analyses, with nine ACEs as independent variables, in relation to the odds of being insured, having a personal health care provider and receiving a physician checkup in the past year. Unadjusted and adjusted multivariable models were estimated. Results: After accounting for potential confounders, all ACEs were associated with lower odds of being currently insured and receiving a physician checkup in the past year. Physical abuse, emotional abuse and several measures of household dysfunction were associated with lower odds of having a personal provider. Conclusions: Our findings suggest potential pathways by which ACEs may impact health. Provision of health insurance and providing care in a trauma-informed manner should be considered for individuals with a history of ACEs.
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Registered trials
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.