ArticleJournal of health care for the poor and underserved2019
Adverse Childhood Experiences and Health Care Utilization in a Low-Income Population.
Article in Journal of health care for the poor and underserved, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06063174 (Identifying Social, Molecular, & Immunological Processes for Mitigating Toxic Stress & Enhancing Personalized Resilience), which is not on this map. Cited by 36 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.
Identifying Social, Molecular, & Immunological Processes for Mitigating Toxic Stress & Enhancing Personalized Resilience
Who cites it
36 citing papers in PubMed, 1 synthesis or guideline pooled it, 68 citations in OpenAlex.
- Adverse childhood experience is associated with an increased risk of reporting chronic pain in adulthood: a stystematic review and meta-analysis.European journal of psychotraumatology · 2023Pooled it
- Single-dose intravenous ketamine or intramuscular naltrexone for high-utilization inpatients with alcohol use disorder: pilot trial feasibility and readmission rates.Addiction science & clinical practice · 2022Trial
- Adverse childhood experiences and adult stress eating: A secondary analysis of the Southern Community Cohort Study.Research square · 2026Article
- Association of Social Determinants of Health and Health Equity with Adverse Childhood Experiences in Georgia, USA.Healthcare (Basel, Switzerland) · 2026Article
- Adverse childhood experiences and adult stress eating.Research square · 2025Article
- Perceived teacher support moderate the relationships between adverse childhood experiences and social adjustment among migrant children: a latent profile analysis.BMC psychiatry · 2025Article
- Adverse childhood experiences and preventive health care among rural US children: A cross-sectional examination of 2022 National Health Interview Survey data.The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association · 2025Article
- Impacts of Adverse Childhood Experiences on Mental Health and Satisfaction With Life in First-Year College Students: Results From a Cross-Sectional Study in Vietnam.Psychiatry investigation · 2025Article
- Article
- Adverse childhood experiences and adult dental care utilization in the United States: Variation by race and ethnicity.PloS one · 2025Article
- Adverse Childhood Experience, Parental Bonding, and Fatherhood as Parenting Vulnerabilities to Social Anxiety Severity.European journal of investigation in health, psychology and education · 2024Article
- Trauma-informed Care Training in Trauma and Emergency Medicine: A Review of the Existing Curricula.The western journal of emergency medicine · 2024Review
- Applying a Trauma-Informed Lens to Challenging Adolescent Encounters: A Faculty Development Session for Pediatricians.MedEdPORTAL : the journal of teaching and learning resources · 2024Article
- Lifetime Interpersonal Violence or Abuse and Diabetes Rates by Sex and Race.American journal of preventive medicine · 2023Article
- Quantifying Adverse Childhood Experiences in Oklahoma With the Oklahoma Adversity Surveillance Index System (OASIS): Development and Cross-Sectional Study.JMIR public health and surveillance · 2023Article
- Suicidal Crisis among Children and Young People: Associations with Adverse Childhood Experiences and Socio-Demographic Factors.International journal of environmental research and public health · 2023Article
- Implementation and Outcomes of the Trauma Ambassadors Program: A Case Study of Trauma-Informed Youth Leadership Development.Child & adolescent social work journal : C & A · 2023Article
- Childhood adversities and rate of adulthood all-cause hospitalization in the general population: A retrospective cohort study.PloS one · 2023Article
- Cancer Screening Behaviors and Associations with Childhood Trauma, Resiliency, and Patient-Provider Relationships: Findings from an Exploratory Study of Appalachian Cervical Cancer Survivors.Journal of Appalachian health · 2023Article
- Article
Corrections and comments
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Authors and funding
5 authors.
Funding
Abstract
objectiveTo determine associations of adverse childhood experiences (ACE) with adult health care utilization in an underserved, low-income population.
methodsQuestionnaires on ACE were completed by 38,200 adults (mean age 54), two-thirds African American, recruited from community health centers (CHCs) across 12 Southeastern states. Odds ratios (ORs) and accompanying 95% confidence intervals (CIs) were computed.
resultsThe percentages reporting emergency room visits and doctor's office visits, with high chronic disease index scores, rose monotonically (ptrend<.001) with rising ACE score. Odds ratios (CIs) for those with four or more vs. zero ACEs were 1.37 (95% CI 1.27-1.47) for 1-10 times and 1.80 (95% CI 1.29-2.52) for more than 10 times ER visits, 1.37 (95% CI 1.18-1.59) for over 10 doctor's visits, and 2.29 (95% CI 2.06-2.54) for three or more chronic diseases.
conclusionsHigh ACE levels were associated with greater chronic disease burden and greater health care utilization in adulthood. Long-lasting effects from ACE on the health care of underserved populations are indicated. There is an urgent need to train health care providers, patients, and their families on ACE effects and treatments for better health care outcomes.
Indexed as
Identifiers
What OpenQuestion holds
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.