ArticleJournal of public health (Oxford, England)2020
The ACE Index: mapping childhood adversity in England.
Article in Journal of public health (Oxford, England), 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 19 papers.
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
19 citing papers in PubMed, 43 citations in OpenAlex.
- Intersectional inequalities in childhood maltreatment and adolescent emotional problems in England: a random-coefficient MAIHDA analysis.Epidemiology and psychiatric sciences · 2026Article
- Article
- Lived experiences in action: Relations between community health workers' and clients' perinatal health behaviours in India.Global public health · 2025Article
- Article
- Receipt of social services intervention in childhood, educational attainment and emergency hospital admissions: longitudinal analyses of national administrative health, social care, and education data in Wales, UK.BMC public health · 2024Article
- How do schools influence the emotional and behavioural health of their pupils? A multi-level analysis of 135 schools in the Born in Bradford inner city multi-ethnic birth cohort.Social psychiatry and psychiatric epidemiology · 2024Article
- Adverse childhood experiences and living in the socially deprived areas in adulthood: a cross-sectional study of the nationwide data in Japan.BMC public health · 2023Article
- Analysis of the UK Government's 10-Year Drugs Strategy-a resource for practitioners and policymakers.Journal of public health (Oxford, England) · 2023Article
- Prevalence and predictors of benevolent childhood experiences among a representative sample of young people.British journal of psychology (London, England : 1953) · 2023Article
- How Does Living in Temporary Accommodation and the COVID-19 Pandemic Impact under 5s' Healthcare Access and Health Outcomes? A Qualitative Study of Key Professionals in a Socially and Ethnically Diverse and Deprived Area of London.International journal of environmental research and public health · 2023Article
- Protocol for secondary data analysis of 4 UK cohorts examining youth adversity and mental health in the context of intersectionality.PloS one · 2023Article
- Development and Validation of the Weighted Index for Childhood Adverse Conditions (WICAC).International journal of environmental research and public health · 2022Article
- Adverse Childhood Experiences and Their Relationship with Poor Sexual Health Outcomes: Results from Four Cross-Sectional Surveys.International journal of environmental research and public health · 2022Article
- Prevalence of Adverse Childhood Experiences in the First Decade of Life: A Study in the Portuguese Cohort, Generation XXI.International journal of environmental research and public health · 2022Article
- Salutary mechanisms in the relationship between stress and health: The mediating and moderating roles of Sense of Coherence-Revised.Stress and health : journal of the International Society for the Investigation of Stress · 2022Article
- The Clustering of Adverse Childhood Experiences in the Avon Longitudinal Study of Parents and Children: Are Gender and Poverty Important?Journal of interpersonal violence · 2022Article
- Reflections on Experiencing Parental Bereavement as a Young Person: A Retrospective Qualitative Study.International journal of environmental research and public health · 2022Article
- The Role of Debt in the Maintenance of Homelessness.Frontiers in public health · 2021Review
- Bayesian spatial modelling of early childhood development in Australian regions.International journal of health geographics · 2020Article
Corrections and comments
- Erratum issued
Authors and funding
9 authors at 4 institutions in 1 country.
Funding
Abstract
backgroundStudies of adults show that adverse childhood experiences (ACEs) are associated with health and social problems and are more common among people living in deprived areas. However, there is limited information about the geographical pattern of contemporary ACEs.
methodsWe used data from the police, social services, schools and vital statistics in England to calculate population rates of events that represent childhood adversity. We constructed an 'ACE Index' that summarizes the relative frequency of ACEs at local authority level, informed by the methods of the Index of Multiple Deprivation. We explored associations between the ACE Index and local characteristics in cross-sectional ecological analysis.
resultsThe ACE Index was strongly associated with the proportion of children that live in income-deprived households (child poverty). In addition, the ACE Index was independently associated with higher population density and was higher in certain regions, particularly the north-east.
conclusionsThe association between ACEs and child poverty provides evidence of a process in which deprivation increases the risk of adverse experiences in childhood. The ACE Index can inform allocation of resources for prevention and mitigation of ACEs.
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.