ArticlePloS one2020
Adult health burden and costs in California during 2013 associated with prior adverse childhood experiences.
Article in PloS one, 2020. 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 12 papers, 3 of them syntheses that pooled it.
What it found
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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
12 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- Systematic Review of Per Person Violence Costs.American journal of preventive medicine · 2024Pooled it
- Cancers: What Are the Costs in Relation to Disability-Adjusted Life Years? A Systematic Review and Meta-Analysis.International journal of environmental research and public health · 2022Pooled it
- Health and financial costs of adverse childhood experiences in 28 European countries: a systematic review and meta-analysis.The Lancet. Public health · 2021Pooled it
- Associations Between Adverse Childhood Experiences and Physical Activity, Recreational Screen Time, and Sleep Among U.S. Children.Behavioral sciences (Basel, Switzerland) · 2026Article
- PROTOCOL: The association between adverse childhood experiences and employment outcomes: Protocol for a systematic review.Campbell systematic reviews · 2024Article
- Economic Burden of Health Conditions Associated With Adverse Childhood Experiences Among US Adults.JAMA network open · 2023Article
- Levels of support for legislative bans to end physical punishment in schools and homes in a national sample.Public health · 2023Article
- Health Care Burden and Expenditure Associated with Adverse Childhood Experiences in Tennessee and Virginia.Journal of child & adolescent trauma · 2022Article
- Using a participatory method to test a strategy supporting the implementation of a state policy on screening children for adverse childhood experiences (ACEs) in a Federally Qualified Health Center system: a stepped-wedge cluster randomized trial.Implementation science communications · 2021Article
- Promoting Children's Mental, Emotional, and Behavioral (MEB) Health in All Public Systems, Post-COVID-19.Administration and policy in mental health · 2021Article
- Article
- Implications of adverse childhood experiences screening on behavioral health services: A scoping review and systems modeling analysis.The American psychologistArticle
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesTo estimate the adult health burden and costs in California during 2013 associated with adults' prior Adverse Childhood Experiences (ACEs).
methodsWe analyzed five ACEs-linked conditions (asthma, arthritis, COPD, depression, and cardiovascular disease) and three health risk factors (lifetime smoking, heavy drinking, and obesity). We estimated ACEs-associated fractions of disease risk for people aged 18+ for these conditions by ACEs exposure using inputs from a companion study of California Behavioral Risk Factor Surveillance System data for 2008-2009, 2011, and 2013. We combined these estimates with published estimates of personal healthcare spending and Disability-Adjusted-Life-Years (DALYs) in the United States by condition during 2013. DALYs captured both the years of healthy life lost to disability and the years of life lost to deaths during 2013. We applied a published estimate of cost per DALY.
resultsAmong adults in California, 61% reported ACEs. Those ACEs were associated with $10.5 billion in excess personal healthcare spending during 2013, and 434,000 DALYs valued at approximately $102 billion dollars. During 2013, the estimated health burden per exposed adult included $589 in personal healthcare expenses and 0.0224 DALYs valued at $5,769.
conclusionsEstimates of the costs of childhood adversity are far greater than previously understood and provide a fiscal rationale for prevention efforts.
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