ArticleJournal of interpersonal violence2022
The Clustering of Adverse Childhood Experiences in the Avon Longitudinal Study of Parents and Children: Are Gender and Poverty Important?
Article in Journal of interpersonal violence, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 76 papers, 6 of them syntheses that pooled it.
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76 citing papers in PubMed, 6 syntheses or guidelines pooled it, 154 citations in OpenAlex.
- The Impact of Adverse Childhood Experiences on Cognitive Control Across the Lifespan: A Systematic Review and Meta-analysis of Prospective Studies.Trauma, violence & abuse · 2025Pooled it
- Genetic and environment influences on childhood victimization: a systematic review and meta-analysis.Molecular psychiatry · 2025Pooled it
- Global Prevalence of Childhood Exposure to Physical Violence within Domestic and Family Relationships in the General Population: A Systematic Review and Proportional Meta-Analysis.Trauma, violence & abuse · 2024Pooled it
- Interventions to Reduce Parental Substance Use, Domestic Violence and Mental Health Problems, and Their Impacts Upon Children's Well-Being: A Systematic Review of Reviews and Evidence Mapping.Trauma, violence & abuse · 2024Pooled it
- Adolescent maladaptive schemas and childhood abuse and neglect: A systematic review and meta-analysis.Clinical psychology & psychotherapy · 2022Pooled it
- The association of child maltreatment and systemic inflammation in adulthood: A systematic review.PloS one · 2021Pooled it
- Parenting with a History of ACEs: Examining the Impact of Cumulative Exposure and Child Sexual Abuse on Mothers' and Fathers' Reports of Parent-Child Relationship Quality.Journal of child & adolescent trauma · 2026Article
- Adversity as the key feature: neuroimaging profiles of subtypes from multiple depression risk factors.Psychological medicine · 2026Article
- Intersectional inequalities in childhood maltreatment and adolescent emotional problems in England: a random-coefficient MAIHDA analysis.Epidemiology and psychiatric sciences · 2026Article
- The Road to Unfreedom: Violence and Multidimensional Poverty Among Young Australian Women.Violence against women · 2026Article
- Adverse childhood experiences, adult adiposity, and risk of young-onset breast cancer subtypes in a population-based case-control study.Cancer causes & control : CCC · 2026Article
- The association between adverse experiences throughout the life-course and risk of dementia in the English Longitudinal Study of Ageing.Journal of Alzheimer's disease : JAD · 2026Article
- Tuning in to KidsBMC psychology · 2026Article
- Associations between adverse childhood experiences and cardiometabolic health in later adulthood in Colombia.Journal of epidemiology and community health · 2026Article
- Beyond Cumulative Risk: Gender-Specific Latent Class Patterns of Adverse Childhood Experiences and Systemic Inequities in Black Americans.Adversity and resilience science · 2026Article
- Visually representing total pain at the end of life through photovoice.Frontiers in sociology · 2026Article
- Poverty and family adversity trajectories and not in education, employment or training (NEET) status in late adolescence: evidence from the UK Millennium Cohort Study.BMJ public health · 2026Article
- Adverse childhood experiences and adolescent externalizing and internalizing problems in the ELSPAC-CZ cohort.Child and adolescent psychiatry and mental health · 2025Article
- Resilience factors counteract intergenerational risk for adolescent maladjustment related to family mental health history and childhood adversity.Developmental psychology · 2025Article
- The co-occurrence of social adversities in early adolescence and their relationship to cognitive outcomes later in development.JCPP advances · 2025Article
16 more citing papers are in PubMed but not listed here.
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Authors and funding
5 authors at 3 institutions in 2 countries.
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Abstract
Previous research has demonstrated a graded relationship between the number of Adverse Childhood Experiences reported (an ACE score) and child outcomes. However, ACE scores lack specificity and ignore the patterning of adversities, which are informative for interventions. The aim of the present study was to explore the clustering of ACEs and whether this clustering differs by gender or is predicted by poverty. Data on 8,572 participants of the Avon Longitudinal Study of Parents and Children (ALSPAC) were used. ALSPAC is a regionally representative prenatal cohort of children born between 1991 and 1992 in the Avon region of South-West England. ACEs included parental divorce, death of a close family member, interparental violence, parental mental health problems, parental alcohol misuse, parental drug use, parental convictions, and sexual, emotional, and physical abuse, between birth and 19 years. Latent class analysis was used to derive ACE clusters and associations between poverty, gender, and the derived classes tested using multinomial logistic regression. Five latent classes were identified: "Low ACEs" (55%), "Parental separation and mother's mental health problems" (18%), "Parental mental health problems, convictions and separation" (15%), "Abuse and mental health problems" (6%), and "Poly adversity" (6%). Death of a close family member and sexual abuse did not cluster with other adversities. The clustering did not differ by gender. Poverty was strongly related to both individual ACEs and clusters. These findings demonstrate that ACEs cluster in specific patterns and that poverty is strongly related to this. Therefore, reducing child poverty might be one strategy for reducing ACEs.
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