ArticleCMAJ open
Prevalence of adverse childhood experiences among individuals aged 45 to 85 years: a cross-sectional analysis of the Canadian Longitudinal Study on Aging.
Article in CMAJ open. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.
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Who cites it
21 citing papers in PubMed, 42 citations in OpenAlex.
- Trauma-Informed Care in a Primary Maternity Care Clinic: Quality Improvement Study of Patient and Physician Perspectives.The Permanente journal · 2026Article
- Sex differences in the association of adverse childhood experiences with brain and cognition along a continuum of risk for Alzheimer's disease.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2026Article
- Adverse childhood experiences and sarcopenia: a prospective study embedded in the Canadian Longitudinal Study on Aging.Age and ageing · 2026Article
- Feasibility, usability, and acceptability of the asynchronous trauma-focused CARE training program for healthcare providers: a cross-sectional study.BMC medical education · 2026Article
- Echoes of childhood trauma: the relationship between adverse childhood experiences, brain structure, and mental health in aging adults.Translational psychiatry · 2026Article
- Prevalence and profiles of adverse childhood experiences: a French nationwide study using the CONSTANCES cohort.BMJ public health · 2026Article
- Article
- Evaluating the Alliance against Violence and Adversity Online Training Program: an online curriculum to support children, women, and gender-diverse people.Frontiers in public health · 2026Article
- Adverse Childhood Experiences and Sarcopenia in Later Life: Baseline Data from the Canadian Longitudinal Study on Aging.Geriatrics (Basel, Switzerland) · 2025Article
- Adverse Childhood Experiences and Police Contact in Canada.Journal of interpersonal violence · 2025Article
- Sex-specific differences in the experience of adverse childhood experiences: transmission, protective, and risk factors from the perspectives of parents and their children-results of an 18-year German longitudinal study.Child and adolescent psychiatry and mental health · 2025Article
- Childhood family adversity and recurrent depression in adulthood: the findings of three ELSA-Brasil follow-up visits.Revista brasileira de psiquiatria (Sao Paulo, Brazil : 1999) · 2025Article
- Adverse childhood experiences and perceived body size across the life course: a longitudinal study using data from the Canadian Longitudinal Study on Aging (CLSA).BMJ public health · 2025Article
- A Preliminary Investigation of a Conceptual Model Describing the Associations Between Childhood Maltreatment and Alcohol Use Problems.Brain sciences · 2024Article
- Profiles of childhood adversities in Inuit from Nunavik: description and associations with indicators of socioeconomic characteristics, support, and community involvement.Canadian journal of public health = Revue canadienne de sante publique · 2024Article
- A longitudinal study evaluating adverse childhood experiences and obesity in adulthood using the Canadian Longitudinal Study on Aging (CLSA).International journal of epidemiology · 2023Article
- Obesity and adverse childhood experiences in relation to stress during the COVID-19 pandemic: an analysis of the Canadian Longitudinal Study on Aging.International journal of obesity (2005) · 2023Article
- Childhood adversities and rate of adulthood all-cause hospitalization in the general population: A retrospective cohort study.PloS one · 2023Article
- No Mediation Effect of Telomere Length or Mitochondrial DNA Copy Number on the Association Between Adverse Childhood Experiences (ACEs) and Central Arterial Stiffness.Journal of the American Heart Association · 2022Article
- Examining the relationships between adverse childhood experiences (ACEs), cortisol, and inflammation among young adults.Brain, behavior, & immunity - health · 2022Article
Corrections and comments
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Authors and funding
5 authors at 3 institutions in 2 countries.
Funding
Abstract
backgroundPopulation-level prevalence estimates for a broad range of adverse childhood experiences (ACEs), which are known to affect health across the lifespan, are currently unavailable in Canada. The purpose of this study was to estimate the prevalence of individual ACEs by sociodemographic factors among middle-aged and older adults.
methodsData for this cross-sectional analysis were obtained from the first follow-up (2015-2018) of the Canadian Longitudinal Study on Aging (baseline recruitment from 2011 to 2015). Participants included individuals aged 45-85 years and residing in the community in the 10 Canadian provinces. Exposure to ACEs was assessed using a retrospective, self-report questionnaire. Logistic regression was used to obtain the adjusted prevalence estimates of ACEs within groups formed by the sociodemographic characteristics and each variable was adjusted for all other sociodemographic variables.
resultsOf the 44 817 participants in the first follow-up, 61.6% (weighted) reported exposure to at least 1 ACE. Exposure to physical abuse (weighted prevalence of 25.7%), intimate partner violence (22.4%) and emotional abuse (21.8%) were the most prevalent types of ACEs. Individuals younger than 65 years (born in 1950-1969), with no postsecondary education or education below a bachelor's degree, or with annual household income less than $20 000 reported greater exposure to ACEs. Reporting for many ACEs was higher among women and those of nonheterosexual orientation. Overall, British Columbia, Alberta, Manitoba, Ontario and Quebec reported relatively higher prevalence for several examined categories of ACEs.
interpretationAdverse childhood experiences were highly prevalent across all demographic groups with substantial heterogeneity in the distribution among the middle and older age population. The high prevalence of ACEs and their potential negative consequences on health and well-being emphasize the need to develop and promote trauma-informed care to assist individuals affected by ACEs.
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