ArticleAcademic pediatrics2021
Adverse Childhood Experiences and Association With Pediatric Asthma Severity in the 2016-2017 National Survey of Children's Health.
Article in Academic pediatrics, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.
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Who cites it
13 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Association between adverse childhood experiences and asthma: a meta-analysis.BMC public health · 2026Pooled it
- Violence-related distress and lung function in two longitudinal studies of youth.The European respiratory journal · 2022Trial
- Asthma prevalence, associated factors and role of adverse childhood experiences among school-going adolescents: the national School Health Survey in Togo (SHeST-study).BMJ open respiratory research · 2026Article
- Financial Strain and Child Health: Measures and Evidence From a Systematic Literature Review.AJPM focus · 2025Review
- Sleep, Screen Behaviors, and Adverse Childhood Experiences: A Cross-Sectional Study of U.S. Children and Adolescents.Journal of child & adolescent trauma · 2024Article
- The Impact of Adverse Childhood Experiences on Asthma Severity in US Adults.Medical sciences (Basel, Switzerland) · 2024Article
- Adverse Childhood Experiences (ACEs) in Unhoused Children Increase Odds of Psychiatric Illness, Physical Illness, and Psychiatric Admission.Journal of child & adolescent trauma · 2024Article
- Association of Adverse Childhood Experiences with Heart Conditions in Children: Insight from the 2019-2020 National Survey of Children's Health.Children (Basel, Switzerland) · 2023Article
- Development and validation of the patient reported outcomes questionnaire of children with asthma in China: A Caregiver's proxy-reported measure.Frontiers in pediatrics · 2023Article
- Adverse Childhood Experiences and Insufficient Sleep Among U.S. Children and Adolescents.Academic pediatrics · 2022Article
- Social Determinants of Emergency Department Visits in Mild Compared to Moderate and Severe Asthma.Lung · 2022Article
- Caregiver-perceived neighborhood safety and pediatric asthma severity: 2017-2018 National Survey of Children's Health.Pediatric pulmonology · 2022Article
- Health Care Access and Quality Among Children Exposed to Adversity: Implications for Universal Screening of Adverse Childhood Experiences.Maternal and child health journal · 2021Article
Corrections and comments
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Authors and funding
3 authors.
Funding
Abstract
objectivesPrior studies have found that adverse childhood experiences (ACEs) are associated with asthma prevalence and onset, presumably related to stress and increased inflammation. We hypothesized that ACEs may be associated with asthma severity as well. We studied the 2016-2017 US National Survey of Children's Health dataset to explore the relationship between ACEs and pediatric asthma severity.
methodsWe analyzed children ages 0 to 17 years old who had current caregiver-reported asthma diagnosed by a healthcare provider. We reported descriptive characteristics using chi-square analysis of variance (ANOVA) and used multivariable regression analysis to assess the relationship of cumulative and individual ACEs with asthma severity. Survey sampling weights and SAS survey procedures were implemented to produce nationally representative results.
resultsOur analysis included 3691 children, representing a population of 5,465,926. Unadjusted analysis demonstrated that ACEs - particularly household economic hardship, parent/guardian served time in jail, witnessed household violence, or victim/witness of neighborhood violence - were each associated with higher odds of moderate/severe caregiver-reported asthma. After controlling for confounders possibly associated with both exposure (ACEs) and outcome (asthma severity), children who witnessed parent/adult violence had higher adjusted odds of caregiver-reported moderate/severe asthma. (1.67, confidence interval 1.05-2.64, P = .03)
conclusionsIntrafamilial witnessed household violence is significantly associated with caregiver-reported moderate/severe asthma.
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