ArticleBMJ open2022
Associations between adverse childhood experiences, attitudes towards COVID-19 restrictions and vaccine hesitancy: a cross-sectional study.
Article in BMJ open, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.
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Who cites it
16 citing papers in PubMed, 42 citations in OpenAlex.
- Article
- Adverse childhood and school experiences: a retrospective cross-sectional study examining their associations with health-related behaviours and mental health.BMC public health · 2025Article
- Association between childhood abuse and risk of post-COVID-19 conditions: Results from three large prospective cohort studies.Brain, behavior, and immunity · 2025Article
- Adverse childhood experiences and COVID-19 vaccination uptake: Examining the intersection of sex and urban-rural residence.PloS one · 2025Article
- History of childhood maltreatment associated with hospitalization or death due to COVID-19: a cohort study.BMC medicine · 2024Article
- Associations between adverse childhood experiences and trust in health and other information from public services, professionals and wider sources: national cross sectional survey.BMJ public health · 2024Article
- Article
- Therapeutic Alliance and Group Cohesion Across Telehealth Delivery of Mentalizing-focused Parenting Groups.International journal of group psychotherapy · 2024Article
- The experience of traumatic events, psychological distress, and social support: links to COVID-19 vaccine hesitancy and trends with age in a group of older Australians.BMC geriatrics · 2024Article
- Influence parental- and child-related factors on the acceptance of SARS-CoV-2 test methods in schools and daycare facilities.Frontiers in public health · 2024Article
- The role of epistemic trust and epistemic disruption in vaccine hesitancy, conspiracy thinking and the capacity to identify fake news.PLOS global public health · 2024Article
- High Caregiver Adverse Childhood Experiences Are Associated With Pediatric Influenza and COVID-19 Vaccination Uptake.Journal of the Pediatric Infectious Diseases Society · 2023Article
- Article
- Parental Adverse Childhood Experiences and Perpetration of Child Physical Punishment in Wales.International journal of environmental research and public health · 2022Article
- A behavior change model to address caregiver hesitancy around COVID-19 vaccination in pediatrics.Vaccine · 2022Article
- Coping with adverse childhood experiences during the COVID-19 pandemic: Perceptions of mental health service providers.Frontiers in psychology · 2022Article
Corrections and comments
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Authors and funding
6 authors at 2 institutions in 3 countries.
Funding
Abstract
objectivesAdverse childhood experiences (ACEs) can affect life-course health and well-being, including risk-taking behaviour and trust. This study explored associations between ACEs and trust in health information on COVID-19, attitudes towards and compliance with COVID-19 restrictions and vaccine hesitancy.
designNational cross-sectional telephone survey using a sample of landline and mobile numbers stratified by Health Board, deprivation quintile and age group.
settingHouseholds in Wales during national COVID-19 restrictions (December 2020 to March 2021).
participants2285 Welsh residents aged ≥18 years. MEASURES: Nine ACEs; low trust in National Health Service (NHS) COVID-19 information; supporting removal of social distancing and mandatory face coverings; breaking COVID-19 restrictions; and vaccine hesitancy (rejection or uncertainty of vaccination).
resultsIncreasing ACE counts were independently related to low trust in NHS COVID-19 information, feeling unfairly restricted by government and ending mandatory face coverings. High ACE counts (4+ vs 0 ACEs) were also associated with supporting removal of social distancing. Breaking COVID-19 restrictions increased with ACE count with likelihood doubling from no ACEs to 4+ ACEs. Vaccine hesitancy was threefold higher with 4+ ACEs (vs 0 ACEs) and higher in younger age groups. Thus, modelled estimates of vaccine hesitancy ranged from 3.42% with no ACEs, aged ≥70 years, to 38.06% with 4+ ACEs, aged 18-29 years.
conclusionsACEs are common across populations of many countries. Understanding how they impact trust in health advice and uptake of medical interventions could play a critical role in the continuing response to COVID-19 and controlling future pandemics. Individuals with ACEs suffer greater health risks throughout life and may also be excluded from interventions that reduce infection risks. While pandemic responses should consider how best to reach those suffering from ACEs, longer term, better compliance with public health advice is another reason to invest in safe and secure childhoods for all children.
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Registered trials
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