ArticleHealth & justice2022
Psychometric evaluation of an Adverse Childhood Experiences (ACEs) measurement tool: an equitable assessment or reinforcing biases?
Article in Health & justice, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.
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Who cites it
18 citing papers in PubMed.
- Trauma exposure and traumatic stress in foster carers: a scoping review.European journal of psychotraumatology · 2026Review
- Correlations between life course trauma on perinatal outcomes of women on community supervision - a retrospective cross sectional study.BMC pregnancy and childbirth · 2026Article
- Development of an Age-Appropriate Household Dysfunction Measure and its Concurrent Validity With Multiple Outcomes Among Middle School Adolescents in Southeast Texas.Journal of interpersonal violence · 2026Article
- Impulsivity is associated with suicide attempt in mood disorders with complex moderation by diagnosis and subjective social status.Research square · 2026Article
- Training an AI Chatbot to Manage Health in Underserved Populations: Methodological Approach.JMIR AI · 2026Article
- Early life adversity and physical health implications in adulthood: The Multi-Ethnic Study of Atherosclerosis.Psychoneuroendocrinology · 2026Article
- Relative and combined contributions of adverse childhood experiences and self-reported child poverty to health and economic outcomes in adults - a retrospective study in a UK region.BMC public health · 2025Article
- Associations between childhood socioeconomic characteristics, race, and risk of adverse childhood experiences in a population-based sample of US-born non-Hispanic Black and White women.BMC public health · 2025Article
- Adverse childhood and school experiences: a retrospective cross-sectional study examining their associations with health-related behaviours and mental health.BMC public health · 2025Article
- Observational
- Positive Childhood Experiences are Associated With Alcohol Use in Adolescent and Emerging Adult Females by Adverse Childhood Experiences Dimension.The Journal of adolescent health : official publication of the Society for Adolescent Medicine · 2024Article
- Article
- Adverse childhood experiences among black sexually minoritized men and Black transgender women in Chicago.International journal for equity in health · 2024Article
- The Importance of Screening for Adverse Childhood Experiences (ACE) in all Medical Encounters.AJPM focus · 2023Article
- Absent mindfulness: mediation analyses of the relationship between adverse childhood experiences and disordered eating among young adults.Frontiers in child and adolescent psychiatry · 2023Article
- Virtual reality aggression prevention treatment in a Dutch prison-based population: a pilot study.Frontiers in psychology · 2023Article
- Lifetime and childhood traumatic experiences as risk factors for persistent post-concussive symptoms among US service members.Frontiers in neurologyArticle
- Conceptualizing adverse childhood experiences as a latent factor: Tests of measurement invariance across five racial and ethnic groups.Child developmentArticle
Corrections and comments
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Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundUtilizing Adverse Childhood Experiences (ACEs) measurement scales to assess youths' adversities has expanded exponentially in health and justice studies. However, most of the ACEs assessment scales have yet to meet critical psychometric standards, especially for key demographic and minority groups. It is critical that any assessment or screening tool is not reinforcing bias, warranting the need for validating ACEs tools that are equitable, reliable and accurate. The current study aimed to examine the structural validity of an ACEs scale. Using data from the 2019 Behavioral Risk Factor Surveillance System (BRFSS), which collected of 97,314 responses collected from adults across sixteen states. This study assessed the psychometric properties and measurement invariance of the ACEs tool under the structural equation modeling framework.
resultsWe found the 11-item ACEs screening tool as a second-order factor with three subscales, all of which passed the measurement invariance tests at metric and scalar levels across age, race, sex, socioeconomic status, gender identity, and sexual orientation. We also found that minority groups experienced more childhood adversity with small effect size, with the exception of the gender identity.
conclusionThe ACEs measurement scale from the BRFSS is equitable and free from measurement bias regardless of one's age, race, sex, socioeconomic status, gender identity, and sexual orientation, and thus is valid to be used to compare group mean differences within these groups. The scale is a potentially valid, viable, and predictive risk assessment in health and justice and research settings to identify high-risk groups or individuals for treatments.
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