ArticleBMJ open2023
Comparing relationships between single types of adverse childhood experiences and health-related outcomes: a combined primary data study of eight cross-sectional surveys in England and Wales.
Article in BMJ open, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 1 of them a synthesis that pooled it.
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Who cites it
20 citing papers in PubMed, 1 synthesis or guideline pooled it, 35 citations in OpenAlex.
- Adverse childhood experiences and cognitive outcomes among older adults in low-income and middle-income countries: a systematic review.BMJ open · 2026Pooled it
- Linking maternal childhood maltreatment to health-related and psychosocial risk factors during pregnancy: intergenerational implications for early child development.European journal of psychotraumatology · 2026Article
- Strengths-based resilience: the biopsychosocial factors that differentiate 12-year mental well-being trajectories following adverse childhood experiences.Psychological medicine · 2026Article
- Utilization of health and supportive services amongst children with prenatal opioid exposure: a mixed methods and community-initiated analysis.BMC health services research · 2026Article
- Selected Teen-Reported Adverse Childhood Experiences (ACEs) and Mental Health Care Use.Academic pediatrics · 2026Article
- Adverse childhood experiences, and violence and criminal justice outcomes in adulthood-the moderating role of protective and compensatory childhood experiences.BMC medicine · 2025Article
- Adverse Childhood Experiences and Adolescent Early Non-Coital Sexual and Relationship Behaviors: A Latent Class Analysis.The Journal of early adolescence · 2025Article
- Article
- Adverse Childhood Experiences and Health Outcomes Among Transition-Age Autistic Youth.Journal of autism and developmental disorders · 2025Article
- The Key Role of Personality Functioning in Understanding the Link Between Adverse Childhood Experiences and Loneliness: A Cross-Sectional Mediation Analysis.Brain sciences · 2025Article
- Associations of multiple adverse childhood experiences, attachment insecurity and loneliness with physical and mental health difficulties in a representative Slovak sample.Preventive medicine reports · 2025Article
- The Association Between Childhood Experience of Living with a Heavy Drinker and Self-Rated Mental Health in the Adult General Population.Diseases (Basel, Switzerland) · 2025Article
- Patterns of Adverse Childhood Experiences from a Longitudinal South African Community Sample: A Latent Class Analysis.International journal on child maltreatment : research, policy and practice · 2025Article
- Associations Between Adverse Childhood Experiences and Prenatal Mental Health in the French EDEN Cohort: Cumulative, Person-Centered, and Dimensional Approaches.Depression and anxiety · 2025Article
- Article
- Prevalence of Adverse Childhood Experiences Among Adolescents.Pediatrics · 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
- Partitioning the Composition of Adverse Childhood Experiences From Accumulated Adversity: Cross-Sectional Evidence From 2 U.S. Samples.AJPM focus · 2024Article
- Adverse Childhood Experiences and Associations with Mental Health, Substance Use, and Violence Perpetration among Young Adults in sub-Saharan Africa.Child abuse & neglect · 2024Article
- Economic Burden of Health Conditions Associated With Adverse Childhood Experiences Among US Adults.JAMA network open · 2023Article
Corrections and comments
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Authors and funding
4 authors at 2 institutions in 1 country.
Funding
Abstract
objectivesAdverse childhood experiences (ACEs) show strong cumulative associations with ill-health across the life course. Harms can arise even in those exposed to a single ACE type but few studies examine such exposure. For individuals experiencing a single ACE type, we examine which ACEs are most strongly related to different health harms.
designSecondary analysis of combined data from eight cross-sectional general population ACE surveys.
settingHouseholds in England and Wales.
participants20 556 residents aged 18-69 years. MEASURES: Ten self-reported outcomes were examined: smoking, cannabis use, binge drinking, obesity, sexually transmitted infection, teenage pregnancy, mental well-being, violence perpetration, violence victimisation and incarceration. Adjusted ORs and percentage changes in outcomes were calculated for each type of ACE exposure.
resultsSignificance and magnitude of associations between each ACE and outcome varied. Binge drinking was associated with childhood verbal abuse (VA), parental separation (PS) and household alcohol problem (AP), while obesity was linked to sexual abuse (SA) and household mental illness. SA also showed the biggest increase in cannabis use (25.5% vs 10.8%, no ACEs). Household AP was the ACE most strongly associated with violence and incarceration. PS was associated with teenage pregnancy (9.1% vs 3.7%, no ACEs) and 5 other outcomes. VA was associated with 7 of the 10 outcomes examined.
conclusionExposure to a single ACE increases risks of poorer outcomes across health-harming behaviours, sexual health, mental well-being and criminal domains. Toxic stress can arise from ACEs such as physical and SA but other more prevalent ACEs (eg, VA, PS) may also contribute substantively to poorer life course health.
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