Evidence map›Paper›PMID 39463258›Full record

ArticlePediatrics2024

Prevalence of Adverse Childhood Experiences Among Adolescents.

Elizabeth A Swedo, Phyllis Holditch Niolon, Kayla N Anderson, Jingjing Li, Nancy Brener, Jonetta Mpofu, Maria V Aslam, J Michael Underwood

Abstract read
In one paragraph

Article in Pediatrics, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

14 citing papers in PubMed.

  1. Cumulative Adverse Childhood Experiences and Multiple Neurodevelopmental Disorders in Children and Adolescents: A Population-Based Study.Stress and health : journal of the International Society for the Investigation of Stress · 2026
    Article
  2. Article
  3. Article
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  7. Impact of adverse childhood experiences on kidney health.Pediatric nephrology (Berlin, Germany) · 2026
    Article
  8. Article
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  13. Short-term maternal oxytocin administration may protect against poor outcomes of adverse childhood experiences in the offspring.Neurotherapeutics : the journal of the American Society for Experimental NeuroTherapeutics · 2025
    Article
  14. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Elizabeth A SwedoDivision of Violence Prevention.
Phyllis Holditch NiolonDivision of Violence Prevention.
Kayla N AndersonOffice of Strategy and Innovation.
Jingjing LiFormer employee of Health and Human Services, Washington, District of Columbia.
Nancy BrenerDivision of Adolescent and School Health, National Center for Chronic Disease Prevention and Health Promotion, Atlanta, Georgia.
Jonetta MpofuDivision of Adolescent and School Health, National Center for Chronic Disease Prevention and Health Promotion, Atlanta, Georgia.
Maria V AslamDivision of Injury Prevention, National Center for Injury Prevention and Control.
J Michael UnderwoodDivision of Cancer Prevention and Control, National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, Atlanta, Georgia.

Funding

Intramural CDC HHS CC999999
6 · The paper itself

Abstract

objectiveAdverse childhood experiences (ACEs) are preventable, potentially traumatic events with lifelong negative impacts. Population-level data on ACEs among adolescents have historically relied on parent reports and excluded abuse-related ACEs. We present the self-reported prevalence of ACEs among a large population-based sample of US high school students.

methodsUsing cross-sectional, state-representative data from 16 states that included core ACE questions on their 2021 Youth Risk Behavior Survey, we estimate the prevalence of 8 individual (lifetime emotional, physical, or sexual abuse, physical neglect, witnessed intimate partner violence, household substance use, household poor mental health, incarcerated parent or guardian) and cumulative ACEs (0, 1, 2-3, ≥4) among a large population-based sample of adolescents, overall and by demographic characteristics (sex, race and ethnicity, age, sexual orientation).

resultsEmotional abuse (65.8%), household poor mental health (36.1%), and physical abuse (32.5%) had the highest prevalence. ACEs were very common, with 80.5% of adolescents experiencing at least 1 ACE and 22.4% experiencing ≥4 ACEs. Experiencing ≥4 ACEs was highest among adolescents who were female (27.7%), non-Hispanic multiracial (33.7%), non-Hispanic American Indian or Alaska Native (27.1%), gay or lesbian (36.5%), bisexual (42.1%), or who described their sexual identity some other way or were not sure of their sexual identity (questioning) (36.5%).

conclusionsSelf-reported ACE estimates among adolescents exceed previously published parent-reported estimates. ACEs are not equally distributed, with important differences in individual and cumulative ACEs by demographic characteristics. Collecting ACE data directly from adolescents at the state level provides actionable data for prevention and mitigation.

Indexed as

Adverse Childhood ExperiencesAdolescentChild AbuseCross-Sectional StudiesFemaleHumansMalePrevalenceSelf ReportUnited States

Identifiers

PMID39463258
PMCPMC11756604

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.