Evidence map›Paper›PMID 41588402›Full record

SynthesisBMC public health2026

Association between adverse childhood experiences and asthma: a meta-analysis.

Liqiong Wang, Yungai Cheng, Yuqi Wang

Abstract readMeta-Analysis
In one paragraph

Synthesis in BMC public health, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Article
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

3 authors.

Liqiong WangDepartment of Mental Health Center, Children's Hospital, Zhejiang University School of Medicine, National Clinical Research Center for Children and Adolescents' Health and Diseases, Hangzhou, PR China.
Yungai ChengDepartment of Pulmonology, Children's Hospital, Zhejiang University School of Medicine, National Clinical Research Center for Children and Adolescents' Health and Diseases, No. 3333, Binsheng Road, Binjiang District, Hangzhou, Zhejiang Province, 310052, PR China.
Yuqi WangDepartment of Pulmonology, Children's Hospital, Zhejiang University School of Medicine, National Clinical Research Center for Children and Adolescents' Health and Diseases, No. 3333, Binsheng Road, Binjiang District, Hangzhou, Zhejiang Province, 310052, PR China. 6511057@zju.edu.cn.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThe study explored whether there is an association between adverse childhood experiences (ACEs) and asthma through meta-analysis.

methodsPubMed, Embase, Cochrane Library, and Web of Science were systematically searched up to May 20, 2024. Observational studies reporting associations between adverse childhood experiences (ACEs) and asthma were included. Two reviewers independently screened studies, extracted data, and assessed study quality. Odds ratios (ORs) with 95% confidence intervals (CIs) were pooled using a random-effects model in Stata 15.0. Heterogeneity was evaluated using the I² statistic, publication bias was assessed with Egger’s test and funnel plots, and study quality was evaluated using established assessment tools.

resultSixteen articles (n = 1,291,133) were included. Experiencing ≥ 1 ACE was associated with an increased risk of asthma [adjusted OR = 1.18, 95% CI (1.12–1.24); I²=86.7%, P < 0.001]. Exposure to 2–3 ACEs was associated with asthma [adjusted OR = 1.55, 95% CI (1.45–1.66); I²=38.2%, P = 0.138], and ≥ 4 ACEs showed the highest risk [adjusted OR = 1.98, 95% CI (1.72–2.27); I²=63.3%, P = 0.012]. Sensitivity analyses using the leave-one-out method indicated that the pooled estimates were robust and stable.

conclusionThe current study found a positive relationship between ACEs and asthma, and as the number of ACEs experienced increases, the likelihood of asthma also rises. These findings underscore the importance of early identification and psychosocial support for children exposed to adversity, which may help reduce the long-term risk of asthma and improve overall respiratory health.

Indexed as

Adverse Childhood ExperiencesAsthmaChildHumansRisk FactorsAdverse childhood experiencesAssociationAsthmaMeta-analysis

Identifiers

PMID41588402
PMCPMC12915019

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

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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.