Evidence map›Paper›PMID 41835879›Full record

ArticleFrontiers in psychology2026

Adverse childhood experiences impact unemployment and inability to work among adults in the United States.

Ray M Merrill, Elaine N Scott, Logan Sumsion

Abstract read
In one paragraph

Article in Frontiers in psychology, 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.

Ray M MerrillDepartment of Public Health, College of Life Sciences, Brigham Young University, Provo, UT, United States.
Elaine N ScottDepartment of Public Health, College of Life Sciences, Brigham Young University, Provo, UT, United States.
Logan SumsionDepartment of Public Health, College of Life Sciences, Brigham Young University, Provo, UT, United States.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: In the context of employment, adults who had Adverse Childhood Experiences (ACE) may face unique barriers to employment due to physical, behavioral, and psychological effects. This study examines the relationship between ACEs and employment status, exploring how health behaviors and chronic illness may affect this association. Methods: This study draws on 2020-2024 Behavioral Risk Factor Surveillance System (BRFSS) data from 193,742 U. S. adults across 27 states, the District of Columbia, and 2 territories. Analyses involved bivariate analyses and regression techniques, adjusting for selected covariates. Results: Each of the 11 types of ACEs were significantly associated with lower odds of employment in adulthood, after adjusting for the demographic covariates. Even one ACE was sufficient to lower the odds of employment. As the number of ACEs increased, the odds of employment decreased. Children experiencing forced sexual contact had the lowest employment as adults. Among the specific covariates considered, education, household income, smoking, and chronic illness had the strongest effects on the association between the number of ACEs and employment. Discussion: These findings support existing evidence that ACEs contribute to long-term social and economic disadvantages. The study highlights the need for interventions that address the association between ACEs and unemployment.

Indexed as

adverse childhood experiencesBRFSSchronic illnessemployment statussocioeconomic outcomesworkforce participation

Identifiers

PMID41835879
PMCPMC12979093

What OpenQuestion holds

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LicenceCC BY
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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.