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Adverse childhood experiences in a low-income black cohort: The importance of context

Preventive Medicine Apr 22, 2021

Giovanelli A, et al. - Researchers conducted the study for investigating the unique impacts of home and community environments on the incidence of different types of adverse childhood experiences (ACEs) in a low-income Black sample. ACE information was gathered both prospectively and retrospectively. Higher sociodemographic risk in early childhood was linked to higher rates of Conventional ACEs (ACEs-C) through adolescence. Males endorsed higher rates of Expanded ACEs (ACEs-E), especially relating to violent crime. Almost 1/5 of candidates reported only ACEs-E, which are often not measured when assessing ACEs. The findings highlight the long-term effects of early childhood risk factors on ACE exposure, as well as the roles of community characteristics in childhood adversity. Given the strong links between ACEs, the environment, and well-being, expanding the understanding of childhood adversity is a public health priority.

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