Allen H, et al. - Among low-income, nonelderly uninsured adults (n = 12,229) who participated in the Oregon Health Insurance Experiment health screenings from 2009 to 2010, researchers estimated the extent of adverse childhood experiences (ACEs) as well as the link between ACEs and cardiovascular disease risk factors. In 2012, a follow-up survey was answered by 5,929 (48%). Findings revealed more prevalence of ACEs in low-income adults than prior estimates in a general clinical population; notably high rates of emotional abuse, emotional neglect, and household dysfunction were observed. A statistical link of ACEs with higher rates of obesity, smoking, and physical inactivity, but not high cholesterol or diabetes mellitus, was identified. Higher rates of multiple cardiovascular disease risk factors were reported in relation to ACEs. The inclusion of trauma-based approaches to care delivery may be considered by the providers because states continue to expand Medicaid to the previously uninsured.