Adverse childhood experiences and associated health outcomes: A systematic review and meta-analysis

The Center for Disease Control (CDC) and Kaiser Permanente developed the Adverse Childhood Experiences (ACE) scale to identify negative experiences in childhood. The goal of this study is to systematically review outcomes associated with the ACEs in the CDC-Kaiser ACE scale to understand the diversi...

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Bibliographic Details
Published in:Child abuse & neglect 2019-11, Vol.97, p.104127-104127, Article 104127
Main Authors: Petruccelli, Kaitlyn, Davis, Joshua, Berman, Tara
Format: Article
Language:English
Subjects:
Adverse childhood experiences
CDC-Kaiser ACE scale
Child development
Childhood
Childhood experiences
Childhood factors
Citations
Clinical assessment
Disease control
Health problems
Health status
Measures
Medical screening
Meta Analysis
Negative experiences
Psychosocial factors
Systematic review
Tests
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Summary:The Center for Disease Control (CDC) and Kaiser Permanente developed the Adverse Childhood Experiences (ACE) scale to identify negative experiences in childhood. The goal of this study is to systematically review outcomes associated with the ACEs in the CDC-Kaiser ACE scale to understand the diversity of outcomes associated with this scale. The authors conducted a search of English language articles published through September 30, 2016 using OVID Medline®; Ovid Medline® Daily; Epub Ahead of Print, In-Process & Other Non-indexed citations; ERIC®; HAPI®; and SCOPUS®. Articles were selected by trained reviewers based on a priori inclusion criteria including: research, healthy sample, used the CDC-Kaiser ACE scale, and assessed some health outcome. Two reviewers used an abstraction form to independently collect data from each study. Unadjusted and adjusted odds ratio associated with ACE scale scores were aggregated and compared. From 3167 unique titles, we identified 96 articles that assessed health outcomes associated with the ACEs in the CDC-Kaiser ACE scale. There were more studies focusing on psychosocial/behavioral outcomes than medical outcomes. The majority of the included studies were retrospective, observational, and relied on the same data set. Psychosocial/behavioral outcomes had higher odds ratio than medical outcomes with increasing ACE scale scores. Exposure to multiple ACEs is associated with a wide variety of outcomes. This data suggests a benefit of screening for ACEs using this scale and highlights the need to find interventions to ameliorate their effects.
ISSN:0145-2134
1873-7757
DOI:10.1016/j.chiabu.2019.104127