The relationship between adverse childhood experiences, the frequency and acuity of emergency department utilization and primary care engagement

2022 ◽  
Vol 124 ◽  
pp. 105479
Author(s):  
Robert Diaz ◽  
Rebekah J. Walker ◽  
Kaiwei Lu ◽  
Benjamin W. Weston ◽  
Nicholas Young ◽  
...  
Keyword(s):  
Primary Care ◽  
Emergency Department ◽  
Adverse Childhood Experiences ◽  
Emergency Department Utilization ◽  
Childhood Experiences ◽  
Adverse Childhood ◽  
The Relationship

scholarly journals P082: Kingston emergency department utilization of adults who have experienced adverse childhood experiences

CJEM ◽  
2018 ◽  
Vol 20 (S1) ◽  
pp. S85-S86
Author(s):  
D. Korpal ◽  
E. Purkey ◽  
S. A. Bartels ◽  
T. Beckett ◽  
C. Davidson ◽  
...  
Keyword(s):  
Emergency Department ◽  
Data Analysis ◽  
Focus Groups ◽  
Adverse Childhood Experiences ◽  
Adult Patients ◽  
Emergency Department Utilization ◽  
Convenience Sample ◽  
Childhood Experiences ◽  
Adverse Childhood ◽  
The Relationship

Introduction: It is critical for planning, clinical care and resource optimization to understand patterns of emergency department (ED) utilization. Individuals who have experienced adverse childhood experiences (ACE) are known to have more unhealthy behaviors and worse health outcomes as adults and therefore may be more frequent ED users. Adverse childhood experiences include physical, sexual and emotional abuse or neglect, substance abuse in the family, witnessing violence, having a parent incarcerated or parents getting divorced or separated. To date there are few studies exploring the relationship between ACE and ED utilization. Methods: This a mixed qualitative and quantitative study. It includes analysis of data collected through a survey, a retrospective chart review and focus group discussions. The survey was administered to a convenience sample of adult patients (CTAS 2 -5) presenting to EDs in Kingston Ontario, and consisted of two validated tools that measured exposure to ACE and resiliency. Demographic data and ED utilization frequency for 12 months prior to the index visit were extracted from an electronic medical record for each patient completing the survey. A sample of participants with a high ACE burden (ACE score > 4) were invited to participate in focus groups to explore their experiences of care in the ED. Demographic, ED utilization and health status data were summarized and statistically significant patterns between high ACE and lower ACE patients were determined using Chi2t or t-tests. Transcripts from the focus groups were thematically analyzed using NVivo software by 2 independent researchers. Results: 1693 surveys were collected, 301 (18%) were deemed to have a high ACE score, data analysis is ongoing. The primary outcome is the relationship between ACE and the frequency of ED utilization among adult patients presenting to EDs in Kingston, ON. Secondary outcomes include evaluating the role of resilience as a potential mitigating factor, describing the demographics of high ACE burden frequent ED visitors, and the experiences of care for individuals with high ACE burden in the ED. These outcomes will be utilized to inform hypotheses for future studies and potential interventions aimed at optimizing ED utilization and patient care experience. Conclusion: This study provides novel insight into the relationship between ACE burden and ED utilization while also describing the demographics and experiences of care for ED patients with a high ACE score. Data analysis is on-going.

scholarly journals The Relationship between Adverse Childhood Experiences and Sleep Problems among Adolescent Students: Mediation by Depression or Anxiety

2020 ◽  
Vol 18 (1) ◽  
pp. 236
Author(s):  
E-Jin Park ◽  
Shin-Young Kim ◽  
Yeeun Kim ◽  
Dajung Sung ◽  
Bora Kim ◽  
...  
Keyword(s):  
Adverse Childhood Experiences ◽  
Sleep Problems ◽  
Short Form ◽  
Community Sample ◽  
Mediating Effect ◽  
Self Report ◽  
Depression And Anxiety ◽  
Childhood Experiences ◽  
Adverse Childhood ◽  
The Relationship

Adverse childhood experiences (ACEs) are known to be closely related to depression, anxiety and sleep problems. However, it remains unclear whether adolescents with ACEs have sleep problems regardless of depression or anxiety or under a mediating effect from depression or anxiety. Therefore, our aim was to examine whether depression or anxiety mediates the relationship between ACEs and sleep problems in adolescents by using a community sample. The Early Trauma Inventory Self Report–Short Form (ETISR-SF) and List of Threatening Experiences Questionnaire (LTE-Q) were used to assess traumatic ACEs. Ultimately, data from 737 students (M = 448, F = 289, 15.1 ± 1.4 years old) were included in the statistical analysis. A total of 576 (78.1%) participants reported that they had experienced one or more ACEs. Adolescents with ACEs had higher levels of depression, anxiety and sleep problems than did adolescents without ACEs, and boys tended to experience more trauma than girls. Depression and anxiety partially mediated the relationship between ACEs and sleep problems. The results of this study suggest the need for depression and anxiety interventions for adolescents with ACEs to reduce the long-term consequences, including sleep problems and physical health problems.

Streamlining primary care screening for adverse childhood experiences

2021 ◽  
Author(s):  
Lindsay A. Thompson ◽  
Stephanie L. Filipp ◽  
Rebeccah E. Mercado ◽  
Matthew J. Gurka
Keyword(s):  
Primary Care ◽  
Adverse Childhood Experiences ◽  
Childhood Experiences ◽  
Adverse Childhood

Adverse Childhood Experiences and Prevalence of Cigarette and E-Cigarette Use Among Adolescents in Bangkok, Thailand

2020 ◽  
Vol 32 (8) ◽  
pp. 398-405
Author(s):  
Takuma Ofuchi ◽  
Aye Myat Myat Zaw ◽  
Bang-on Thepthien
Keyword(s):  
Adverse Childhood Experiences ◽  
Multinomial Logistic Regression ◽  
Tobacco Product ◽  
Dual Use ◽  
Childhood Experiences ◽  
Adverse Childhood ◽  
Different Types ◽  
History Of ◽  
The Relationship ◽  
Score Range

Currently, e-cigarettes are the most popular tobacco product among adolescents. The purpose of this study was to explore the relationship between exposure to adverse childhood experiences (ACEs) and use of cigarettes, e-cigarettes, and dual use in a sample of adolescents in Bangkok, Thailand. The sample comprises 6167 students from 48 schools (grades 9, 11, and vocational year 2) who participated in the 2019 round of the Behavior Surveillance Survey. History of 11 ACEs was used to calculate a cumulative ACE score (range 0-11). Multinomial logistic regression was used to assess the relationship between history of ACEs and smoking. In the sample, 7.0% reported using e-cigarettes only and 9.5% used e-cigarettes and cigarettes (dual use). After controlling for sociodemographic characteristics, history of ACEs was associated with increased odds of dual use. The odds of cigarette, e-cigarette, and dual use was significantly greater if the adolescent had a history of ≥4 ACEs. Special attention is needed to prevent smoking of different types among those with a history of ACEs.

Examining the relationship between adverse childhood experiences and ADHD diagnosis and severity

2021 ◽  
Author(s):  
Elizabeth Crouch ◽  
Elizabeth Radcliff ◽  
Kevin J. Bennett ◽  
Monique J. Brown ◽  
Peiyin Hung
Keyword(s):  
Adverse Childhood Experiences ◽  
Childhood Experiences ◽  
Adhd Diagnosis ◽  
Adverse Childhood ◽  
The Relationship

scholarly journals Associations between adverse childhood experiences and acquired brain injury, including traumatic brain injuries, among adults: 2014 BRFSS North Carolina

2018 ◽  
Vol 25 (6) ◽  
pp. 514-520 ◽  
Author(s):  
Angie S Guinn ◽  
Katie A Ports ◽  
Derek C Ford ◽  
Matt Breiding ◽  
Melissa T Merrick
Keyword(s):  
Mental Illness ◽  
North Carolina ◽  
Sexual Abuse ◽  
Brain Injury ◽  
Adverse Childhood Experiences ◽  
Acquired Brain Injury ◽  
Childhood Experiences ◽  
Adverse Childhood ◽  
Race Ethnicity ◽  
The Relationship

Adverse childhood experiences (ACEs) can negatively affect lifelong health and opportunity. Acquired brain injury (ABI), which includes traumatic brain injury (TBI) as well as other causes of brain injury, is a health condition that affects millions annually. The present study uses data from the 2014 North Carolina Behavioral Risk Factor Surveillance System to examine the relationship between ACEs and ABI. The study sample included 3454 participants who completed questions on both ABI and ACEs. Multivariable logistic regression models were used to determine the relationship between ACEs and ABI as well as ACEs and TBI. Sexual abuse, emotional abuse, physical abuse, household mental illness and household substance abuse were significantly associated with ABI after adjusting for age, race/ethnicity, gender and employment. Compared with those reporting no ACEs, individuals reporting three ACEs had 2.55 times the odds of having experienced an ABI; individuals reporting four or more ACEs had 3.51 times the odds of having experienced an ABI. Examining TBI separately, those who experienced sexual abuse, physical abuse, household mental illness and had incarcerated household members in childhood had greater odds of reported TBI, after adjusting for age, race/ethnicity, gender and income. Respondents reporting three ACEs (AOR=4.16, 95% CI (1.47 to 11.76)) and four or more ACEs (AOR=3.39, 95% CI (1.45 to 7.90)) had significantly greater odds of reporting TBI than respondents with zero ACEs. Prevention of early adversity may reduce the incidence of ABI; however, additional research is required to elucidate the potential pathways from ACEs to ABI, and vice versa.

The Relationship Between Adverse Childhood Experiences and Recidivism in a Sample of Juvenile Offenders in Community-Based Treatment

2015 ◽  
Vol 61 (11) ◽  
pp. 1210-1242 ◽  
Author(s):  
Kevin T. Wolff ◽  
Michael T. Baglivio ◽  
Alex R. Piquero
Keyword(s):  
Juvenile Offenders ◽  
Adverse Childhood Experiences ◽  
Life Outcomes ◽  
Long Term Effects ◽  
Community Based ◽  
Childhood Experiences ◽  
Adverse Childhood ◽  
Juvenile Justice Policy ◽  
The Relationship

Adverse childhood experiences (ACEs) have been identified as a key risk factor for a range of negative life outcomes, including delinquency. Much less is known about how exposure to negative experiences relates to continued offending among juvenile offenders. In this study, we examine the effect of ACEs on recidivism in a large sample of previously referred youth from the State of Florida who were followed for 1 year after participation in community-based treatment. Results from a series of Cox hazard models suggest that ACEs increase the risk of subsequent arrest, with a higher prevalence of ACEs leading to a shorter time to recidivism. The relationship between ACEs and recidivism held quite well in demographic-specific analyses. Implications for empirical research on the long-term effects of traumatic childhood events and juvenile justice policy are discussed.

Sign in / Sign up

Export Citation Format

Share Document