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How Do ACEs Impact Health Outcomes?

The original ACE Study from Kaiser Permanente began when two Medical Doctors were researching dietary habits and obesity concerns in southern California. As we now know, there was a direct correlation between a person's ACE score and the likelihood of developing obesity later in life.

This page is geared towards research, both past and ongoing, that is concerned with the impact that ACEs have on other health outcomes and conditions. The topic will change each month, unless noted, and we welcome comments, opinions, and questions.

February - March 2014:

How do ACEs impact Post Traumatic Stress Disorder (PTSD)?

Posttraumatic Stress Disorder due to Child Abuse and Neglect

by: Angelo P Giardino, MD, PhD, MPH; Chief Editor: Caroly Pataki, MD

Child abuse and neglect, or, more generically, child maltreatment, is a pervasive problem facing children and families throughout the world. In the United States, approximately 905,000 children were found to have been maltreated in 2006, most of whom (66.3%) were neglected. Sixteen percent were physically abused, 8.8% were sexually abused, and 6.6% were psychologically or emotionally abused. These various forms of child maltreatment can result in many long-term physical and emotional consequences, including posttraumatic stress disorder (PTSD).

April - May 2014

How doe ACEs impact Asthma?

Childhood adversity and asthma prevalence: evidence from 10 US states (2009–2011)

by: Nandita Bhan, M Maria Glymour, Ichiro Kawachi, S V Subramanian

Background Existing evidence on stress and asthma prevalence has disproportionately focused on pregnancy and postpregnancy early life stressors, largely ignoring the role of childhood adversity as a risk factor. Childhood adversity (neglect, stressful living conditions and maltreatment) may influence asthma prevalence through mechanisms on the hypothalamic-pituitary axis.

June 2014

How does ACEs impact Obesity?

A May 15, 2014 American Journal of Public Health Study reported in Philly.com demonstrates "That although overweight teens are mostly unconcerned about the weight of their friends, they are more likely to be rejected as friends by their normal-weight peers. And when their offer of friendship is refused, overweight teens often turn to befriending other overweight young people."


How are we addressing obesity in children with the adversity they face in social relationships?

Read more at http://www.philly.com/philly/health/kidshealth/HealthDay687838_20140515_Another_Downside_to_Obesity_for_Teens__Fewer_Friends.html#WrvUOMW1dvxS41ZG.99

July 2014

How does ACEs impact Self-Esteem and Race?
Self-esteem, an individual’s overall evaluation of self, is one of the most studied constructs in the social sciences. A wide and diverse literature that spans disciplines and theoretical perspectives suggests that high self-esteem is positively, though not necessarily causally, associated with goals, expectancies, coping mechanisms, and behaviors that facilitate productive achievement and work experiences; and it is negatively associated with mental and physical health problems, substance abuse, and antisocial behavior.

Courtney Macavinta, Co-founder and CEO of The Respect Institute, a national 501(c)3 organization featured by CNN, NPR and USA Today that gives youth and their influencers tools to redefine respect and build self-respect so they can break cycles of disrespect and thrive, wrote a commencement speech that was recently published by the Huffington Post. Her speech, which you can read here, speaks to young women of minority status who face adverse childhood experiences.

What are we doing to address ACEs for young woman of minority status?

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