Documente Academic
Documente Profesional
Documente Cultură
Scientific gaps
(N = 17,421)
15% 10%
Percent (%)
60
40 20
Emotional
Childhood Abuse
Physical
Sexual
40 35 30 25 20 15 10 5 0
Intercourse by Age 15
Teen Pregnancy
Teen Paternity
The ACE Score and the Prevalence of Severe Obesity (BMI >35)
14
12 10 8 6 4 2 0
0 1 2 3 >=4
ACE Score
ACE Score
Women
Men
60 50 40 30 20 10 0
0 1 2 3 >=4
ACE Score
Women
Men
10
>5
4 >5
ACE Score
12
0 1
10 8 6 4 2 0
Ever had a drug problem Ever addicted to drugs Ever injected drugs
16 14 12 10 8 6 4 2 0
0 1
ACE Score
2 3 4 or more
18 0 16 14 12 10 8 6 4 2 0 1
ACE Score
4 or more
Current smoking
COPD
Percent (%)
4 3 2 1 0
0 1 2 3 >=4
ACE Score
One Perspective on the Direct Health Care Costs of ACEs: The Burden of Prescription Drug Use
>=5
ACE Score
100 80 60 40 20 0 0 1 2 3 4 5+ 0 1 2 3 4 5+ 0 1 2 3 4 5+
ACE Score
18-44 yrs
ACE Score
45-64 yrs
ACE Score
65-89 yrs
Adverse Childhood Experiences as a Clinical and Public Health Issue ACEs: - are endemic - highly interrelated - have a cumulative stressor effect - effects are biologically plausible
Adverse Childhood Experiences As a National Health Issue ACEs have a strong influence on: -adolescent health -reproductive health -smoking -alcohol abuse -illicit drug abuse -sexual behavior -mental health - risk of revictimization -stability of relationships, homelessness -performance in the workforce
Adverse Childhood Experiences As a National Health Issue ACEs increase the risk of: -Heart disease - Chronic Lung disease - Liver disease - Suicide - Injuries -HIV and STDs - and other risks for the leading causes of death
Documenting the Improved recognition societal burden of and treatment of: child health as it Mental illness stands today Substance abuse Domestic violence Child abuse New directions in prevention and treatment
Involving those who dont yet realize that they are working on issues that represent the downstream wreckage of child abuse and neglect--and other adverse childhood experiences--in the effort to bridge the chasm. Routine screening for trauma is needed