Adverse Childhood Experiences, Race, and Health Outcomes: Examining a Synergistic Relationship

Abstract

Background: Adverse childhood experiences (ACEs) are potentially traumatic incidents occurring before age 18 years. Adverse childhood experiences include physical or mental abuse, financial stress, home or community violence, substance misuse, familial turmoil, and other factors. Adverse childhood experiences are associated with negative health outcomes in adulthood. Methods: Numerous research studies and systematic reviews were reviewed to assess the breadth and depth of racial and ethnic inclusivity in ACE research. Results: A wide range of ACEs have been investigated, and ample state-level data is publicly available. Early, fundamental ACE studies typically recruited White, educated, and insured participants; racial and ethnic diversity were often neglected. Conclusion: Adverse childhood experiences and race have been found exerting synergistic effects on adult health outcomes. Further evaluation of race is warranted to improve health outcomes. Scrutiny of racial and ethnic equity in health research is paramount for achieving health equity.

Impact of Adverse Childhood Experiences in Young Adults and Adults: A Systematic Literature Review

“…Moreover, Gu et al (2022) suggested that the higher frequency of ACEs among Hispanic and Black youth may lead to potential differences in the types of ACEs experienced and the pathways through which these experiences influence health among different racial and ethnic groups. These findings indicate that the effects of ACEs on various outcomes, including delinquency and mental health, can vary across racial and ethnic lines [ 24 ]. Childhood trauma is marked in a sizable fraction of inmates, with 37% experiencing physical neglect and 68% emotional neglect, with dissociative identity disorder and development of aggressive and violent behaviours being visible.…”