Lessons From ACEs: Pay Now or Pay (More) Later

Grimes, Katherine E.

doi:10.1016/j.acap.2016.12.013

Cited by 9 publications

(12 citation statements)

References 11 publications

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“…Unexpectedly, no significant associations were found between the Number of ACEs and medical characteristics of the child. As ACEs can have long-term effects on health and well-being across the life span [ 11 , 15 ], health outcomes possibly emerge at a later age. Also, in the final medical reports of De Hondsberg, the observations and results were summarized, so it is possible that not all present health problems were noted in these specific reports.…”

Section: Discussionmentioning

confidence: 99%

“…A global paradigm shift is currently taking place with regard to the understanding of health and disease throughout the human life span [ 1 , 2 , 3 ]. International research indicates that adverse childhood experiences (ACEs) play a key role in child development and subsequent adult health [ 4 , 5 , 6 , 7 , 8 , 9 , 10 , 11 , 12 ]. This new perspective on the foundations of health offers hopeful insights to promote health and mitigate negative health consequences [ 3 , 13 ], in which promising roles are reserved for relationships and emotion- and stress regulation, enhancing brain development and overall health [ 3 , 14 , 15 , 16 ].…”

Section: Introductionmentioning

confidence: 99%

“…The studies on the original ACEs framework, demonstrating the profound long-term effects of unrecognized an untreated Adverse Childhood Experiences (ACEs) on health and well-being across the life span [ 11 , 15 ] have not only been replicated in the United States (U.S.), but also in many low-, middle- and high income countries all over the world [ 6 , 7 , 48 ]. Currently it is known that ACEs are associated with psychological and physical health problems, health risk behaviors and increased health care utilization, but also with developmental disruptions [ 49 ].…”

Section: Introductionmentioning

confidence: 99%

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Adverse Childhood Experiences in Children with Intellectual Disabilities: An Exploratory Case-File Study in Dutch Residential Care

Vervoort-Schel

Mercera²,

Wissink

et al. 2018

IJERPH

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Adverse Childhood Experiences (ACEs) are negative childhood events occurring in a child’s family or social environment, that may cause harm or distress. Children with intellectual disabilities (ID) and their families are underrepresented in international ACEs research, while current insights can also contribute to the improvement of their health and well-being. Deficiencies in intellectual and adaptive functioning and living circumstances can increase their vulnerability to adversities. In the present exploratory study 69 case-files of children referred to a Dutch national center for residential youth care for children with ID were analyzed to assess the prevalence and associations of ACEs. It was found that almost half (49.3%) of the children experienced 2 ACEs from the original ACEs framework or more (M (mean) = 2.1; SD (standard deviation) = 1.8) and that the number of ACEs in children was related to the presence of ACEs in parents. Both child and parental ACEs were also related to attachment- and trauma- and stressor-related disorders. Finally, living circumstances and multiple ACEs from the expanded ACEs framework, especially related to parental characteristics, were found to be related to ACEs in children with ID. This implicates the importance of a transgenerational approach when further investigating the impact of ACEs on mental and physical health in children with ID (intellectual disabilities).

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Adverse Childhood Experiences in Children with Intellectual Disabilities: An Exploratory Case-File Study in Dutch Residential Care

Vervoort-Schel

Mercera²,

Wissink

et al. 2018

IJERPH

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“…Governments need to implement regulations that make a healthy diet accessible and affordable for all, especially for the most disadvantaged populations at major risk of FI; such changes sound necessary to improve chronic disease prevention and control, from the perspective of the economic sustainability of healthcare [108]. Paying for primary prevention, mostly in childhood, often leads to an overall saving: "Pay now or pay (more) later" [109]. In the same way, integrating oral health into primary care could help increase access to preventive care, treatment, and promote overall health, for example implementing dental hygienists into primary care settings and educating primary care clinicians in the impact of oral diseases, trains them in risk assessment, and how to assimilate oral health preventive services into their practice [110].…”

Section: Discussionmentioning

confidence: 99%

Food Insecurity and Major Diet-Related Morbidities in Migrating Children: A Systematic Review

Dondi

Piccinno²,

Morigi

et al. 2020

Nutrients

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Children of migrant families are known to be at a higher risk of diet-related morbidities due to complex variables including food insecurity, cultural and religious beliefs, and sociodemographic factors like ethnicity, socioeconomic status, and education. Several studies have assessed the presence of specific diseases related to dietary issues in migrant children. This systematic review aims to highlight the existing body of work on nutritional deficiencies in the specific vulnerable pediatric population of immigrants. Refugees were intentionally excluded because of fundamental differences between the two groups including the reasons for migration and health status at the time of arrival. A total of 29 papers were included and assessed for quality. Most of them described a strong correlation between obesity and migration. A high prevalence of stunting, early childhood caries, iron and vitamin D deficiency was also reported, but the studies were few and heterogeneous. Food insecurity and acculturation were found important social factors (nevertheless with inconclusive results) influencing dietary habits and contributing to the development of morbidities such as obesity and other metabolic disorders, which can cause progressive unsustainability of health systems. Public health screening for diet-related diseases in migrant children may be implemented. Educational programs to improve children’s diet and promote healthy-living behaviors as a form of socioeconomic investment for the health of the new generations may also be considered.

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“…Two commentaries speak poignantly of the imperative for pediatricians to engage more forcefully in the identification, prevention, and management of ACEs (Hassink 13 and Burke Harris 14 ). Girouard 15 outlines the critical role of nurses, and Grimes 16 speaks directly to the challenges of meeting the mental health treatment needs of children.…”

mentioning

confidence: 99%