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Research ArticleOriginal Research

Disparities in Screening for Adverse Childhood Experiences

Héctor E. Alcalá, Amanda E. Ng, Nicholas Tkach, Dahai Yue and Mienah Sharif
The Journal of the American Board of Family Medicine January 2024, 37 (1) 73-83; DOI: https://doi.org/10.3122/jabfm.2023.230262R1
Héctor E. Alcalá
From the Department of Behavioral and Community Health, University of Maryland, College Park, College Park, MD (HEA), University of Maryland, College Park, Department of Epidemiology and Biostatistics, College Park, MD (AEN), New York Institute of Technology, Old Westbury, New York (NT), University of Maryland, College Park, Department of Health Policy and Management, College Park, MD (DY), University of Washington, Seattle, Department of Epidemiology, Hans Rosling Center for Population Health, Seattle, WA (MS).
PhD, MPH
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Amanda E. Ng
From the Department of Behavioral and Community Health, University of Maryland, College Park, College Park, MD (HEA), University of Maryland, College Park, Department of Epidemiology and Biostatistics, College Park, MD (AEN), New York Institute of Technology, Old Westbury, New York (NT), University of Maryland, College Park, Department of Health Policy and Management, College Park, MD (DY), University of Washington, Seattle, Department of Epidemiology, Hans Rosling Center for Population Health, Seattle, WA (MS).
MPH
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Nicholas Tkach
From the Department of Behavioral and Community Health, University of Maryland, College Park, College Park, MD (HEA), University of Maryland, College Park, Department of Epidemiology and Biostatistics, College Park, MD (AEN), New York Institute of Technology, Old Westbury, New York (NT), University of Maryland, College Park, Department of Health Policy and Management, College Park, MD (DY), University of Washington, Seattle, Department of Epidemiology, Hans Rosling Center for Population Health, Seattle, WA (MS).
MD, MPH
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Dahai Yue
From the Department of Behavioral and Community Health, University of Maryland, College Park, College Park, MD (HEA), University of Maryland, College Park, Department of Epidemiology and Biostatistics, College Park, MD (AEN), New York Institute of Technology, Old Westbury, New York (NT), University of Maryland, College Park, Department of Health Policy and Management, College Park, MD (DY), University of Washington, Seattle, Department of Epidemiology, Hans Rosling Center for Population Health, Seattle, WA (MS).
MS, PhD
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Mienah Sharif
From the Department of Behavioral and Community Health, University of Maryland, College Park, College Park, MD (HEA), University of Maryland, College Park, Department of Epidemiology and Biostatistics, College Park, MD (AEN), New York Institute of Technology, Old Westbury, New York (NT), University of Maryland, College Park, Department of Health Policy and Management, College Park, MD (DY), University of Washington, Seattle, Department of Epidemiology, Hans Rosling Center for Population Health, Seattle, WA (MS).
MPH, PhD
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References

  1. 1.↵
    1. Roberts AL,
    2. Zafonte R,
    3. Chibnik LB,
    4. et al
    . Association of adverse childhood experiences with poor neuropsychiatric health and dementia among former professional US football players. JAMA Netw Open 2022;5:e223299-e223299.
    OpenUrl
  2. 2.↵
    1. Jiang C,
    2. Jiang S
    . Effects of adverse childhood experiences on late-life mental health: potential mechanisms based on a nationally representative survey in China. Arch Gerontol Geriatr 2022;100:104648.
    OpenUrl
  3. 3.↵
    1. Campbell TL
    . Screening for adverse childhood experiences (ACEs) in primary care: a cautionary note. JAMA 2020;323:2379–80.
    OpenUrlCrossRefPubMed
  4. 4.
    1. Harris NB
    . Screening for adverse childhood experiences. JAMA 2020;324:1788–9.
    OpenUrl
  5. 5.↵
    1. Schulman M,
    2. Maul A
    . Screening for adverse childhood experiences and trauma. Center for Health Care Strategies 2019.
  6. 6.↵
    1. Szilagyi M,
    2. Kerker BD,
    3. Storfer-Isser A,
    4. et al
    . Factors associated with whether pediatricians inquire about parents' adverse childhood experiences. Acad Pediatr 2016;16:668–75.
    OpenUrlCrossRefPubMed
  7. 7.↵
    1. Popp TK,
    2. Geisthardt C,
    3. Bumpus EA
    . Pediatric practitioners’ screening for adverse childhood experiences: current practices and future directions. Soc Work Public Health 2020;35:1–10.
    OpenUrlPubMed
  8. 8.↵
    1. Cibralic S,
    2. Alam M,
    3. Diaz AM,
    4. et al
    . Utility of screening for adverse childhood experiences (ACE) in children and young people attending clinical and healthcare settings: a systematic review. BMJ open 2022;12:e060395.
    OpenUrlAbstract/FREE Full Text
  9. 9.
    1. Finkelhor D
    . Screening for adverse childhood experiences (ACEs): cautions and suggestions. Child Abuse Negl 2018;85:174–9.
    OpenUrlPubMed
  10. 10.↵
    1. Loveday S,
    2. Hall T,
    3. Constable L,
    4. et al
    . Screening for adverse childhood experiences in children: a systematic review. Pediatrics 2022;149:e2021051884.
    OpenUrlCrossRef
  11. 11.↵
    1. Asmundson GJG,
    2. Afifi TO
    1. McLennan JD,
    2. McTavish JR,
    3. MacMillan HL
    . Chapter 8 - Routine screening of ACEs: should we or shouldn’t we? In: Asmundson GJG, Afifi TO, eds. Adverse Childhood Experiences. Academic Press; 2020:145–59.
  12. 12.↵
    1. Sherin KM,
    2. Stillerman AJ,
    3. Chandrasekar L,
    4. Went NS,
    5. Niebuhr DW
    . Recommendations for population-based applications of the adverse childhood experiences study: position statement by the American College of Preventive Medicine. AJPM Focus 2022;1:100039.
    OpenUrl
  13. 13.↵
    1. Riti S,
    2. Jacqueline M,
    3. Elizabeth M,
    4. Marykate M,
    5. Janet C,
    6. Garen C
    . Policy considerations for routine screening for adverse childhood events (ACEs). The J Am Board Fam Med 2022;35:862.
    OpenUrl
  14. 14.↵
    Department of Health Care Services. Trauma Screenings and Trauma-Informed Care Provider Trainings. Department of Health Care Services. Updated April 2023;14. Accessed August, 277, 2023. Available at: https://www.dhcs.ca.gov/provgovpart/Pages/TraumaCare.aspx.
  15. 15.↵
    1. Mishra K,
    2. Atkins DE,
    3. Gutierrez B,
    4. Wu J,
    5. Cousineau MR,
    6. Hempel S
    . Screening for adverse childhood experiences in preventive medicine settings: a scoping review. J Public Health (Berl) 2023;31:613–22.
    OpenUrlCrossRef
  16. 16.↵
    1. Conn A-M,
    2. Szilagyi MA,
    3. Jee SH,
    4. Manly JT,
    5. Briggs R,
    6. Szilagyi PG
    . Parental perspectives of screening for adverse childhood experiences in pediatric primary care. Fam Syst Health 2018;36:62–72.
    OpenUrlCrossRefPubMed
  17. 17.↵
    1. Creedy DK,
    2. Baird K,
    3. Gillespie K
    . A cross-sectional survey of pregnant women’s perceptions of routine domestic and family violence screening and responses by midwives: testing of three new tools. Women Birth 2020;33:393–400.
    OpenUrl
  18. 18.
    1. Patricia TGA,
    2. LO Deborah JJ
    . Screening for adverse childhood experiences in a family medicine setting: a feasibility study. The J Am Board Fam Med 2016;29:303.
    OpenUrl
  19. 19.↵
    1. Rariden C,
    2. SmithBattle L,
    3. Yoo JH,
    4. Cibulka N,
    5. Loman D
    . Screening for adverse childhood experiences: literature review and practice implications. J Nurse Pract 2021;17:98–104.
    OpenUrl
  20. 20.↵
    1. Alcalá HE,
    2. Valdez-Dadia A,
    3. von Ehrenstein OS
    . Adverse childhood experiences and access and utilization of health care. J Public Health (Oxf) 2018;40:684–92.
    OpenUrlPubMed
  21. 21.↵
    1. Alcalá HE,
    2. Mitchell EM,
    3. Keim-Malpass J
    . Heterogeneous impacts: adverse childhood experiences and cancer screening. Cancer Causes Control 2018;29:343–51.
    OpenUrl
  22. 22.↵
    1. Koball AM,
    2. Rasmussen C,
    3. Olson-Dorff D,
    4. Klevan J,
    5. Ramirez L,
    6. Domoff SE
    . The relationship between adverse childhood experiences, healthcare utilization, cost of care and medical comorbidities. Child Abuse Negl 2019;90:120–6.
    OpenUrlPubMed
  23. 23.↵
    1. Giano Z,
    2. Wheeler DL,
    3. Hubach RD
    . The frequencies and disparities of adverse childhood experiences in the U.S. BMC Public Health 2020;20:1327.
    OpenUrlCrossRef
  24. 24.↵
    1. Mersky JP,
    2. Choi C,
    3. Plummer Lee C,
    4. Janczewski CE
    . Disparities in adverse childhood experiences by race/ethnicity, gender, and economic status: intersectional analysis of a nationally representative sample. Child Abuse Negl 2021;117:105066.
    OpenUrlCrossRef
  25. 25.↵
    1. Maguire-Jack K,
    2. Lanier P,
    3. Lombardi B
    . Investigating racial differences in clusters of adverse childhood experiences. Am J Orthopsychiatry 2020;90:106–14.
    OpenUrlCrossRef
  26. 26.↵
    1. Merrick MT,
    2. Ford DC,
    3. Ports KA,
    4. Guinn AS
    . Prevalence of adverse childhood experiences from the 2011-2014 Behavioral Risk Factor Surveillance System in 23 states. JAMA Pediatr 2018;172:1038–44.
    OpenUrl
  27. 27.↵
    1. Alcalá HE,
    2. Tomiyama AJ,
    3. von Ehrenstein OS
    . Gender differences in the association between adverse childhood experiences and cancer. Womens Health Issues 2017;27:625–31.
    OpenUrl
  28. 28.↵
    1. Phelan JC,
    2. Link BG
    . Is racism a fundamental cause of inequalities in health? Annu Rev Sociol 2015;41:311–30.
    OpenUrlCrossRef
  29. 29.
    1. Riley AR
    . Advancing the study of health inequality: fundamental causes as systems of exposure. SSM Popul Health 2020;10:100555.
    OpenUrl
  30. 30.↵
    1. Davis BA
    . Discrimination: a social determinant of health inequities. Health Affairs Forefront 2020.
  31. 31.↵
    California Health Interview Survey. CHIS 2021 Methodology Series: Report 1 - Sample Design. 2022. Available at: https://healthpolicy.ucla.edu/chis/design/Documents/CHIS%202021%20Methodology%20Documents/CHIS_MethodologyReport1_SampleDesign_2021_Final.pdf.
  32. 32.↵
    1. Scarff JR
    . What’s in a name? The problematic term “provider”. Fed Pract 2021;38:446–8.
    OpenUrlCrossRef
  33. 33.↵
    1. McGee DL,
    2. Liao Y,
    3. Cao G,
    4. Cooper RS
    . Self-reported health status and mortality in a multiethnic US cohort. Am J Epidemiol 1999;149:41–6.
    OpenUrlCrossRefPubMedWeb of Science
  34. 34.↵
    1. Umucu E,
    2. Fortuna K,
    3. Jung H,
    4. et al
    . A national study to assess validity and psychometrics of the Short Kessler Psychological Distress Scale (K6). Rehabilitation Counseling Bulletin 2022;65:140–9.
    OpenUrl
  35. 35.↵
    1. Pratt LA,
    2. Dey AN,
    3. Cohen AJ
    . Characteristics of adults with serious psychological distress as measured by the K6 scale, United States, 2001-04. Adv Data 2007;1–18.
  36. 36.↵
    1. Padilla-Frausto DI,
    2. Kabir F,
    3. Wright B,
    4. Salem S,
    5. Crawford-Roberts A,
    6. Tse HW
    . Health policy brief: Serious psychological distress on the rise among adults in California. 2020; UCLA Center for Health Policy Research. Available at: https://healthpolicy.ucla.edu/publications/Documents/PDF/2020/SPD-policybrief-sep2020.pdf.
  37. 37.↵
    1. Maunder RG,
    2. Hunter JJ,
    3. Tannenbaum DW,
    4. Le TL,
    5. Lay C
    . Physicians’ knowledge and practices regarding screening adult patients for adverse childhood experiences: a survey. BMC health Serv Res 2020;20:314–5.
    OpenUrl
  38. 38.↵
    1. Hippolyte JM,
    2. Solorzano S,
    3. Singh S,
    4. Yang L,
    5. Boogaard C
    . Barriers to implementing adverse childhood experience (ACEs) screening in an urban primary care clinic. Pediatrics 2021;147:34–5.
    OpenUrlCrossRef
  39. 39.↵
    1. Slopen N,
    2. Shonkoff JP,
    3. Albert MA,
    4. et al
    . Racial disparities in child adversity in the U.S.: interactions with family immigration history and income. Am J Prev Med 2016;50:47–56.
    OpenUrlCrossRefPubMed
  40. 40.↵
    1. Nurius PS,
    2. Green S,
    3. Logan-Greene P,
    4. Longhi D,
    5. Song C
    . Stress pathways to health inequalities: embedding ACEs within social and behavioral contexts. International public health journal 2016;8:241.
    OpenUrl
  41. 41.↵
    1. Cohen JR,
    2. Choi JW
    . Is ACEs screening for adolescent mental health accurate and fair? Prev Sci 2022;23:1216–29.
    OpenUrl
  42. 42.↵
    Screening for adverse childhood experiences is a Medi-Cal covered benefit. State of California; 2020. Available at: https://www.files.medi-cal.ca.gov/pubsdoco/newsroom/newsroom_30091_02.aspx.
  43. 43.↵
    1. Ng AE,
    2. Tkach N,
    3. Alcalá HE
    . A window of opportunity: adverse childhood experiences and time alone with a provider in the United States. Prev Med 2023;175:107675.
    OpenUrl
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Disparities in Screening for Adverse Childhood Experiences
Héctor E. Alcalá, Amanda E. Ng, Nicholas Tkach, Dahai Yue, Mienah Sharif
The Journal of the American Board of Family Medicine Jan 2024, 37 (1) 73-83; DOI: 10.3122/jabfm.2023.230262R1

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Disparities in Screening for Adverse Childhood Experiences
Héctor E. Alcalá, Amanda E. Ng, Nicholas Tkach, Dahai Yue, Mienah Sharif
The Journal of the American Board of Family Medicine Jan 2024, 37 (1) 73-83; DOI: 10.3122/jabfm.2023.230262R1
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Keywords

  • Adverse Childhood Experiences
  • Health Care Disparities
  • Preventive Medicine
  • Primary Health Care
  • Public Health
  • Screening
  • Social Determinants of Health

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