Health Affairs January 1, 2025
Shawn Ratcliff, Keith Finlay, Jordan Papp, Megan C. Kearns, Phyllis Holditch Niolon, Cora Peterson

Abstract

More than 60 percent of US adults report that they had adverse childhood experiences (ACEs). For this study of 930,000 children born during the period 1999–2003, we used linked administrative, survey, and criminal justice data to measure the association between ACEs (parental death; separation; incarceration; or criminal charge for intimate partner violence, substance use disorder, or child sexual or nonsexual abuse) and socioeconomic disadvantages at ages 18–22 during 2017–21. After childhood socioeconomic status was controlled for, young adults with ACEs were more likely to have been charged with felonies, have become teenage parents, live in a household with poverty or housing assistance, be enrolled in Medicaid, and be employed, and were less likely to be enrolled in an educational...

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Topics: Equity/SDOH, Healthcare System, Patient / Consumer, Provider
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