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Physical, Mental Health and Developmental Conditions, and Sociodemographic Characteristics Associated With Adverse Childhood Experiences Among Young Children in Pediatric Primary Care

      Introduction

      To examine associations between patient characteristics and adverse childhood experiences (ACEs) in a population-based sample of pediatric primary care patients, using electronic health records and clinical, administrative data.

      Method

      An observational study was conducted in an integrated health care delivery system. Children ages 1–5 years (N = 13,370) were screened for ACEs at routine well-child visits between September 1, 2018 and May 31, 2019 in three pediatrics clinics. Multivariate models examined associations between patient characteristics (age, gender, race/ethnicity, insurance type, neighborhood income and education level, physical, mental health and developmental diagnoses, weight status) and any ACEs, and ≥ 3 ACEs exposure.

      Results

      Prevalence and severity of ACE exposure varied by race/ethnicity. Older age, Medicaid insurance, epilepsy/seizure disorder, sleeping disorders, adjustment disorders, and feeding disorders were associated with higher odds of ACEs exposure, higher-income with lower odds.

      Discussion

      Understanding relationships between ACEs and patient features can provide information to clinicians for early detection and appropriate interventions.

      KEY WORDS

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      Biography

      Stacy Sterling, Research Scientist, Division of Research, Kaiser Permanente Northern California, Oakland, CA.

      Biography

      Felicia Chi, Senior Data Consultant, Division of Research, Kaiser Permanente Northern California, Oakland, CA.

      Biography

      Judy Lin, Physician, Department of Pediatrics, Kaiser Permanente Medical Center, San Leandro, CA.

      Biography

      Padmaja Padalkar, Physician, Department of Pediatrics, Kaiser Permanente Medical Center, San Jose, CA.

      Biography

      Uma Vinayagasundaram, Physician, Department of Pediatrics, Kaiser Permanente Medical Center, Fremont, CA.

      Biography

      Esti Iturralde, Research Scientist, Division of Research, Kaiser Permanente Northern California, Oakland, CA.

      Biography

      Kelly Young-Wolff, Research Scientist, Division of Research, Kaiser Permanente Northern California, Oakland, CA.

      Biography

      Verena E. Metz, Staff Scientist, Division of Research, Kaiser Permanente Northern California, Oakland, CA.

      Biography

      Arnd Herz, Physician, Department of Pediatrics, Kaiser Permanente Medical Center, Hayward, CA.

      Biography

      Rahel Negusse, Research Associate, Division of Research, Kaiser Permanente Northern California, Oakland, CA.

      Biography

      Melanie Jackson-Morris, Morris, Research Associate, Division of Research, Kaiser Permanente Northern California, Oakland, CA.

      Biography

      Paul Espinas, Physician, Department of Pediatrics, Kaiser Permanente Medical Center, Hayward, CA.