- Published
- 2023-09-15
- Venue
- World Psychiatry, vol. 22, no. 3, pp. 463-471
- Cited by
- 417
- Open access
- Yes, bronze
- DOI
- 10.1002/wps.21122
- PubMed
- 37713544
Abstract
Exposure to adverse childhood experiences (ACEs), including maltreatment and family dysfunction, is a major contributor to the global burden of disease and disability. With a large body of international literature on ACEs having emerged over the past 25 years, it is timely to now synthetize the available evidence to estimate the global prevalence of ACEs and, through a series of moderator analyses, determine which populations are at higher risk. We searched studies published between January 1, 1998 and August 5, 2021 in Medline, PsycINFO and Embase. Study inclusion criteria were using the 8- or 10-item ACE Questionnaire (±2 items), reporting the prevalence of ACEs in population samples of adults, and being published in English. The review protocol was registered with PROSPERO (CRD42022348429). In total, 206 studies (208 sample estimates) from 22 countries, with 546,458 adult participants, were included. The pooled prevalence of the five levels of ACEs was: 39.9% (95% CI: 29.8-49.2) for no ACE; 22.4% (95% CI: 14.1-30.6) for one ACE; 13.0% (95% CI: 6.5-19.8) for two ACEs; 8.7% (95% CI: 3.4-14.5) for three ACEs, and 16.1% (95% CI: 8.9-23.5) for four or more ACEs. In subsequent moderation analyses, there was strong evidence that the prevalence of 4+ ACEs was higher in populations with a history of a mental health condition (47.5%; 95% CI: 34.4-60.7) and with substance abuse or addiction (55.2%; 95% CI: 45.5-64.8), as well as in individuals from low-income households (40.5%; 95% CI: 32.9-48.4) and unhoused individuals (59.7%; 95% CI: 56.8-62.4). There was also good evidence that the prevalence of 4+ ACEs was larger in minoritized racial/ethnic groups, particularly when comparing study estimates in populations identifying as Indigenous/Native American (40.8%; 95% CI: 23.1-59.8) to those identifying as White (12.1%; 95% CI: 10.2-14.2) and Asian (5.6%; 95% CI: 2.4-10.2). Thus, ACEs are common in the general population, but there are disparities in their prevalence. They are among the principal antecedent threats to individual well-being and, as such, constitute a pressing social issue globally. Both prevention strategies and downstream interventions are needed to reduce the prevalence and mitigate the severity of the effects of ACEs and thereby reduce their deleterious health consequences on future generations.
Cite this paper
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- APA 7
Madigan, S. L., Deneault, A., Racine, N. M., Park, J., Thiemann, R. F., Zhu, J., Dimitropoulos, G., Williamson, T. S., Fearon, P. R. M., Cénat, J. M., McDonald, S., Devereux, C., & Neville, R. D. (2023). Adverse childhood experiences: a meta‐analysis of prevalence and moderators among half a million adults in 206 studies. World Psychiatry, 22(3), 463–471. https://doi.org/10.1002/wps.21122
- MLA 9
Madigan, Sheri L., et al. "Adverse childhood experiences: a meta‐analysis of prevalence and moderators among half a million adults in 206 studies." World Psychiatry, vol. 22, no. 3, 2023, pp. 463–471, https://doi.org/10.1002/wps.21122.
- Chicago
Madigan, Sheri L., Audrey‐Ann Deneault, Nicole M. Racine, Julianna Park, Raela F. Thiemann, Jenney Zhu, Gina Dimitropoulos, et al. "Adverse childhood experiences: a meta‐analysis of prevalence and moderators among half a million adults in 206 studies." World Psychiatry 22, no. 3 (2023): 463–471. https://doi.org/10.1002/wps.21122.
- GOST
Madigan S. L., Deneault A., Racine N. M. [и др.] Adverse childhood experiences: a meta‐analysis of prevalence and moderators among half a million adults in 206 studies // World Psychiatry. — 2023. — Vol. 22, № 3. — P. 463–471. — URL: https://doi.org/10.1002/wps.21122
- BibTeX
@article{madigan2023adverse, title = {{Adverse childhood experiences: a meta‐analysis of prevalence and moderators among half a million adults in 206 studies}}, author = {Sheri L. Madigan and Audrey‐Ann Deneault and Nicole M. Racine and Julianna Park and Raela F. Thiemann and Jenney Zhu and Gina Dimitropoulos and Tyler S. Williamson and Pasco R. M. Fearon and Jude Mary Cénat and Sheila McDonald and Chloe Devereux and Ross D. Neville}, journal = {World Psychiatry}, year = {2023}, volume = {22}, number = {3}, pages = {463--471}, doi = {10.1002/wps.21122}, url = {https://doi.org/10.1002/wps.21122} }- RIS
TY - JOUR AU - Madigan, Sheri L. AU - Deneault, Audrey‐Ann AU - Racine, Nicole M. AU - Park, Julianna AU - Thiemann, Raela F. AU - Zhu, Jenney AU - Dimitropoulos, Gina AU - Williamson, Tyler S. AU - Fearon, Pasco R. M. AU - Cénat, Jude Mary AU - McDonald, Sheila AU - Devereux, Chloe AU - Neville, Ross D. TI - Adverse childhood experiences: a meta‐analysis of prevalence and moderators among half a million adults in 206 studies JO - World Psychiatry VL - 22 IS - 3 SP - 463 EP - 471 PY - 2023 DA - 2023/09/15 DO - 10.1002/wps.21122 UR - https://doi.org/10.1002/wps.21122 ER -
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