Adverse Child Events (ACES) and their Negative, Long-Term

Impacts on Mental, Behavioral, and Physical Health


  • Kim Hoffman Oregon Health and Science University



Exposure to adverse childhood experiences (ACEs) is violent, stressful, or traumatic experiences undergone in childhood. It is estimated that about 16 % of adults in the U.S. have had four or more types of adverse childhood experiences, which are significantly associated with poorer health outcomes, health risk behaviors, and socioeconomic challenges. Research has found a relationship between exposure to ACEs and morbidity and mortality later in life. The high prevalence of ACES, along with their effect on health, social, and medical costs has led this issue to be a matter of public health globally. This paper discusses the impact of ACES, how ACES are measured, and the linkages ACES have to different health outcomes. Future research is needed to better understand adverse childhood events, specifically how to assess, address and prevent these experiences in children.


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Biografía del autor/a

Kim Hoffman, Oregon Health and Science University

Kim Hoffman, PhD, has more than 20 years of experience conducting rigorous academic research and program evaluation in diverse settings throughout the world. She is a Senior Research Associate with Oregon Health and Science University (Portland Oregon, US) and an investigator with the National Institute on Drug Abuse Clinical Trials Network. Dr. Hoffman is a Fulbright Scholar and has received funding as a Principal Investigator from the US National Institutes of Health, the Robert Wood Johnson Foundation, and the Faster Forward Foundation. She has current and past contracts with the United Nations, Peru's National Institutes of Health and Ministry of Health, the US Department of Defense (NAMRU-6) and other institutions. Dr. Hoffman has served as an International Research Fellow at the Peruvian National Institute of Health and is the coordinator for the U.S. National Institute on Drug Abuse Clinical Trials Network Peru Node. She is an Associate Editor for BMC Health Services Research and has published numerous academic papers, technical reports, book chapters, and a book on poverty and health. Topics of study include substance use disorder, health services, organizational improvement, capacity development, public health, and community-based health programs. Projects include short-term or large-scale/multi-year research and evaluation using web, phone, mail, in-person individual or focus groups interviews or a combination of methods.


Anda, R. (2018). The Role of Adverse Childhood Experiences in Substance Misuse and Related Behavioral Health Problems. 6.

Anda, R. F., Dong, M., Brown, D. W., Felitti, V. J., Giles, W. H., Perry, G. S., Valerie, E. J., & Dube, S. R. (2009). The relationship of adverse childhood experiences to a history of premature death of family members. BMC Public Health, 9, 106.

Bethell, C. D., Carle, A., Hudziak, J., Gombojav, N., Powers, K., Wade, R., & Braveman, P. (2017). Methods to Assess Adverse Childhood Experiences of Children and Families: Toward Approaches to Promote Child Well-being in Policy and Practice. Academic Pediatrics, 17(7 Suppl), S51–S69.

Bethell, C. D., Newacheck, P., Hawes, E., & Halfon, N. (2014). Adverse childhood experiences: Assessing the impact on health and school engagement and the mitigating role of resilience. Health Affairs (Project Hope), 33(12), 2106–2115.

Briggs, E. S., & Price, I. R. (2009). The relationship between adverse childhood experience and obsessive-compulsive symptoms and beliefs: The role of anxiety, depression, and experiential avoidance. Journal of Anxiety Disorders, 23(8), 1037–1046.

Brown, D. W., Anda, R. F., Tiemeier, H., Felitti, V. J., Edwards, V. J., Croft, J. B., & Giles, W. H. (2009). Adverse childhood experiences and the risk of premature mortality. American Journal of Preventive Medicine, 37(5), 389–396.

Burke, N. J., Hellman, J. L., Scott, B. G., Weems, C. F., & Carrion, V. G. (2011). The impact of adverse childhood experiences on an urban pediatric population. Child Abuse & Neglect, 35(6), 408–413.

Centers for Disease Control and Prevention (CDC). (2010). Adverse childhood experiences reported by adults—Five states, 2009. MMWR. Morbidity and Mortality Weekly Report, 59(49), 1609–1613.

Cronholm, P. F., Forke, C. M., Wade, R., Bair-Merritt, M. H., Davis, M., Harkins-Schwarz, M., Pachter, L. M., & Fein, J. A. (2015). Adverse Childhood Experiences: Expanding the Concept of Adversity. American Journal of Preventive Medicine, 49(3), 354–361.

Danese, A., Moffitt, T. E., Harrington, H., Milne, B. J., Polanczyk, G., Pariante, C. M., Poulton, R., & Caspi, A. (2009). Adverse Childhood Experiences and Adult Risk Factors for Age-Related Disease. Archives of Pediatrics & Adolescent Medicine, 163(12), 1135–1143.

Dube, S. R., Felitti, V. J., Dong, M., Giles, W. H., & Anda, R. F. (2003). The impact of adverse childhood experiences on health problems: Evidence from four birth cohorts dating back to 1900. Preventive Medicine, 37(3), 268–277.

Felitti, V. J., Anda, R. F., Nordenberg, D., Williamson, D. F., Spitz, A. M., Edwards, V., Koss, M. P., & Marks, J. S. (1998). Relationship of Childhood Abuse and Household Dysfunction to Many of the Leading Causes of Death in Adults: The Adverse Childhood Experiences (ACE) Study. American Journal of Preventive Medicine, 14(4), 245–258.

Finkelhor, D., Turner, H., Hamby, S., & Ormrod, R. (2011). Polyvictimization: Children’s Exposure to Multiple Types of Violence, Crime, and Abuse. National Survey of Children’s Exposure to Violence.

Ford, J. D., Elhai, J. D., Connor, D. F., & Frueh, B. C. (2010). Poly-victimization and risk of posttraumatic, depressive, and substance use disorders and involvement in delinquency in a national sample of adolescents. The Journal of Adolescent Health: Official Publication of the Society for Adolescent Medicine, 46(6), 545–552.

Kessler, R. C., McLaughlin, K. A., Green, J. G., Gruber, M. J., Sampson, N. A., Zaslavsky, A. M., Aguilar-Gaxiola, S., Alhamzawi, A. O., Alonso, J., Angermeyer, M., Benjet, C., Bromet, E., Chatterji, S., de Girolamo, G., Demyttenaere, K., Fayyad, J., Florescu, S., Gal, G., Gureje, O., ... Williams, D. R. (2010). Childhood adversities and adult psychopathology in the WHO World Mental Health Surveys. The British Journal of Psychiatry: The Journal of Mental Science, 197(5), 378–385.

Merrick, M. T. (2019). Vital Signs: Estimated Proportion of Adult Health Problems Attributable to Adverse Childhood Experiences and Implications for Prevention — 25 States, 2015–2017. MMWR. Morbidity and Mortality Weekly Report, 68.

Mersky, J. P., Topitzes, J., & Reynolds, A. J. (2013). Impacts of adverse childhood experiences on health, mental health, and substance use in early adulthood: A cohort study of an urban, minority sample in the U.S. Child Abuse & Neglect, 37(11), 917–925.

Schilling, E. A., Aseltine, R. H., & Gore, S. (2007). Adverse childhood experiences and mental health in young adults: A longitudinal survey. BMC Public Health, 7, 30.

Shin, S. H., Edwards, E., Heeren, T., & Amodeo, M. (2009). Relationship between Multiple Forms of Maltreatment by a Parent or Guardian and Adolescent Alcohol Use. The American Journal on Addictions, 18(3), 226–234.

Stein, M. D., Conti, M. T., Kenney, S., Anderson, B. J., Flori, J. N., Risi, M. M., & Bailey, G. L. (2017). Adverse childhood experience effects on opioid use initiation, injection drug use, and overdose among persons with opioid use disorder. Drug and Alcohol Dependence, 179, 325–329.

Walanj, A. S. (2014). Research ethics committees: Need for harmonization at the national level, the global and Indian perspective. Perspectives in Clinical Research, 5(2), 66–70.




Cómo citar

Hoffman, K. (2022). Adverse Child Events (ACES) and their Negative, Long-Term: Impacts on Mental, Behavioral, and Physical Health. Sílex, 12(1), 85–95.