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PACEs in Pediatrics

Screening for childhood adversity: the what and when of identifying individuals at risk for lifespan health disparities [Journal of Behavioral Medicine]


"Existing research on childhood adversity and health risk across the lifespan lacks specificity regarding which types of exposures to assess and when. The purpose of this study was to contribute to an empirically-supported framework to guide practitioners interested in identifying youth who may be at greatest risk for a lifelong trajectory of health disparities. We also sought to identify the point in childhood at which screening for adversity exposure would capture the largest group of at risk individuals for triage to prevention and intervention services. Participants (nā€‰=ā€‰4036) collected as part of the Midlife in the United States study reported their medical status and history including physical (cardiovascular disease, hypertension, obesity, diabetes, cancer) and mental health (depression, substance use problems, sleep problems)."

Read the abstract in the Journal of Behavioral Medicine.

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Hi Carmela, I fixed the link to the abstract. I am so glad that you were able to get a copy of the article and that you're reaching out to the community. (As is unfortunately the case for many studies, the full text articles are not freely available online.) I'd love to hear more about what sort of tool you're developing for at risk children.  I'll reach out to you at the email address you provided.

never mind. found it at the library! thanks for sharing! great forum! As a Principal Investigator on an NIHCD funded grant to develop a screening instrument for children at risk this is especially timely! working on first paper for our tool now- happy to share more if folks are interested. anyone working internationally on screening kids? I'd love to chat. contact me at


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