Table 1.
Studies, n | |
---|---|
Household substance abuse | 30 |
Household mental illness | 29 |
Parental separation or divorce | 25 |
Physical abuse | 24 |
Sexual abuse | 21 |
Household member incarcerated or criminality | 20 |
Exposure to domestic violence | 17 |
Emotional, psychological, or verbal abuse | 17 |
Parental death | 15 |
Child welfare intervention (eg, out-of-home care) | 14 |
Neglect | 12 |
Family welfare or financial difficulties | 10 |
Serious childhood illness or injury | 5 |
Questions used to determine ACEs varied between studies. Other ACE types (measured in <3 studies) included childhood maltreatment, frequent fear of a family member, bullying, peer violence, victim of serious physical attack, frightening experience, family conflict or discord, parental affectionless control, parental dissatisfaction, parental illness or disability, separation from mother, other parental loss, sent away from home, death of a sibling, low parental concern for child's education, child labour, hunger, or residential instability. ACE=adverse childhood experience.