Association between Adverse Childhood Experiences and Unmet Health Care Needs among Children in the United States
Bibliographic Data
| ID | 21834903 |
|---|---|
| Authors | P Baiden (0000-0003-3877-2594, The University of Texas at Arlington, corresponding author), Genevieve Graaf (0000-0002-3767-5939, The University of Texas at Arlington), Lucinda Okine (0000-0001-9567-2843, University of Southern California), Catherine A Labrenz (0000-0001-7494-5486, The University of Texas at Arlington), Catherine Labrenz (The University of Texas at Arlington) |
| Year | 2024 |
| Volume | 39 |
| Issue | 3 |
| Pages | 261-275 |
| Publication date | 2024-04-02 |
| Peer Reviewed | Yes |
| Open Access | No |
| Type | ARTICLE |
| Venue | Social Work in Public Health (JOURNAL) |
| Journal identifiers | ISSN: 1937-190X • E-ISSN: 1937-1918 |
| Publisher | Informa UK Limited (PUBLISHER • GB) |
| DOI | 10.1080/19371918.2024.2323137 |
| PMID | 38459692 |
| OpenAlex | W4392620659 |
| Language | EN |
| Citations received | 5 |
| References cited | 86 |
Although studies have investigated and found an association between adverse childhood experiences and poor health and mental health outcomes, there is a dearth of studies investigating the association between adverse childhood experiences and unmet health care needs among children. The objective of this study is to examine the association between adverse childhood experiences and unmet health care needs after adjusting for predisposing, enabling, and need factors of health care service utilization. Data for this study came from the 2016–2017 National Survey of Children’s Health. An analytic sample of 46,081 children (51.3% males; average age 11.5 years) was analyzed using negative binomial regression. Based on parent reports, about 3.5% of children had unmet health care needs, and half (50%) of the sample had experienced at least one childhood adversity. Controlling for other factors, children who experienced three or more childhood adversities had 4.51 times higher odds of having unmet health care needs (AOR = 4.51, p < .001, 95% CI = 3.15–6.45) when compared to their counterparts with no childhood adversity. Children with parents who have someone to turn to for everyday emotional support were 31% less likely to have unmet health care needs (AOR = .69, p < .01, 95% CI = .54–.89). Adverse childhood experiences have a detrimental effect on unmet health care needs. The findings of this study offer an important opportunity for further research on how best to prevent adverse childhood experiences and mitigate their impact on families
Adverse Childhood Experiences · Developmental psychology · Early childhood · Environmental health · Family medicine · Health care · Logistic regression · Mental health · Odds · Psychiatry · Child Abuse and Trauma · Child and Adolescent Health · Medicine · Migration, Health and Trauma · Psychology · Gerontology
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| Unique citing works | 5 |
|---|---|
| Citations per year | 5 |
| Citation span | 2025 - 2026 (2) |
| Citation velocity | current |
| Highly cited | No |
| Citation types | Neutral: 5 |