Dental care use and adverse childhood experiences in the United States

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The term "adverse childhood experiences" (ACEs) refers to a broad range of situations including child maltreatment and dysfunction in the home, such as physical and emotional abuse, parental divorce, and parental incarceration. I n the US, at least one ACE is experienced by close to half of all children. According to research, ACEs are linked to lower mental and dental health, obesity, cancer, heart disease, respiratory disease, poorer self-rated health, and a wide range of other unhealthy habits. ACEs and health also have a dose-response relationship, meaning that health outcomes go worse as adversity exposure rises. Thus, it is crucial to comprehend the effects of ACEs when trying to comprehend and enhance public health.

The negative effects of ACEs on health first appear in young children.Adversity, for instance, is linked to poor health, disease requiring medical attention, headaches, nausea, stomach issues, and vomiting in the first six years of life. Five-year-old children who had at least one ACE had lower academic performance and more behavioural issues, according to research on ACEs in this age group. ACEs are linked to poor mental health, ongoing medical conditions, and delayed social development in 18 to 71-month-olds who have been the subject of child welfare services investigations.

Utilization of paediatric healthcare services, especially preventative care, is linked to better health and lower healthcare expenses, including less expensive paediatric dental care. Depending on the type of healthcare service in question, ACEs may lead to children using their health services more or less frequently. For instance, having ACEs as a child is linked to higher usage of specialist care, psychotropic drugs, and mental health services. Additionally, ACEs are frequently linked to less frequent or inadequate compliance with preventative health care recommendations. Researchers suggest a variety of explanations for these patterns of relationships, including greater service requirements, a deterioration in the severity of underlying diseases, or an increase in ACE-related interactions with the healthcare system. In other words, ACEs may both exacerbate childhood illnesses and lead to a lack of preventative care, which will ultimately result in a greater need for specialised care. Additionally, research in this field has shown that the relationship between ACEs and healthcare consumption relies on both the particular ACEs in question and the particular healthcare under consideration.