J Korean Med Sci.  2020 Dec;35(50):e421. 10.3346/jkms.2020.35.e421.

Exposure to Adverse Childhood Experiences (ACEs) and Stress among the Community-based Urban Pediatric Population in Korea

• Lee MS
• Kim HS
• Bhang SY

• KMID: 2509755
• DOI: http://doi.org/10.3346/jkms.2020.35.e421

Abstract

Background
This study aimed to investigate the impact of exposure to adverse childhood experiences (ACEs) and stress among the community-based urban pediatric population in Korea.
Methods
In 2017, the analysis was conducted on 3,937 children and adolescents in an urban area in Korea based on the impact of actual traumatic experience, addiction, and mental health. The respondents were excluded if they were missing data on the survey, resulting in a final sample size of 3,556. The collected data were analyzed by applying cross-sectional and correlation analyses.
Results
Among the respondents in the study group (mean age = 13.77), 43.1% were boys (n = 1,532) and 56.9% were girls (n = 2,024). Overall, 23.5% (n = 835) reported at least one ACE and 1.8% (n = 63) reported experiencing four or more ACEs. Emotional abuse (13.2%) was the most commonly reported ACE, followed by abandonment (7.7%) and physical abuse (7.5%). Self-reported measures of stress were associated with the ACE scores.
Conclusion
This is the first study of self-reported ACEs from a community-based pediatric population in Korea. We found that the number of the students revealed more than one ACEs was similar to the data in the US community study with self-reporting among the community samples and exposure to adverse experiences is highly correlated with various stress responses.

Keyword

Adverse Childhood Experiences; ACEs; Stress; Pediatric Population; Mental Health

Figure

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  Fig. 1 Sum of ACEs among the urban pediatric population in Korea (n = 3,556).ACEs = adverse childhood experiences.

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  Fig. 2 Response items of adverse childhood experiences among the urban pediatric population in Korea (n = 3,556).

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