Roundup
June 21, 2023
If you’re anything like me, you’ve likely heard a variety of dictims about the proverbial table that we’re either seated at as a perk of being the dominant class, or the one we’re not seated at for the same reason.
By Kahshanna Evans, PACEs Connection director of creating resilient communities
How is it that some people can wade through hell and somehow become caring, capable, fruitful human beings?
By Glenn R. Schiraldi, PACEs Connection member
Let’s be clear; the LGBTQIA++ community is a marginalized population with morbidity and mortality rates that are far higher than other groups.
By Ellen Fink-Samnick, PACEs Connection member
Republicans in Congress are pushing a controversial new bill that would pull federal funding from children’s hospitals that provide gender-affirming care for minors.
By Jeoffry Gordon, PACEs Connection member

Wednesday Digest

The Christian Science Monitor
The Washington Post
Newsweek
The New York Times
The Los Angeles Times

Research Corner

Ed. note: Dr. Harise Stein at Stanford University edits a website — abuseresearch.info — that focuses on the health effects of abuse, and includes research articles on PACEs science. Every month, she posts summaries of the abstracts and links to research articles that address only PACEs. Here are 5 of the 35 that she found for this week. You can read them all here.
Gladieux M, Gimness N, Rodriguez B, Liu J.
Adverse Childhood Experiences (ACEs) and Environmental Exposures on Neurocognitive Outcomes in Children: Empirical Evidence, Potential Mechanisms, and Implications. Toxics. 2023;11(3). PMID: 36977024
Authors review how the relationship between ACEs and environmental exposures (air pollution, lead exposure, second-hand smoke, other chemicals) interact to cause adverse outcomes in children's neurocognitive development. These cognitive outcomes include learning disabilities, lowered IQ, memory and attention problems, and overall poor educational outcomes.
Grummitt L, Barrett E, Kelly E, Newton N.
An Umbrella Review of the Links Between ACEs and Substance Misuse: Where Do We Go from Here? Subst Abuse Rehabil. 2022 Nov 15;13:83-100. PMID: 36411791
From a research review, “Results overwhelmingly demonstrated an elevated risk of substance misuse or disorder among adolescents and adults exposed to ACEs. Research on the mechanisms that explain this link highlights a multitude of potential intervention targets, with childhood stress propelling a cascade of effects across endocrine, neurobiological, immune, metabolic, and nervous systems, impacting psychosocial and cognitive functioning.” Authors note critical directions for future research, practice and public policy.
Warner TD, Leban L, Pester DA, Walker JT.
Contextualizing Adverse Childhood Experiences: The Intersections of Individual and Community Adversity. J Youth Adolesc. 2023 Mar;52(3):570-584. PMID: 36445650
Among 13,267 youth, 51% female, 71% White, 61% and 73% were exposed to at least one individual and community ACE, respectively, while 15% of youth reported severe individual ACE exposure (≥3 ACEs) and 20% were exposed to severe (≥3) community ACEs. “All ACE exposures were associated with problem behaviors later in adolescence, but youth reporting both severe individual and community ACEs were especially at high risk for later violence, delinquency, and other health-risk behaviors…community adversity exacerbates the damaging effects of individual/ family adversity and thus should be addressed in efforts to prevent ACEs and reduce their long-term harm.” Community ACEs in this study included high poverty area, poor schools, high unemployment, high crime, residential instability, insecurity (safety), low social cohesion, and low informal social control.
Peck A, Provost S, East L, Hutchinson M.
Process mining the trajectories for adolescent-to-mother violence from longitudinal police and health service data. J Adv Nurs. 2023 Apr;79(4):1540-1552. PMID: 35864079
Of 775 Australian adolescents who had been issued a legal action for a family violence-related offence, 63% offended against mothers. “Many children and mothers were identifiable from police records in early childhood, at an average age of 35 months…dominant early childhood events were repeated exposure to parental intimate partner violence, parental drug and/or alcohol use, and neglect. During early adolescence, pathways towards adolescent-to-mother violence involved other offending, drug and/or alcohol use, and mental health service contact.”
Stewart A, Ko J, Salvesen von Essen B, et al.
Association of Mental Health Conditions, Recent Stressful Life Events, and Adverse Childhood Experiences with Postpartum Substance Use - Seven States, 2019-2020. MMWR Morb Mortal Wkly Rep. 2023;72(16):416-20. PMID: 37079476
In a survey of individuals in seven states with high opioid overdose mortality rates who were recontacted 9-10 months after giving birth in 2019, “Overall, 25.6% of respondents reported postpartum substance use, and 5.9% reported polysubstance use. The following conditions were associated with higher substance and polysubstance use prevalence in postpartum women: depressive symptoms, depression, anxiety, adverse childhood experiences, and stressful life events. Substance use prevalence was higher among women who experienced six or more stressful life events during the year preceding the birth (67.1%) or four adverse childhood experiences related to household dysfunction (57.9%)…Clinical and community- and systems-level interventions to improve postpartum health can include screening and treatment for depression, anxiety, and substance use disorders during the postpartum period.”

PACEs Connection News & Events

This event examines historical trauma in the United States and its impact on American society in a series of virtual discussions. It is sponsored by St. David's Foundation.
Thursday, June 22, 2023
June 22-23

Member Posts

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June 21
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