Abstract
Problem: Screening for Adverse Childhood Experiences (ACES) in pediatrics is an opportunity to address toxic stress. ACE risk factors are categorized into three areas: abuse, neglect, and household dysfunction. These directly relate, in a dose-response manner, to poor health outcomes. ACEs effects are mediated via toxic stress which leads to delays in cognitive, social-emotional and physical development in children and, as adults, to the risk of chronic disease and premature death. Most children reach their highest ACE score by age 12. Identifying scores early can support efforts to mitigate toxic stress and build resilience. They …
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