The purpose of this study was to describe exposure to within-household and community adverse childhood experiences (ACEs) and to identify child- and parent-level factors associated with exposure to different kinds of ACEs. This cross-sectional study used a clinical sample of 257 Black and Hispanic children ages 3–16 years and their caregivers who were seeking care at two federally qualified health centers in Chicago, Illinois and screened positive for a behavioral health problem. The sample had high levels of within-household ACEs (76% reported at least one) and community ACEs (71% reported at least one). Black children experienced more overall and within-household ACEs than Hispanic children, including forced separation from a caregiver and family member incarceration. Hispanic children experienced more bullying and violent media exposure. Significant associations to all categories of ACEs were observed for depression, child behavioral problems, and older child age. Tailored assessment of ACEs and interventions such as trauma-informed care are needed in pediatric clinical settings, including assessment of ACEs children in experience in communities.

本研究的目的是描述家庭和社区儿童不良经历 (ACE) 的暴露情况，并确定与暴露于不同类型 ACE 相关的儿童和父母层面的因素。这项横断面研究使用了 257 名 3-16 岁的黑人和西班牙裔儿童及其照顾者的临床样本，这些儿童在伊利诺伊州芝加哥的两个联邦合格健康中心寻求护理，并且筛查出行为健康问题呈阳性。该样本具有高水平的家庭内部 ACE（76% 报告至少一种）和社区 ACE（71% 报告至少一种）。与西班牙裔儿童相比，黑人儿童在整体和家庭内部经历了更多的 ACE，包括被迫与看护者分离和家庭成员被监禁。西班牙裔儿童经历了更多的欺凌和暴力媒体曝光。观察到抑郁症、儿童行为问题和较大儿童年龄与所有类别的 ACE 显着相关。在儿科临床环境中需要对 ACE 和干预措施（如创伤知情护理）进行量身定制的评估，包括对社区经验中的 ACE 儿童进行评估。