Background

The Adverse Childhood Experiences International Questionnaire (ACE-IQ) collects additional data (e.g., witness community violence/terrorism) than the previous version. Despite ACE-IQ is widely used and validated in several languages, no reviews focus on this measure.

Objective

The main goals are to: 1) synthesize the ACE-IQ prevalence rates and average means among community samples, both for total ACE and single dimensions (e.g., intrafamily abuse, bullying); 2) discuss these data in light of the characteristics of studies and samples; 3) identify main research lines of the field.

Participants and setting

The search for studies using the ACE-IQ with community participants was conducted on seven academic databases, including retrieval of grey literature. The screening process led to include 63 documents.

Methods

A systematic review following the PRISMA guidelines was performed.

Results

1) On average, 75% of community respondents experienced ACEs, with a mean of three, primarily emotional abuse and bullying. 2) Males experienced more ACEs, but they were underrepresented, as well as children and adolescents. Most studies were conducted in Asia or Africa, and different geographical areas showed different pathways of prevalence in subdimensions. 3) Most research focused on prevalence and relationships between ACE-IQ scores and respondents' mental and physical health, suicide and parenting, focusing on intrafamily ACEs more than on those outside the household.

Conclusions

Several issues emerged in terms of lack of reporting prevalence or means, lack of studies in Europe, America and Oceania, and no attention to collective/community/peer violence, plus a lack of consensus toward the dimensions of the ACE-IQ.

中文翻译：

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不良童年经历 - 世界各地社区样本中的国际问卷 (ACE-IQ)：系统评价（第一部分）

背景

不良童年经历国际问卷 (ACE-IQ) 收集比以前版本更多的数据（例如，目击社区暴力/恐怖主义）。尽管 ACE-IQ 在多种语言中得到广泛使用和验证，但没有评论关注这一措施。

客观的

主要目标是： 1) 综合社区样本中的 ACE-IQ 流行率和平均平均值，包括总 ACE 和单个维度（例如，家庭内虐待、欺凌）；2) 根据研究和样本的特点讨论这些数据；3) 确定该领域的主要研究方向。

参与者和设置

使用 ACE-IQ 对社区参与者进行的研究搜索是在七个学术数据库中进行的，包括灰色文献的检索。筛选过程导致包括 63 份文件。

方法

遵循 PRISMA 指南进行了系统评价。

结果

1) 平均而言，75% 的社区受访者经历过 ACE，平均为 3 次，主要是情感虐待和欺凌。2) 男性以及儿童和青少年经历了更多的 ACE，但他们的代表性不足。大多数研究是在亚洲或非洲进行的，不同的地理区域在子维度上显示出不同的流行途径。3) 大多数研究集中在 ACE-IQ 分数与受访者的身心健康、自杀和养育子女之间的患病率和关系，更多地关注家庭内部的 ACE，而不是家庭以外的 ACE。

结论

出现了一些问题，例如缺乏报告流行率或手段，缺乏对欧洲、美洲和大洋洲的研究，没有关注集体/社区/同伴暴力，以及对 ACE-IQ 的维度缺乏共识。