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Adverse childhood experiences (ACEs) and headaches among children: A cross-sectional analysis

Headache: The Journal of Head and Face Pain Mar 09, 2020

Mansuri F, et al. - In this cross-sectional study, researchers examined data from children 3-17 years old using the 2016 and 2017 US National Survey of Children’s Health (NSCH) to ascertain the correlation between ACEs and history of frequent headaches (including migraine) among these children. Abuse (physical, emotional, or sexual), parental divorce, death, mental illness, or addiction were included as ACEs. In the survey, information on 71,881 children was obtained in 2016 and 2017; of these, 61,656 children were assessed. Among 61,656 children, 26,884 (48.6%) had a report of experiencing at least 1 ACE and 3,426 (6.5%) had a report of experiencing 4+ ACEs. The analysis revealed a higher risk of headaches in children in correlation with experiencing one or more ACEs vs none. The only ACE independently associated with headaches was the difficulty due to the family’s income. Findings support the results of other investigations on ACEs and headache in young adults and imply the earlier occurrence of adverse ACE-related health outcomes than previously recognized. Additionally, struggling due to low income may represent a constellation of chronic stressors that individually add to poor health consequences in childhood as compared with other individual ACEs.
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