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      Adverse Childhood Experiences: Expanding the Concept of Adversity.

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          Abstract

          Current knowledge of Adverse Childhood Experiences (ACEs) relies on data predominantly collected from white, middle- / upper-middle-class participants and focuses on experiences within the home. Using a more socioeconomically and racially diverse urban population, Conventional and Expanded (community-level) ACEs were measured to help understand whether Conventional ACEs alone can sufficiently measure adversity, particularly among various subgroups.

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          Author and article information

          Journal
          Am J Prev Med
          American journal of preventive medicine
          1873-2607
          0749-3797
          Sep 2015
          : 49
          : 3
          Affiliations
          [1 ] Department of Family Medicine and Community Health, University of Pennsylvania; Center for Public Health Initiatives, University of Pennsylvania; Leonard Davis Institute of Health Economics, University of Pennsylvania. Electronic address: peter.cronholm@uphs.upenn.edu.
          [2 ] Department of Epidemiology and Biostatistics, University of Pennsylvania; Violence Prevention Initiative, Center for Injury Research Prevention.
          [3 ] Department of Pediatrics, The Children's Hospital of Philadelphia.
          [4 ] Department of Pediatrics, Boston Medical Center, Boston, Massachusetts.
          [5 ] Robert Wood Johnson Foundation, Princeton, New Jersey.
          [6 ] Philadelphia Health Management Corporation, Drexel University College of Medicine and St. Christopher's Hospital for Children, Philadelphia, Pennsylvania.
          [7 ] Department of Pediatrics, Drexel University College of Medicine and St. Christopher's Hospital for Children, Philadelphia, Pennsylvania.
          [8 ] Violence Prevention Initiative, Center for Injury Research Prevention; Department of Emergency Medicine, The Children's Hospital of Philadelphia.
          Article
          S0749-3797(15)00050-1
          10.1016/j.amepre.2015.02.001
          26296440
          ace5a5d1-aa9c-4595-baf9-c9c9a1373e56
          Copyright © 2015 American Journal of Preventive Medicine. Published by Elsevier Inc. All rights reserved.
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