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Rural-Urban Differences in Adverse and Positive Childhood Experiences Webinar

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Adverse childhood experiences (ACEs) are events of abuse, neglect, and household dysfunction that occur between birth and 17 years of age. Multiple studies established the association between ACEs, risky behaviors, and poor physical and mental health outcomes in childhood and beyond. Rural and minority children often have higher rates of ACEs exposure than their peers.
Previous results on ACEs and rurality have shown mixed results due to differences in (1) geographic coverage of studied datasets, (2) measurement of ACEs, and (3) sampling methodologies. Furthermore, examinations of intra-rural differences in ACEs among racial and ethnic groups, particularly among American Indian/Alaska Native populations, have been limited. The findings from this study will inform and improve prevention and intervention efforts for rural children in the United States.

Learning objectives:

  • Describe both adverse and positive childhood experiences
  • Explore whether ACEs and (PCEs) exposure differs between rural and urban children, by type and by count
  • Examine racial and ethnic disparities in ACEs and PCEs exposure across rural communities


  • Elizabeth Crouch, PhD , Director, Rural and Minority Health Research Center, University of South Carolina