As pediatricians, we recognize that part of our responsibility is to identify and call out the inequitable conditions responsible for adverse childhood experiences (ACEs) that are associated with poorer adult outcomes. Screening and understanding ACEs has changed this community’s approach to supporting the health and welfare of their children.
Lauren Steele MD, Michael Mangahas MD and Dr. Evan R. Buxbaum were not surprised when it was recently reported that the rate of childhood ACEs in adults living in Humboldt county out-ranked all other California counties. These pediatricians, who have been serving local families for years, report that this is an amazing community of people that has suffered from its rural isolation, embedded drug culture and economic woes. They regularly witness high rates of parental separation, foster care, parental incarceration, parental substance use, and parental mental health concerns in their families.