College

Buchtel College of Arts and Sciences

Date of Last Revision

2025-04-26 12:10:01

Major

Biology

Honors Course

BIOL 499

Number of Credits

6

Degree Name

Bachelor of Science

Date of Expected Graduation

Spring 2025

Abstract

Adverse Childhood Experiences (ACEs) have a significant influence on long term mental and physical health risks, including the development of Posttraumatic Stress Symptoms (PTSS). The current study examined the association between demographic and geo-coded environmental factors and ACE exposure and PTSS development among pediatric patients seen in a behavioral health department at a children’s hospital. Geo-coded factors included Child Opportunity Index (COI scores) and Rural Urban Area Commuting Codes (RUCA). ACE-related factors (type of ACE, ACE overall score) were also included when examining PTSS. Machine learning results indicated that models incorporating environmental data and ACE-related factors performed better than models that only included demographic factors. Findings highlight the importance of context factors, especially economic hardships and cumulative ACE exposure, in understanding ACE outcomes in youth. Implications for research and practice are explored, with an emphasis on trauma-informed, community-level intervention, and early screening approaches that target modifiable social and environmental factors in PTSS prevention and intervention.

Research Sponsor

Dr. Brian Bagatto

First Reader

Dr. Ayla Mapes

Second Reader

Dr. Sarah Delahanty

Honors Faculty Advisor

Dr. Brian Bagatto

Proprietary and/or Confidential Information

No

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