2018 Annual Meeting

Applying Epidemiology Across the Lifespan to Improve Health Care,
Inform Health Policy and Enhance Population Health




Monday Keynote

The Repressed Role of Adverse Childhood Experiences in Adult Well being, Disease, and Premature Death:  Turning gold into lead

Location: University of Cincinnati, Medical Sciences Building (MSB), Kresge Auditorium

Vincent Felitti, MD, Kaiser Permanente Medical Care Program, Clinical Professor of Medicine, University of California - San Diego



The Adverse Childhood Experiences (ACE) Study is a long-term collaborative study by Kaiser Permanente and CDC of over 17,000 middle-class adult Americans.  It demonstrates a powerful and graded relationship between 10 categories of adverse experience in childhood and some of life's most common health risks, chronic diseases, and social problems from adolescence to old age.  

The ACE Study documents how failed parenting manifested by childhood experiences such as abuse, neglect, and exposure to major household dysfunction eventually turns into organic disease and public health and social problems in adults. ACEs are unexpectedly common in the general population, have a profound effect on adult health, well-being, and life expectancy, influencing the prevalence of the most common causes of adult death in the US, and some of the more difficult public health and social problems including obesity and addiction, mental health, job performance, and healthcare costs.  

The implications of these findings should be of interest to those involved with family function, social planning, medical practice and public health.  Our task is to figure out how to use this information routinely and productively.


Brief Biographies:

Vincent J. Felitti, MD, is a co-Principal Investigator of the Adverse Childhood Experiences (ACE) Study, ongoing collaborative research between Kaiser Permanente and the Centers for Disease Control. A 1962 graduate of Johns Hopkins Medical School, Dr. Felitti is an internist who started as an infectious disease physician in 1968 at Kaiser Permanente in San Diego and then founded the Department of Preventive Medicine in 1975; he served as Chief of Preventive Medicine until 2001. Under Dr. Felitti’s leadership over the years, the Department provided comprehensive, biopsychosocial medical evaluation to assess the health risks and disease burden of over one million individual adults. Major health-risk abatement programs were developed for obesity, smoking, and stress, as well as, population-based screening for the genetic disease, Hemochromatosis. He is a Clinical Professor of Medicine at the University of California and a Fellow of The American College of Physicians. 

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