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The Adverse Childhood Experiences (ACE) Awareness Foundation informs the community about the role of emotional trauma in mental, physical, and behavioral health, andimplements innovativemodels that providepreventable and sustainable solutions to reducing toxic stress in family systems . View our brochure (PDF)

Founded in 2016, the Foundation administers the ACE Task Force of Shelby County and the Universal Parenting Places (UPP) . The Foundation is also pioneering ACE curriculum development with the University of Memphis, is leading the county’s first ACE Aware Community Partnership Initiative training program, and was the catalyst for the State of Tennessee’s “Building Strong Brains” initiative.

The actions of the Foundationare in strategic response to science proving that “ toxic stress ” caused by chronic exposure to traumatic events inchildhoodis at the root of many pooradultoutcomes.

toxic stress

At the heart of this research is the groundbreaking “ ACE Study ,” conducted by Drs. Vince Fellitti and Robert F. Anda from 1995 to 1997, which shows that traumatic childhood experiences literally change the composition of the brain, often resulting in violence, aggression, addiction, depression, and chronic diseases.

The study was the largest investigation ever conducted to assess associations between childhood maltreatment and later-life health and well-being. It offers proof that traumatic events and their associated outcomes may affect anyone — regardless of socioeconomic status, ethnicity, educational attainment and other factors.

In Tennessee, social service models receive more than $800 million in taxpayer funds each year, mostly supporting reactionary interventions, with modest results. Even in the face of scientific evidence to the contrary, government dollars are rarely utilized to fund preventive social service models.

government dollars are rarely utilized to fund preventive social service models.

In Memphis, the Foundationsought to measure the prevalence and impact of toxic stress on the health and well-being of their community, and commissioned its own ACE Study in Shelby County in 2014.

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among 1,500 Shelby County residents surveyed were notable, including that 52% experienced at least one adverse childhood experience. Moreover, surveyed adults of all races and ethnicities reported having experienced these early childhood traumas.

Armed with national and local data, and an appreciation that parents are the key to preventing many adverse childhood experiences, our ACE Task Force proposed a long-term, preventive and sustainable approach that reaches ALL families through Womens Lexi Thong String Lepel Factory Outlet Cheap Online Wx2wG
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Table 3.

Univariate Analysis of Epidemiologic Risk Factors of Oral Alpha-, Beta-, and Gamma-HPV Infections

Study participants were asked to fill in a structured questionnaire to provide information on a voluntary basis, and were reassured that the information would not be linked to their personal identifiers. Questions left blank were regarded as missing for the purposes of analysis in this study.

Abbreviations: HPV, human papillomavirus; OR, odds ratio.

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Table 3.

Univariate Analysis of Epidemiologic Risk Factors of Oral Alpha-, Beta-, and Gamma-HPV Infections

Study participants were asked to fill in a structured questionnaire to provide information on a voluntary basis, and were reassured that the information would not be linked to their personal identifiers. Questions left blank were regarded as missing for the purposes of analysis in this study.

Abbreviations: HPV, human papillomavirus; OR, odds ratio.

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Figure 3.
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Epidemiologic characteristics and risk of oral infection with alpha, beta, and gamma- human papillomavirus (HPV). The central symbols represent crude odds ratio and the lines indicate the 95% confidential interval from univariate analysis.

Figure 3.
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Epidemiologic characteristics and risk of oral infection with alpha, beta, and gamma- human papillomavirus (HPV). The central symbols represent crude odds ratio and the lines indicate the 95% confidential interval from univariate analysis.

A habit of teeth brushing before sleeping for more than 90% of the time was protective against beta-HPV (cOR 0.64, 95% CI, 0.46–0.90) and gamma-HPV (cOR 0.52, 95% CI, 0.28–0.97) infections. Subjects with dentures at the time of survey were associated with a marginal increase in the risk of beta-HPV (cOR 1.49, 95% CI, 1.02–2.18), but not alpha- or gamma-HPV infection.

Characteristics with a P value of ≤ 0·2 on univariate analysis were entered into a multivariate regression analysis to identify independent associations. Because cigarette smoking and alcohol drinking are highly correlated, they were entered independently into the multivariate regression analysis, and not simultaneously. Similarly, sexual behavior, including oral sex, number of sexual partners in the past 2 years, and lifetime partners, were entered separately into the multivariate regression analysis and not together. As a result, ex-/current smokers (adjusted odds ratio [aOR] 2.18, 95% CI, 1.08–4.41), ex-/current drinkers (aOR 2.33, 95% CI, 1.18–4.61), a positive history of oral sex in the past 2 years (aOR 2.24, 95% CI, 1.13–4.41), 2 or more sexual partners in the past 2 years (aOR 3.21, 95% CI, 1.41–7.31), and 4 or more lifetime sexual partners (aOR 2.91, 95% CI, 1.34–6.31) were found to be independently associated with an increased risk of oral alpha-HPV infection. Male gender (aOR 1.45, 95% CI, 1.04–2.03) and age ≥ 55 years (aOR 1.78, 95% CI, 1.28–2.47) were independent risk factors, whereas teeth brushing before sleep on > 90% of evenings was an independent protective factor (aOR 0.68, 95% CI, 0.48–0.96) for oral beta-HPV infection. Male gender was the only independent risk factor observed for gamma-HPV infection (aOR 2.27, 95% CI, 1.18–4.38).

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