Childhood trauma doesn’t end in childhood. Its imprint is often carried into adulthood, silently shaping health behaviors and outcomes across the lifespan. In this Grand Rounds, Dr. Nancy Downing will present compelling data from two population-based studies conducted in Texas using Behavioral Risk Factor Surveillance System (BRFSS) survey data. The first study reveals striking associations between exposure to adverse childhood experiences (ACEs) and missed cervical cancer screenings, emphasizing how trauma histories may create hidden barriers to preventive care. The second study explores the long shadow of childhood sexual abuse (CSA), detailing its independent and significant impact on adult health-related quality of life (HRQoL), including mental and physical well-being and functional limitations. Together, these studies illuminate the urgent need to integrate trauma-informed care into everyday health practice and public health strategy. Attendees will leave with a deeper understanding of how early adversity influences adult health behavior and why recognizing trauma histories in clinical encounters is not just compassionate — it’s essential for closing health equity gaps.

Objectives:

1. Identify the prevalence of adverse childhood experiences (ACEs) in Texas and their impact on adult health

2. Integrate universal trauma-informed practices to promote optimal health outcomes and prevent re-traumatization