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The Impact of Early Childhood Adversity on Self-Care in Adulthood

This article gives an overview of how Adverse Childhood Experiences (ACE) influence self-management and control of type 2 diabetes in later life. This qualitative multiple case study focused on 20 adults with a history of adverse childhood experiences and type-2 diabetes at two clinical sites in Harlem and the Bronx. In addition to discovering that emotional and physical neglect; physical abuse and separation of a family member(s) were the most common forms of adverse childhood experiences encountered by this group of participants, it became clear from these interviews that participants fell into 3 groups, the Proactive, the Debilitated, and the Deniers. Poignant participant stories are given to reflect each group. A Trauma Informed Primary Care (TIPC) model is discussed as a guideline for healthcare providers to help them work and advocating for this patient population.


Debra Geiger

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