Racial and ethnic differences have been observed across patterns of substance use and exposure to adverse childhood experiences (ACEs). The goal of this review was to summarize the current evidence on ACE and health outcomes across racial and ethnic groups in the United States. A scoping review of the literature following the Preferred Reporting Items for Systematic Reviews and Meta- Analysis for Scoping Review (PRISMA-ScR) guideline was performed. Using predetermined search terms and parameters, an electronic database search of peer-reviewed literature between 1997 and 2022 was performed. Forty-five articles met the inclusion and exclusion criteria. Thirteen articles focused on health behavior and education outcomes, fifteen reported on physical health outcomes, and eighteen reported on mental health outcomes. Relatively to mental health outcomes, race/ethnicity appeared to play a less significant role in the relationship between ACE and behavioral outcomes or physical health outcomes. There was stronger evidence that race/ethnicity may moderate relationships between ACE exposure and mental health outcomes. Across health behavior, physical health, and mental health domains, the evidence suggests that the relationship between ACE exposure and health outcomes is not uniform across different racial and ethnic groups. These findings highlight the need for future research to uncover how cultural, societal, and developmental factors interact to shape health in the context following exposure to childhood adversity.

中文翻译：

---

童年不良经历和健康相关结果的种族/民族差异：范围审查


在物质使用模式和不良童年经历 （ACE） 暴露方面观察到种族和民族差异。本综述的目的是总结美国不同种族和族裔群体的 ACE 和健康结局的当前证据。按照系统评价和范围审查荟萃分析 （PRISMA-ScR） 指南对文献进行了范围综述。使用预先确定的检索词和参数，对 1997 年至 2022 年间的同行评审文献进行了电子数据库检索。45 篇文章符合纳入和排除标准。13 篇文章侧重于健康行为和教育结果，15 篇报告了身体健康结果，18 篇报告了心理健康结果。相对于心理健康结果，种族/民族在 ACE 与行为结果或身体健康结果之间的关系中似乎起着不太重要的作用。有更有力的证据表明，种族/族裔可能会调节 ACE 暴露与心理健康结果之间的关系。在健康行为、身体健康和心理健康领域，证据表明 ACE 暴露与健康结果之间的关系在不同种族和民族群体中并不统一。这些发现凸显了未来研究的必要性，以揭示文化、社会和发展因素如何在童年逆境后相互作用以塑造健康。