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The Hidden Cost: How Adverse Childhood Experiences Impact Health and Prosperity

Emmanuel Gebreyes

Medicine

2nd

2nd

anastasia nairne.jpg

Abstract

Adverse Childhood Experiences (ACEs) encompasses all abuse, neglect and trauma experienced through the formative years of childhood, a phenomenon we know all too much about, with 70% of adult Scots having experience of at least one ACE (Scottish Government, 2019). According to this study, ACEs reduce academic attainment, prosperity and increase prevalence of health-related issues such as heart disease, smoking and depression. In addition, these adversities can often contribute to social and behavioural issues which can exacerbate health issues previously mentioned.
This research explores the two-fold effect of ACEs on an individual and societal scale. It discusses factors that influence ACE development such as, generational parallels and deprivation with their diverse effects in social relationships and health outcomes. This research combines a review of current ACEs research supplemented by a potent commentary of Miss X’s upbring whose individual experience provides an anecdotal perspective of adversities through childhood.
Miss X has experienced more episodes of trauma than most of the Scottish population but achieved attainment unheard of from her family, entering university and living independently with limited health issues. This research examines both the preventative and remedial methods of public health intervention as well as the compelling “resilience” factor allowed Miss X to overcome her adversities exemplifying Miss X's extraordinary journey.

Bio

Emmanuel Alemayehu Gebreyes, 19, is a 2nd year medical student at the University of Glasgow. Although early in his medical career, child and public health has stood out as an area of keen interest. Therefore, exploring the Scottish population’s health and how it can be affected during childhood provided an ideal topic for his essay that won the 2024 Yorkhill Essay Prize in his first year of the course.
Growing up in the diverse south of Glasgow he has undertaken many volunteering roles; from raising 200+ kits for an Ethiopian football club to being part of the Young People’s Sport Panel for sportscotland to racism activism featuring on STV news at six. The diversity of his background (born to first-generation Ethiopians) and experiences have developed his compassion and understanding of other’s adversities leading to his knowledge and interest in public health.

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