Creating a Policy Context for Combating Adverse Childhood Experiences and Improving Maternal Health in Texas




Kara, Maheen

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This study includes a detailed overview of the trends of adverse childhood experiences (ACEs) in the context of the intergenerational effect between motherhood and parenthood and its impact on maternal health. The frameworks outlined provide multiple theories and models for how ACEs affect an individual short and long term. I specifically look at Texas in comparison to the national level of ACEs, social determinants of health, maternal outcomes, and associated variables through a descriptive and empirical analysis of the America’s Health Rankings dataset. For further analysis of state-to-state comparison, I look at Medicaid and health policies from the top four healthiest states for women’s and children’s health and compare those findings to Texas. To conclude, I offer a multifaceted approach to mitigating the negative effects of ACEs on maternal health outcomes by recommending a proactive and reactive approach in state policies. Overall, maternal health and ACEs cannot be neglected as it is an intergenerational cycle, and Texas needs to make changes to its state policy to improve the status quo for mothers and children.



Maternal Health, Adverse Childhood Experiences (ACEs), State Healthcare Policy