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4. Felitti VJ et al, 1998, op. cit. (see reference 3); and Fergusson DM, Lynskey MT and Horwood LJ, 1996, op. cit. (see reference 3).
5. Felitti VJ et al, 1998, op. cit. (see reference 3).
8. Ibid.; Hillis SD et al., Adverse childhood experiences and sexually transmitted diseases in men and women, Pediatrics, 2000, 106(1):1-6; http://www.pediatrics.org/ cgi/content/full/106/1/e11; and Dietz PM et al., Unintended pregnancy among adult women exposed to abuse or household dysfunction during their childhood, Journal of the American Medical Association, 1999, 282(14): 1359-1364.
9. Hillis SD et al., 2000, op. cit. (see reference 8).
10. Dietz PM et al., 1999, op. cit. (see reference 8).
12. Felitti VJ et al, 1998, op. cit. (see reference 3); Hillis SD et al., 2000, op. cit. (see reference 8); and Dietz PM et al., 1999, op. cit. (see reference 8).
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14. Wyatt GE, The sexual abuse of Afro-American and White-American women in childhood, Child Abuse and Neglect, 1985, 9(4):507-519.
15. Felitti VJ et al, 1998, op. cit. (see reference 3).
16. Wyatt GE, 1985, op. cit. (see reference 14).
17. Schoenborn CA, Exposure to alcoholism in the family: United States, 1988, in Advance data from vital and health statistics: numbers 201-210, Vital and Health Statistics, Series 16, No. 21, 1995.
18. Kleinbaum DK, Kupper LL and Morgensern H, Epidemiologic Research , New York: Van Nostrand Reinhold, 1982, pp. 255-257.
19. Fleiss JL, Statistical Methods for Rates and Proportions , New York: John Wiley, 1981, pp. 143-146.
20. Felitti VJ et al, 1998, op. cit. (see reference 3); Hillis SD et al., 2000, op. cit. (see reference 8); and Dietz PM et al., 1999, op. cit. (see reference 8).
21. Goodson P, Evans A and Edmundson E, Female adolescents and onset of sexual intercourse: a theory-based review of research from 1984-1994, Journal of Adolescent Health, 1994, 21(3):147-156; and Haffner DW, Facing facts: sexual health for American adolescents , Journal of Adolescent Health, 1998, 22(6):453-459.
22. Santelli JS et al., Multiple sexual partners among U.S. adolescents and young adults, Family Planning Perspectives, 1998, 30(5):271-275; Warren CW et al., Age of initiating selected health-risk behaviors among high school students in the United States, Journal of Adolescent Health, 1997, 21(4):225-231; and Upchurch DM et al., Gender and ethnic differences in the timing of first sexual intercourse , Family Planning Perspectives, 1998, 30(3):121-127.
23. Hillis SD et al., 2000, op. cit. (see reference 8); and Dietz PM et al., 1999, op. cit. (see reference 8).
24. Strasburger VC and Donnerstein E, Children, adolescents and the media: issues and solutions, Pediatrics, 1999, 103(1):129-139; Cousins N, Head First: The Biology of Hope, New York: E. P. Dutton, 1989; Peterson C, Seligman ME and Vaillant GE, Pessimistic explanatory style is a risk factor for physical illness: a thirty-five year longitudinal study, Journal of Personality and Social Psychology, 1988, 55(1):23-27; Seligman ME, Learned Optimism, New York: Knopf, 1991; and Institute of Medicine, Conclusions and recommendations, in: Brown SS and Eisenberg L, eds., The Best Intentions: Unintended Pregnancy and the Well-Being of Children and Families, Washington, DC: National Academy Press, 1995, pp. 250-270.
25. Wyatt GE, 1985, op. cit. (see reference 14); and Wyatt GE and Peters SD, Issues in the definition of child sexual abuse in prevalence research, Child Abuse and Neglect, 1986, 10(2):231-240.
26. Centers for Disease Control and Prevention (CDC), Division of STD Prevention, Sexually transmitted disease surveillance 1997, Atlanta: CDC, 1998; Brunham RC and Plummer FA, A general model of sexually transmitted disease epidemiology and its implications for control, Medical Clinics of North America, 1990, 74(6):1339-1351; and Institute of Medicine, Prevention of STDs, in: Eng TR and Butler WT, 1997, op. cit. (see reference 1), pp. 118-174.
27. Institute of Medicine, Executive summary, in: Eng TR and Butler WT, 1997, op. cit. (see reference 1), pp. 1-18.
28. Olds DL et al., Long-term effects of home visitation on maternal life course and child abuse and neglect, Journal of the American Medical Association, 1997, 278(8): 637-643; and Olds DL et al., Preventing child abuse and neglect: a randomized trial of nurse home visitation, Pediatrics, 1986, 78(1):65-78.
Authors’ Affiliations.
Susan D. Hillis is a reproductive health epidemiologist and Robert F. Anda is a medical epidemiologist and co-principal investigator of the Adverse Childhood Experiences Study, in the National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention (CDC), Atlanta. Vincent J. Felitti is director of the Department of Preventive Medicine, Southern California Permanente Medical Group (Kaiser Permanente), San Diego, and is co-principal investigator of the Adverse Childhood Experiences Study. Polly A. Marchbanks is a reproductive health epidemiologist in the National Center for Chronic Disease Prevention and Health Promotion, CDC, Atlanta. The Adverse Childhood Experiences Study was funded by cooperative agreement #TS-44-10/11 between the CDC and the Association of Teachers of Preventive Medicine.

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