Abstract : Background ACEs is a major health and social issue with its burden on children themselves and their families with all its negative impact later on the individual adulthood. It was confirmed by several studies that ACEs associated with multiple negative adulthood out comes such as chronic diseases, obesity, depression, anxiety, drug abuse and also suicide. The aim of the study is determining ACEs prevalence among children with ASDs and addressing the factors associated with its increased prevalence, thus further preventive strategies can be implemented and lead to more support to those vulnerable group of children and their families Methods It is cross-sectional study was conducted among 79 participants from different governmental and private pediatric clinics. questionnaire was conducted and validated questionnaire was used. We assessed health outcomes associated with the ACE scale. Psychosocial/behavioral outcomes had higher odds ratio than medical outcomes with increasing ACE scale scores Results: About 38% of participants reported that they had seen or heard one of their parents screaming, insulting, or humiliating someone at home many times, while 40% reported that the same issue occurred sometimes. Fifty two percent sometimes witnessed someone being beaten. Conclusions: Exposure to multiple ACEs is associated with a wide variety of outcomes. This data suggests a benefit of screening for ACEs using this scale and highlights the need to find interventions.

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