{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,27]],"date-time":"2026-09-27T11:34:56Z","timestamp":1790508896358,"version":"4.1.0"},"reference-count":154,"publisher":"MDPI AG","issue":"11","license":[{"start":{"date-parts":[[2025,11,19]],"date-time":"2025-11-19T00:00:00Z","timestamp":1763510400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"Scott Lilienfeld Scholarship, Injury Prevention Research Center at Emory"},{"name":"National Center for Injury Prevention and Control, Centers for Disease Control and Prevention","award":["R01CE003604"],"award-info":[{"award-number":["R01CE003604"]}]},{"DOI":"10.13039\/100000026","name":"National Institute of Drug Abuse","doi-asserted-by":"crossref","award":["T32DA050552"],"award-info":[{"award-number":["T32DA050552"]}],"id":[{"id":"10.13039\/100000026","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["IJERPH"],"abstract":"<jats:p>We examine access to U.S. welfare programs\u2014Temporary Assistance for Needy Families (TANF) and Supplemental Nutrition Assistance Program (SNAP)\u2014as primary prevention strategies against adverse childhood experiences (ACEs). Using the University of Kentucky\u2019s National Welfare Data and National Survey of Children\u2019s Health (2016\u20132022), we estimate two-way fixed effects models linking state-level access rates to child-level ACE incidence. TANF access predicts reduced parental mental illness (fully adjusted \u03b2 = \u22125.40, 95% CI: \u22128.80, \u22122.00), and parental incarceration in the model adjusted for state-level factors (\u03b2 = \u22124.44, 95% CI: \u22128.84, \u22120.05), though the latter attenuates with child-level covariate adjustment. Unexpectedly, SNAP access correlates with slight increases in neighborhood violence exposure (fully adjusted \u03b2 = 0.95, 95% CI: 0.39, 1.51) and parental substance use (crude \u03b2 = 0.48, 95% CI: 0.04, 0.93) in crude models. Robustness checks show greater TANF access is associated with fewer total ACEs (\u03b2 = \u22120.27, 95% CI: \u22120.46, \u22120.07). Results suggest that welfare programs hinge on broader social contexts; TANF access appears protective, while SNAP findings diverge from prior research, likely reflecting measurement or contextual limitations that merit careful further investigation, rather than overinterpretations of program harm.<\/jats:p>","DOI":"10.3390\/ijerph22111750","type":"journal-article","created":{"date-parts":[[2025,11,19]],"date-time":"2025-11-19T10:02:13Z","timestamp":1763546533000},"page":"1750","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Safety Net Programs as Primary Prevention Against Adverse Childhood Experiences (ACEs) in the United States: Natural Experiments with Temporary Assistance for Needy Families (TANF) and Supplemental Nutrition Assistance Program (SNAP)"],"prefix":"10.3390","volume":"22","author":[{"given":"Tasfia","family":"Jahangir","sequence":"first","affiliation":[{"name":"Department of Behavioral, Social, and Health Education Sciences, Rollins School of Public Health, Emory University, Atlanta, GA 30322, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Briana","family":"Woods-Jaeger","sequence":"additional","affiliation":[{"name":"Department of Behavioral, Social, and Health Education Sciences, Rollins School of Public Health, Emory University, Atlanta, GA 30322, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7893-9558","authenticated-orcid":false,"given":"Kelli A.","family":"Komro","sequence":"additional","affiliation":[{"name":"Department of Behavioral, Social, and Health Education Sciences, Rollins School of Public Health, Emory University, Atlanta, GA 30322, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Melvin D.","family":"Livingston","sequence":"additional","affiliation":[{"name":"Department of Behavioral, Social, and Health Education Sciences, Rollins School of Public Health, Emory University, Atlanta, GA 30322, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2025,11,19]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"1087","DOI":"10.1136\/jech-2019-212738","article-title":"Relationship between childhood socioeconomic position and adverse childhood experiences (ACEs): A systematic review","volume":"73","author":"Walsh","year":"2019","journal-title":"J. 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