The impact of adverse childhood experiences on adolescent health risk indicators in a community sample.
The impact of adverse childhood experiences on adolescent health risk indicators in a community sample.
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DOI：
10.1037/tra0001004
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发表时间：
2021-03
期刊：
影响因子：
--
通讯作者：
Berbary C
中科院分区：
文献类型：
--
作者：
Meeker EC;O'Connor BC;Kelly LM;Hodgeman DD;Scheel-Jones AH;Berbary C
尽管越来越多的人认识到，在社区样本的青少年不良童年经历（ACE）的高患病率，很少有工作研究ACE对青春期和幸福的影响，在这个关键的发展时期。许多研究都集中在成人和成人身心健康的ACE的回顾性报告，发现ACE有助于成年期的一系列疾病和心理健康障碍。本研究探讨了自我报告的心理健康，非自杀性自伤，自杀，暴力和物质使用之间的差异青少年没有自我报告的ACE的历史，青年与一个自我报告的ACE，和青年与自我报告的多个（2个或更多）ACE。样本包括1,532名在当地高中完成青少年危险行为监测调查的青少年。根据当地的共识，这项全国性调查增加了11种常见ACE患病率的问题。在控制了年龄、性别和种族后，患有多种ACE的年轻人报告了3到15倍的一系列负面健康经历的几率。研究结果表明，ACE对青少年的社会情感幸福感的严重负担。这项研究不包括校外安置的青年或调查当天不在场的青年，因此代表了可能从普遍预防和干预方案中受益的青年。ACE和健康相关结果的普遍筛查表明，报告多种ACE与广泛的精神健康，暴力和药物使用史密切相关。
Despite growing awareness of the high prevalence of adverse childhood experiences (ACEs) in community samples of adolescents, little work has examined the impact of ACEs on adolescence and well-being during this critical period of development. Much research has focused on retrospective reports of ACEs by adults and adult physical and mental health, finding that ACEs contribute to a range of diseases and mental health disorders in adulthood. This study examined differences in self-reported mental health, non-suicidal self-injury, suicidality, violence, and substance use between adolescents without self-reported history of ACEs, youth with one self-reported ACE, and youth with self-reported multiple (2 or more) ACEs. The sample included 1,532 adolescents who completed the Youth Risk Behavior Surveillance Survey in their local high schools. By local consensus, this national survey was augmented with questions exploring prevalence of 11 commonly identified ACEs. After controlling for age, gender, and race, youth with multiple ACEs reported 3 to 15 times the odds of a range of negative health experiences. Findings indicate a serious burden of ACEs on adolescent social emotional well-being. This study did not include youth in out of school placements or who were not present the day the survey was given, and thus represent youth who may benefit from universal prevention and intervention programs. Universal screening of ACEs and health-related outcomes suggests that reporting multiple ACEs is strongly related to a wide range of mental health, violence, and substance use histories.
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