Adverse childhood experiences and traumatic brain injury among adolescents: findings from the 2016-2018 National Survey of Children's Health
Adverse childhood experiences and traumatic brain injury among adolescents: findings from the 2016-2018 National Survey of Children's Health
复制标题
DOI：
10.1007/s00787-020-01687-1
复制
发表时间：
2021-01-02
影响因子：
6.4
通讯作者：
Testa, Alexander
中科院分区：
文献类型：
--
作者：
Jackson, Dylan B.;Posick, Chad;Testa, Alexander
不良童年经历 (ACE) 是青少年面临的一个重大公共卫生问题。然而，在 ACE 和健康结果文献中，创伤性脑损伤 (TBI) 几乎完全被忽视，这些文献主要关注 ACE 对心理和行为健康的重大影响。当前研究的目标是在美国青少年的全国代表性样本中检验 ACE 和 TBI 之间的关联，以及 ADHD 和行为问题在多大程度上影响这种关联。为了评估这种关系，我们使用了美国 42,204 名青少年（12-17 岁）的样本，他们的照顾者在国家儿童健康调查 (NSCH) 的最近三个队列（2016-2018 年）中接受了调查。结果揭示了 ACE 和 TBI 之间的剂量反应关系，即使在考虑了一系列混杂变量之后也是如此。 Findings also indicated that associations were of a greater magnitude among youth who are not sports-involved. Supplemental mediation analyses showed that ADHD and conduct problems attenuated associations between ACE exposure and TBI, but only in the absence of youth sports involvement.鉴于 ACE 和 TBI 都会对健康和福祉产生长期影响，本研究的结果提请人们注意早期干预和预防规划（例如家访）的必要性，以减少青少年中 ACE 的患病率和 TBI 病史。
Exposure to adverse childhood experiences (ACEs) is a significant public health issue for youth. However, traumatic brain injury (TBI) has been almost entirely overlooked in the ACEs and health outcomes literature, which has largely focused on the significant mental and behavioral health impact of ACEs. The goal the current study is to examine the association between ACEs and TBI among a nationally representative sample of adolescents in the United States and the extent to which ADHD and conduct problems inform this association. To assess this relationship, we use a sample of 42,204 adolescents (ages 12-17 years) in the United States whose caregivers were surveyed during the three most recent cohorts (2016-2018) of the National Survey of Children's Health (NSCH). The results revealed a dose-response relationship between ACEs and TBI, even after accounting for an array of confounding variables. Findings also indicated that associations were of a greater magnitude among youth who are not sports-involved. Supplemental mediation analyses showed that ADHD and conduct problems attenuated associations between ACE exposure and TBI, but only in the absence of youth sports involvement. Given that both ACEs and TBI carry long-term consequences for health and well-being, the findings from this study draw attention to the need for early intervention and prevention programming (e.g. home visiting) that can reduce the prevalence of ACEs and a history of TBI among adolescents.