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    Trajectories of Adverse Childhood Experiences and Self-Reported Health at Age 18

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    Author
    Thompson, R.
    Flaherty, E.G.
    English, D.J.
    Litrownik, A.J.
    Dubowitz, H.
    Kotch, J.B.
    Runyan, D.K.
    Date
    2015
    Journal
    Academic Pediatrics
    Publisher
    Elsevier
    Type
    Article
    
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    See at
    https://doi.org/10.1016/j.acap.2014.09.010
    Abstract
    Objective Despite growing evidence of links between adverse childhood experiences (ACEs) and long-term health outcomes, there has been limited longitudinal investigation of such links in youth. The purpose of these analyses was to describe the patterns of exposure to ACEs over time and their links to youth health. Methods The current analyses used data from LONGSCAN, a prospective study of children at risk for or exposed to child maltreatment, who were followed from age 4 to age 18. The analyses focused on 802 youth with complete data. Cumulative exposure to ACEs between 4 and 16 was used to place participants in 3 trajectory-defined groups: chronic ACEs, early ACEs only, and limited ACEs. Links to self-reported health at age 18 were examined using linear mixed models after controlling for earlier health status and demographics. Results The chronic ACEs group had increased self-reported health concerns and use of medical care at 18 but not poorer self-rated health status. The early ACEs only group did not significantly differ from limited ACEs on outcomes. Conclusions In addition to other negative outcomes, chronic ACEs appear to affect physical health in emerging adulthood. Interventions aimed at reducing exposure to ACEs and early mitigation of their effects may have lasting and widespread health benefits. Copyright 2015 Academic Pediatric Association.
    Keyword
    adolescent health
    adverse childhood experiences
    child abuse and neglect
    childhood adversities
    utilization
    Identifier to cite or link to this item
    https://www.scopus.com/inward/record.uri?eid=2-s2.0-84940937179&doi=10.1016%2fj.acap.2014.09.010&partnerID=40&md5=8702ac24f6b9e0e03378176a3bf6e51c; http://hdl.handle.net/10713/11818
    ae974a485f413a2113503eed53cd6c53
    10.1016/j.acap.2014.09.010
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    Dr. Howard Dubowitz

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