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dc.contributor.authorThompson, R.
dc.contributor.authorFlaherty, E.G.
dc.contributor.authorEnglish, D.J.
dc.contributor.authorLitrownik, A.J.
dc.contributor.authorDubowitz, H.
dc.contributor.authorKotch, J.B.
dc.contributor.authorRunyan, D.K.
dc.date.accessioned2020-02-07T21:22:35Z
dc.date.available2020-02-07T21:22:35Z
dc.date.issued2015
dc.identifier.urihttps://www.scopus.com/inward/record.uri?eid=2-s2.0-84940937179&doi=10.1016%2fj.acap.2014.09.010&partnerID=40&md5=8702ac24f6b9e0e03378176a3bf6e51c
dc.identifier.urihttp://hdl.handle.net/10713/11818
dc.description.abstractObjective 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.en_US
dc.description.urihttps://doi.org/10.1016/j.acap.2014.09.010en_US
dc.language.isoen_USen_US
dc.publisherElsevieren_US
dc.relation.ispartofAcademic Pediatrics
dc.subjectadolescent healthen_US
dc.subjectadverse childhood experiencesen_US
dc.subjectchild abuse and neglecten_US
dc.subjectchildhood adversitiesen_US
dc.subjectutilizationen_US
dc.titleTrajectories of Adverse Childhood Experiences and Self-Reported Health at Age 18en_US
dc.typeArticleen_US
dc.identifier.doi10.1016/j.acap.2014.09.010
dc.identifier.pmid25441654
dc.identifier.ispublishedYes
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