McKenna F Parnes1, Sarah E O Schwartz2. 1. Suffolk University, Department of Psychology, 73 Tremont St, Boston, MA 02108, United States of America; University of Washington, Department of Psychiatry and Behavioral Sciences, 1959 NE Pacific St, Seattle, WA 98195, United States of America; Seattle Children's Hospital, Department of Psychiatry and Behavioral Medicine, 4800 Sand Point Way NE, Seattle, WA 98105, United States of America. Electronic address: mparnes@su.suffolk.edu. 2. Suffolk University, Department of Psychology, 73 Tremont St, Boston, MA 02108, United States of America.
Abstract
BACKGROUND: Adverse childhood experiences (ACEs) are a public health crisis, affecting nearly half of children in the United States. Long-term effects of ACEs on psychological well-being, engagement in risk behaviors, and physical health have been observed. Moreover, many individuals exposed to ACEs are also affected by an accumulation of stressors due to broader structural inequities. OBJECTIVE: The current study examined heterogeneity in patterns of ACEs, explored how these patterns varied based on race/ethnicity, biological sex, and socioeconomic status, and assessed how ACE patterns were associated with physical health, mental health, and risk-related outcomes in adulthood. PARTICIPANTS: Drawing on the Add Health dataset, survey data from Waves I, III, IV (n = 12,288) were analyzed. Mean age of participants was 28.3 (SD = 1.9), more than half were female (54.4%), and a little less than half identified as youth of color (46.7%). METHOD: Multigroup latent class analysis explored heterogeneity in ACE exposure and variations based on structural inequities. Latent class regression assessed associations between ACE classes and outcomes. RESULTS: A four-class solution was identified. Class sizes and latent structures differed by biological sex. Among males and females, the low adversity class had more positive physical health, mental health, and risk-related outcomes compared to all classes, while the childhood maltreatment and high adversity/community violence classes engaged in more risk-related behaviors. Very small to medium effects were observed. CONCLUSION: Findings highlight the importance of examining heterogeneity in ACE exposure, and how patterns of ACEs may differentially affect outcomes in adulthood.
BACKGROUND: Adverse childhood experiences (ACEs) are a public health crisis, affecting nearly half of children in the United States. Long-term effects of ACEs on psychological well-being, engagement in risk behaviors, and physical health have been observed. Moreover, many individuals exposed to ACEs are also affected by an accumulation of stressors due to broader structural inequities. OBJECTIVE: The current study examined heterogeneity in patterns of ACEs, explored how these patterns varied based on race/ethnicity, biological sex, and socioeconomic status, and assessed how ACE patterns were associated with physical health, mental health, and risk-related outcomes in adulthood. PARTICIPANTS: Drawing on the Add Health dataset, survey data from Waves I, III, IV (n = 12,288) were analyzed. Mean age of participants was 28.3 (SD = 1.9), more than half were female (54.4%), and a little less than half identified as youth of color (46.7%). METHOD: Multigroup latent class analysis explored heterogeneity in ACE exposure and variations based on structural inequities. Latent class regression assessed associations between ACE classes and outcomes. RESULTS: A four-class solution was identified. Class sizes and latent structures differed by biological sex. Among males and females, the low adversity class had more positive physical health, mental health, and risk-related outcomes compared to all classes, while the childhood maltreatment and high adversity/community violence classes engaged in more risk-related behaviors. Very small to medium effects were observed. CONCLUSION: Findings highlight the importance of examining heterogeneity in ACE exposure, and how patterns of ACEs may differentially affect outcomes in adulthood.
Authors: Natalie Slopen; Eric B Loucks; Allison A Appleton; Ichiro Kawachi; Laura D Kubzansky; Amy L Non; Stephen Buka; Stephen E Gilman Journal: Psychoneuroendocrinology Date: 2014-10-25 Impact factor: 4.905