Garrido Edward F, Weiler Lindsey M, Taussig Heather N
Kempe Center for the Prevention and Treatment of Child Abuse and Neglect, University of Colorado School of Medicine, 13123 E 16 Ave, B390, Aurora, CO 80045, United States of America.
Department of Family Social Science, University of Minnesota, 1985 Buford Ave #290, St Paul, MN 55108, United States of America.
J Early Adolesc. 2018 May;38(5):661-680. doi: 10.1177/0272431616687671. Epub 2017 Jan 12.
Adverse childhood experiences (ACEs) are associated with health-risk behaviors in general samples of adults and adolescents. The current study examined the association between ACEs and these behaviors among a high-risk sample of early adolescents. Five hundred and fifteen 9-11-year-old children placed in foster care due to maltreatment were interviewed about their engagement in violence, substance use, and delinquency. A multi-informant ACEs score was derived based on exposure to six adverse experiences. Regression analyses examined the relationship between ACEs and risk behaviors and the potential moderating effects of age, sex, and minority status. ACE scores were predictive of risk behaviors after controlling for age, sex, and minority status. Although males and older youth were more likely to engage in risk behaviors, none of the demographic characteristics moderated the ACE-risk behavior association. This study extends previous research by demonstrating an association between ACEs and risk behaviors in extremely vulnerable early adolescents.
童年不良经历（ACEs）与成年人和青少年一般样本中的健康风险行为相关。本研究调查了早期青少年高危样本中ACEs与这些行为之间的关联。对515名因受虐待而被安置在寄养机构的9至11岁儿童进行了访谈，了解他们参与暴力、药物使用和犯罪行为的情况。基于六种不良经历的暴露情况得出了一个多信息源的ACEs分数。回归分析检验了ACEs与风险行为之间的关系以及年龄、性别和少数族裔身份的潜在调节作用。在控制了年龄、性别和少数族裔身份后，ACE分数可预测风险行为。尽管男性和年龄较大的青少年更有可能参与风险行为，但没有任何人口统计学特征能够调节ACE与风险行为之间的关联。本研究通过证明ACEs与极易受伤害的早期青少年的风险行为之间的关联，扩展了先前的研究。
