Division of Primary Care, Department of Pediatrics, Duke University Medical Center, Civitan Building #num; 138, 2213 Elba Street, Durham, NC, 27705, USA.
J Sch Health. 2020 Aug;90(8):618-629. doi: 10.1111/josh.12910. Epub 2020 Jun 17.
Adverse childhood experiences (ACEs) may be particularly impactful for the learning environment. The purpose of this study was to examine relationships between ACEs and 3 education-related outcomes, no plan to graduate, past month unexcused absences, and low academic achievement, outcomes linked to poor prospects for future social status attainment and by extension, health.
Data are from 9th and 11th grade participants in the 2016 Minnesota Student Survey (N = 81,885). Logistic regression was used to determine if individual and cumulative measures for 10 types of ACEs were significantly associated with education-related outcomes in analytic models adjusting for demographic and individual factors. Final analytic models tested for moderation of relationships between ACEs and adverse education outcomes by student school connection. Analyses were stratified by sex.
Multiple types of ACEs were significantly associated with each adverse education outcome. Relationships between some types of ACEs and education outcomes were marginally attenuated by school connection.
Among high school students, experiences of adversity were significantly associated with scholastic outcomes that portend limited prospects for health and status attainment in adulthood. Strategies for strengthening student school connection may be relevant for supporting youth resilience, and the potential for better stability in adulthood.
不良的童年经历（ACEs）可能对学习环境产生特别大的影响。本研究的目的是检验 ACEs 与 3 种与教育相关的结果之间的关系，即没有毕业计划、过去一个月无故缺勤和学业成绩低，这些结果与未来社会地位获得的前景不佳有关，进而与健康有关。
数据来自 2016 年明尼苏达州学生调查的 9 年级和 11 年级参与者（N=81885）。使用逻辑回归来确定在分析模型中，调整人口统计学和个体因素后，10 种 ACEs 的个体和累积指标是否与教育相关结果显著相关。最终的分析模型测试了学生学校联系对 ACEs 与不良教育结果之间关系的调节作用。分析按性别分层。
多种类型的 ACEs 与每种不良教育结果显著相关。一些类型的 ACEs 与教育结果之间的关系，通过学校联系而略有减弱。
在高中生中，逆境经历与学业成绩显著相关，这些成绩预示着成年后健康和地位获得的前景有限。加强学生学校联系的策略可能与支持青年的适应力有关，并有可能在成年后更稳定。
