Department of Epidemiology, Mailman School of Public Health and
Department of Anesthesiology, Vagelos College of Physicians and Surgeons, Columbia University, New York, New York; and.
Pediatrics. 2021 Jan;147(1). doi: 10.1542/peds.2020-021030. Epub 2020 Dec 16.
Given the wide-ranging health impacts of justice system involvement, we examined evidence for the association between adverse childhood experiences (ACEs) and justice system contact in the United States.
To synthesize epidemiological evidence for the association between ACEs and justice system contact.
We searched 5 databases for studies conducted through January 2020. The search term used for each database was as follows: ("aces" OR "childhood adversities") AND ("delinquency" OR "crime" OR "juvenile" OR criminal* OR offend*).
We included all observational studies assessing the association between ACEs and justice system contact conducted in the United States.
Data extracted from each eligible study included information about the study design, study population, sample size, exposure and outcome measures, and key findings. Study quality was assessed by using the Newcastle-Ottawa Scale for nonrandomized trials.
In total, 10 of 11 studies reviewed were conducted in juvenile population groups. Elevated ACE scores were associated with increased risk of juvenile justice system contact. Estimates of the adjusted odds ratio of justice system contact per 1-point increase in ACE score ranged from 0.91 to 1.68. Results were consistent across multiple types of justice system contact and across geographic regions.
Most studies reviewed were conducted in juvenile justice-involved populations with follow-up limited to adolescence or early adulthood.
ACEs are positively associated with juvenile justice system contact in a dose-response fashion. ACE prevention programs may help reduce juvenile justice system contacts and improve child and adolescent health.
鉴于司法系统介入对健康的广泛影响，我们研究了美国不良童年经历（ACEs）与司法系统接触之间的关联证据。
综合 ACEs 与司法系统接触之间关联的流行病学证据。
我们通过 2020 年 1 月对 5 个数据库进行了检索。每个数据库使用的搜索词如下：（“aces”或“childhood adversities”）和（“delinquency”或“crime”或“juvenile”或 criminal* 或 offend*）。
我们纳入了所有在美国评估 ACEs 与司法系统接触之间关联的观察性研究。
从每项合格研究中提取的数据包括研究设计、研究人群、样本量、暴露和结局测量以及主要发现的信息。使用纽卡斯尔-渥太华量表（Newcastle-Ottawa Scale）对非随机试验进行了研究质量评估。
共审查了 11 项研究中的 10 项，这些研究均在青少年人群中进行。较高的 ACE 评分与增加青少年司法系统接触的风险相关。ACE 评分每增加 1 分，司法系统接触的调整后优势比估计值在 0.91 到 1.68 之间。结果在多种类型的司法系统接触和地理区域中均一致。
大多数审查的研究都是在涉及青少年司法的人群中进行的，随访仅限于青少年或成年早期。
ACEs 与青少年司法系统接触呈正相关，呈剂量反应关系。ACE 预防计划可能有助于减少青少年司法系统的接触，并改善儿童和青少年的健康。
