Department of Population, Family, and Reproductive Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland.
University of Illinois Chicago, Chicago, Illinois.
Pediatrics. 2022 Oct 1;150(4). doi: 10.1542/peds.2021-055889.
Adverse childhood experiences (ACEs) are prevalent in the population and yield several adverse consequences for child health and development as they accumulate. The objective of the current study is to examine the association between ACEs and adolescent police contact using a national, longitudinal study of adolescents born in the United Kingdom.
Data come from a sample of 11 313 adolescents who participated in the UK Millennium Cohort Study (MCS), which is a national, longitudinal study of adolescents born in the United Kingdom between 2000 and 2002. Accumulating ACEs were measured at ages 5 and 7 years and reports of police contact were measured at age 14 years, including being stopped and questioned, warned/cautioned, and arrested.
Accumulating ACEs at ages 5 and 7 years are associated with a significant increase in the odds of experiencing police stops by age 14 years, with 3 or more ACEs corresponding to a 100% increase in the odds of police stops. Additional analyses reveal that behavioral health factors at age 11 years explain 58.5% to 78.1% of the association between ACEs and adolescent police stops, with externalizing behavior explaining the largest portion of the association. Finally, accumulating ACEs were most relevant to being warned/cautioned or arrested by police.
A history of accumulating ACEs during early childhood elevates the likelihood of police contact by age 14 years, in part by undermining behavioral health. Findings highlight the potential for early interventions in the lives of ACE-exposed adolescents to curtail justice system involvement.
童年逆境经历(ACEs)在人群中普遍存在,随着其积累,会对儿童健康和发展产生多种不良后果。本研究的目的是使用英国一项青少年的全国性纵向研究来检验 ACEs 与青少年被警察接触之间的关联。
数据来自于参加英国千禧年队列研究(MCS)的 11313 名青少年样本,该研究是一项对 2000 年至 2002 年期间在英国出生的青少年进行的全国性纵向研究。在 5 岁和 7 岁时测量累积 ACEs,在 14 岁时测量被警察接触的报告,包括被拦截和询问、警告/告诫和逮捕。
在 5 岁和 7 岁时累积 ACEs 与在 14 岁时经历警察拦截的几率显著增加相关,有 3 个或更多 ACEs 对应警察拦截几率增加 100%。进一步的分析表明,11 岁时的行为健康因素解释了 ACEs 与青少年警察拦截之间关联的 58.5%至 78.1%,其中外化行为解释了关联的最大部分。最后,累积 ACEs 与被警告/告诫或逮捕的关联性最大。
在幼儿时期经历 ACEs 的历史会增加 14 岁时被警察接触的可能性,部分原因是行为健康受到损害。研究结果突出了对 ACE 暴露的青少年进行早期干预的潜力,以遏制他们卷入司法系统。