ORISE Fellow, Oak Ridge Institute for Science and Education, Oak Ridge, TN, USA.
Health Scientist, Centers for Disease Control and Prevention (CDC), Division of Adolescent and School Health, Atlanta, GA, USA.
Ann Epidemiol. 2024 Nov;99:32-40. doi: 10.1016/j.annepidem.2024.09.001. Epub 2024 Sep 23.
Data on adverse childhood experiences (ACEs) among teens is collected using a single informant, a parent-proxy, or teen self-report. Little is known about alignment between these approaches.
Surveys were administered online to teens ages 15-17 and their parents (n = 522 dyads) using the AmeriSpeak panel. We present descriptive statistics on the prevalence and measures agreement for 18 ACEs based on teen self-report and parent-proxy report. We fit multivariable models examining associations between teen and household demographic characteristics and discordance in ACE report.
Based on teen-self report and parent-proxy report, cumulative and individual ACE prevalence was overall similar. However, discordance was found in individual ACE reports within teen-parent dyads (discordance ranged: 2.9-21.2 %). Lowest agreement was among ACEs related to abuse, neglect, and violence victimization and highest among household challenges. Furthermore, parent-teen dyads with LGB+ youth (vs. heterosexual) and Black, Hispanic, and multiracial or another race (vs. White) youth were more likely to have discordant responses among several ACEs.
Surveillance and programmatic efforts should consider the type of ACE and the reporter when using data to inform prevention strategies. Teen self-report for abuse, neglect, and violence victimization and community challenges ACEs are particularly important to capture.
青少年的不良童年经历（ACE）数据是通过单一信息提供者（父母代理人）或青少年自我报告收集的。人们对这些方法的一致性知之甚少。
使用 AmeriSpeak 小组，对 15-17 岁的青少年及其父母（n=522 对）进行在线调查。我们根据青少年自我报告和父母代理报告，介绍了基于 18 种 ACE 的流行率和度量一致性的描述性统计数据。我们拟合了多变量模型，以检验青少年和家庭人口统计学特征与 ACE 报告不一致之间的关联。
基于青少年自我报告和父母代理报告，累积和个体 ACE 的流行率总体相似。然而，在青少年与父母的亲子对中，个体 ACE 的报告存在不一致（不一致范围：2.9-21.2%）。在与虐待、忽视和暴力受害有关的 ACE 中，一致性最低，在与家庭挑战有关的 ACE 中，一致性最高。此外，与异性恋青年（同性恋、双性恋和跨性别青年）相比，具有 LGB+青年的父母-青少年对和具有黑人、西班牙裔以及多种族或其他种族（与白人相比）的父母-青少年对，在几个 ACE 中更有可能出现不一致的反应。
监测和计划工作应该考虑 ACE 的类型和报告者，以便在使用数据为预防策略提供信息时加以考虑。对于虐待、忽视和暴力受害以及社区挑战 ACE 等 ACE 类型，青少年的自我报告尤为重要。
