Ratcliff Shawn, Finlay Keith, Papp Jordan, Kearns Megan C, Niolon Phyllis Holditch, Peterson Cora
Shawn Ratcliff (
Keith Finlay, Census Bureau, Washington, D.C.
Health Aff (Millwood). 2025 Jan;44(1):108-116. doi: 10.1377/hlthaff.2024.00827.
More than 60 percent of US adults report that they had adverse childhood experiences (ACEs). For this study of 930,000 children born during the period 1999-2003, we used linked administrative, survey, and criminal justice data to measure the association between ACEs (parental death; separation; incarceration; or criminal charge for intimate partner violence, substance use disorder, or child sexual or nonsexual abuse) and socioeconomic disadvantages at ages 18-22 during 2017-21. After childhood socioeconomic status was controlled for, young adults with ACEs were more likely to have been charged with felonies, have become teenage parents, live in a household with poverty or housing assistance, be enrolled in Medicaid, and be employed, and were less likely to be enrolled in an educational institution. These outcomes were most likely among young adults with multiple ACEs or lower childhood socioeconomic status. Using new linked data opportunities, this study provides large-scale, person-level longitudinal evidence of the long-lasting and substantial societal cost of ACEs.
超过60%的美国成年人表示他们童年有过不良经历(ACEs)。在这项针对1999年至2003年期间出生的93万名儿童的研究中,我们使用了行政、调查和刑事司法关联数据,以衡量ACEs(父母死亡、分居、监禁;或因亲密伴侣暴力、物质使用障碍、儿童性虐待或非性虐待而被刑事指控)与2017年至2021年期间18至22岁时的社会经济劣势之间的关联。在控制了童年社会经济地位之后,有ACEs经历的年轻人更有可能被指控犯重罪、成为青少年父母、生活在接受贫困或住房援助的家庭中、参加医疗补助计划并就业,而进入教育机构就读的可能性较小。这些结果在有多种ACEs经历或童年社会经济地位较低的年轻人中最为常见。利用新的关联数据机会,本研究提供了大规模、个人层面的纵向证据,证明了ACEs带来的长期且巨大的社会成本。