Associations Between Adverse Childhood Experiences, Adolescent Behavioral Health Challenges, and High School Dropout.

IF 1.8 4区医学 Q2 EDUCATION & EDUCATIONAL RESEARCH

Journal of School Health Pub Date : 2024-10-27 DOI:10.1111/josh.13527

Chelsea R Moore, Sarah A Stoddard

{"title":"Associations Between Adverse Childhood Experiences, Adolescent Behavioral Health Challenges, and High School Dropout.","authors":"Chelsea R Moore, Sarah A Stoddard","doi":"10.1111/josh.13527","DOIUrl":null,"url":null,"abstract":"Background: Adverse childhood experiences (ACEs) are associated with behavioral health challenges and high school dropout, and behavioral health is associated with high school dropout. Less is known about the role of behavioral health challenges in the relationship between ACEs and high school dropout.Methods: Using data from the Panel Study of Income Dynamics (2013) and its 2014 Childhood Retrospective Circumstances Study supplement, the current study conducts mediational path analysis to examine the direct and indirect effects of cumulative ACEs on high school dropout via adolescent depression, anxiety, and substance use.Results: Experiencing more ACEs was associated with depression, anxiety, and substance use. Only depression and substance use were associated with high school dropout. There was a significant direct effect between increased ACEs and high school dropout and significant indirect effects via depression and substance use, but not anxiety.Conclusions: Adolescent behavioral health interventions to address the long-term effects of ACEs may also support academic achievement. School-based interventions, particularly those aligned with trauma-sensitive school frameworks and engaging various school personnel, including school nurses, should be considered. Community- and policy-level interventions aimed at primary prevention of ACEs are also needed.","PeriodicalId":50059,"journal":{"name":"Journal of School Health","volume":null,"pages":null},"PeriodicalIF":1.8000,"publicationDate":"2024-10-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of School Health","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1111/josh.13527","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"EDUCATION & EDUCATIONAL RESEARCH","Score":null,"Total":0}

引用次数: 0

Abstract

Background: Adverse childhood experiences (ACEs) are associated with behavioral health challenges and high school dropout, and behavioral health is associated with high school dropout. Less is known about the role of behavioral health challenges in the relationship between ACEs and high school dropout.

Methods: Using data from the Panel Study of Income Dynamics (2013) and its 2014 Childhood Retrospective Circumstances Study supplement, the current study conducts mediational path analysis to examine the direct and indirect effects of cumulative ACEs on high school dropout via adolescent depression, anxiety, and substance use.

Results: Experiencing more ACEs was associated with depression, anxiety, and substance use. Only depression and substance use were associated with high school dropout. There was a significant direct effect between increased ACEs and high school dropout and significant indirect effects via depression and substance use, but not anxiety.

Conclusions: Adolescent behavioral health interventions to address the long-term effects of ACEs may also support academic achievement. School-based interventions, particularly those aligned with trauma-sensitive school frameworks and engaging various school personnel, including school nurses, should be considered. Community- and policy-level interventions aimed at primary prevention of ACEs are also needed.

查看原文本刊更多论文

童年不良经历、青少年行为健康挑战和高中辍学之间的关系。

背景：不良童年经历（ACEs）与行为健康挑战和高中辍学有关，而行为健康与高中辍学有关。关于行为健康挑战在 ACE 与高中辍学之间的关系中所起的作用，人们知之甚少：本研究利用《收入动态面板研究》（2013 年）及其 2014 年《童年回顾性境况研究》补充资料中的数据，通过青少年抑郁、焦虑和药物使用，进行中介路径分析，考察累积的 ACE 对高中辍学的直接和间接影响：结果：经历更多的 ACE 与抑郁、焦虑和药物使用有关。只有抑郁和药物使用与高中辍学有关。经历更多的 ACE 与高中辍学之间有明显的直接影响，通过抑郁和药物使用也有明显的间接影响，但与焦虑无关：结论：针对 ACEs 长期影响的青少年行为健康干预也可能有助于提高学习成绩。应考虑以学校为基础的干预措施，特别是那些与对创伤敏感的学校框架相一致，并让包括校医在内的各类学校人员参与其中的干预措施。此外，还需要采取社区和政策层面的干预措施，对 ACE 进行初级预防。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

Journal of School Health 医学-公共卫生、环境卫生与职业卫生

CiteScore

3.70

自引率

9.10%

发文量

134

审稿时长

6-12 weeks

期刊介绍： Journal of School Health is published 12 times a year on behalf of the American School Health Association. It addresses practice, theory, and research related to the health and well-being of school-aged youth. The journal is a top-tiered resource for professionals who work toward providing students with the programs, services, and environment they need for good health and academic success.