Lauren M Klein, Sara B Johnson, David W Sosnowski, Naomi N Duke
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引用次数: 0
Abstract
Purpose: Childhood adversity is linked to poorer adult health; prior research has established a reciprocal association between health and civic engagement. However, little research has examined the relationship between adverse childhood experiences (ACEs) and civic engagement. We examined whether ACEs are associated with civic engagement at ages 18-26 years and evaluated the potential moderating role of perceived survival expectations (PSE) (i.e., likelihood of living to age 35).
Methods: Data are from Waves I, III, and IV of the National Longitudinal Study of Adolescent to Adult Health. Multivariable linear regression using survey weights was used to model associations between experiencing 0, 1, 2-3, or 4+ ACEs and civic engagement (composite score) overall and by type of ACE (i.e., child maltreatment, violent victimization in the community, family member suicide, family substance abuse, divorce, household member incarceration, and family member death). An ACE by PSE interaction term was tested.
Results: Twelve thousand two hundred eighty eight participants were included. Experiencing 2-3 ACEs (β = -0.14; confidence interval [CI]: -0.23, -0.043) and 4+ ACEs (β = -0.17; CI: -0.32, -0.025) were each associated with lower civic engagement compared to experiencing no ACEs. Violent victimization (β = -0.14; CI: -0.22, -0.058) and family substance abuse (β = -0.13; CI: -0.21, -0.049) were negatively associated with civic engagement, accounting for multiple comparisons. There was no evidence of moderation by PSE.
Discussion: ACEs, particularly violent victimization in the community and family substance abuse, may shape civic development. Interventions could promote civic engagement and lessen the impact of childhood adversity on individual and community health.
期刊介绍:
The Journal of Adolescent Health is a scientific publication dedicated to enhancing the health and well-being of adolescents and young adults. Our Journal covers a broad range of research topics, spanning from the basic biological and behavioral sciences to public health and policy. We welcome a variety of contributions, including original research papers, concise reports, literature reviews, clinical case reports, opinion pieces, and letters to the editor. We encourage professionals from diverse disciplines such as Anthropology, Education, Ethics, Global Health, Health Services Research, Law, Medicine, Mental and Behavioral Health, Nursing, Nutrition, Psychology, Public Health and Policy, Social Work, Sociology, and Youth Development to share their expertise and contribute to our mission of promoting adolescent health. Moreover, we value the voices of young individuals, family and community members, and healthcare professionals, and encourage them to submit poetry, personal narratives, images, and other creative works that provide unique insights into the experiences of adolescents and young adults. By combining scientific peer-reviewed research with creative expressions, our Journal aims to create a comprehensive understanding of the challenges and opportunities in adolescent and young adult health.