Adverse Childhood Experiences, Mental Health, and Access to Treatment: Differences Among Rural and Urban Youth.

IF 1.4 4区 医学 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Luke Muentner, Alycia Chmielewski, Rebecca Freese, Carrie Henning-Smith, Rebecca Shlafer
{"title":"Adverse Childhood Experiences, Mental Health, and Access to Treatment: Differences Among Rural and Urban Youth.","authors":"Luke Muentner, Alycia Chmielewski, Rebecca Freese, Carrie Henning-Smith, Rebecca Shlafer","doi":"10.1080/19371918.2025.2573795","DOIUrl":null,"url":null,"abstract":"<p><p>Adverse childhood experiences (ACEs) are associated with poor adolescent mental health. Despite evidence that ACEs may be more prevalent in rural communities, it remains underexplored how region moderates the association between ACEs and mental health, as well as how access to treatment may vary across regions. Data for this study come from the 2019 Minnesota Student Survey, a state-wide survey of 125,375 adolescents. Results suggest that cumulative ACEs and certain mental health conditions (i.e. suicidality) were more common among town and rural youth compared to city and suburban youth. Even after adjusting for ACEs, town and rural youth who endorsed a mental health problem were less likely to receive treatment compared to urban peers. The findings have implications for social work and public health responses that reduce ACEs, particularly in rural communities, and expand treatment options for adolescent mental health in more remote settings.</p>","PeriodicalId":46944,"journal":{"name":"Social Work in Public Health","volume":" ","pages":"1-11"},"PeriodicalIF":1.4000,"publicationDate":"2025-10-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Social Work in Public Health","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1080/19371918.2025.2573795","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH","Score":null,"Total":0}
引用次数: 0

Abstract

Adverse childhood experiences (ACEs) are associated with poor adolescent mental health. Despite evidence that ACEs may be more prevalent in rural communities, it remains underexplored how region moderates the association between ACEs and mental health, as well as how access to treatment may vary across regions. Data for this study come from the 2019 Minnesota Student Survey, a state-wide survey of 125,375 adolescents. Results suggest that cumulative ACEs and certain mental health conditions (i.e. suicidality) were more common among town and rural youth compared to city and suburban youth. Even after adjusting for ACEs, town and rural youth who endorsed a mental health problem were less likely to receive treatment compared to urban peers. The findings have implications for social work and public health responses that reduce ACEs, particularly in rural communities, and expand treatment options for adolescent mental health in more remote settings.

不良童年经历、心理健康和获得治疗:农村和城市青年的差异
不良童年经历(ace)与青少年心理健康状况不佳有关。尽管有证据表明ace可能在农村社区更为普遍,但地区如何调节ace与心理健康之间的关系,以及不同地区获得治疗的机会如何不同,这些研究仍未得到充分探讨。这项研究的数据来自2019年明尼苏达州学生调查,这是一项针对125,375名青少年的全州调查。结果表明,与城市和郊区青年相比,城镇和农村青年的累积不良经历和某些心理健康状况(即自杀)更为常见。即使在调整了ace之后,与城市同龄人相比,承认有精神健康问题的城镇和农村青年接受治疗的可能性更小。这些发现对社会工作和公共卫生反应具有启示意义,可以减少不良反应,特别是在农村社区,并在更偏远的环境中扩大青少年心理健康的治疗选择。
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
CiteScore
4.20
自引率
4.00%
发文量
55
期刊介绍: Social Work in Public Health (recently re-titled from the Journal of Health & Social Policy to better reflect its focus) provides a much-needed forum for social workers and those in health and health-related professions. This crucial journal focuses on all aspects of policy and social and health care considerations in policy-related matters, including its development, formulation, implementation, evaluation, review, and revision. By blending conceptual and practical considerations, Social Work in Public Health enables authors from many disciplines to examine health and social policy issues, concerns, and questions.
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
copy
已复制链接
快去分享给好友吧!
我知道了
右上角分享
点击右上角分享
0
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:604180095
Book学术官方微信