Patterns of adversity and pathways to health among White, Black, and Latinx youth.

Abstract Research has demonstrated the negative impact of Adverse Childhood Experiences (ACEs) on long-term trajectories of mental and physical health. Yet existing literature on this topic is limited in its understanding of outcomes among youth samples, optimal measurement items and methods, and di...

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Publicado en:Child Abuse & Neglect Vol. 86; pp. 89 - 100
Autores principales: Liu, Sabrina R., Kia-Keating, Maryam, Nylund-Gibson, Karen
Formato: Artículo
Publicado: Elsevier B.V. Dec2018
Materias:
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Dec2018
      vid: 86
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      pub: Elsevier B.V.
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        133423758
        10.1016/j.chiabu.2018.09.007
      ppf: 89
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        atl: Patterns of adversity and pathways to health among White, Black, and Latinx youth.
      aug:
        au:
          Liu, Sabrina R.
          Kia-Keating, Maryam
          Nylund-Gibson, Karen
        affil:
          Department of Counseling, Clinical, & School Psychology, Gevirtz Graduate School of Education, University of California, Santa Barbara, Santa Barbara, CA 93106-9490, United States
          Department of Education, Gevirtz Graduate School of Education, University of California, Santa Barbara, Santa Barbara, CA 93106-9490, United States
      su:
        Experience in children
        Child psychology
        Child psychiatry
        Mental health of youth
        Ethnicity
      sug:
        subj:
          Experience in children
          Child psychology
          Child psychiatry
          Mental health of youth
          Ethnicity
      keyword:
        Adverse childhood experiences
        Child health
        Cumulative risk
        Health disparities
        Latent class analysis
        National Survey of Children's Health
        Racial/ethnic minority
        Adverse childhood experiences
        Child health
        Cumulative risk
        Health disparities
        Latent class analysis
        National Survey of Children's Health
        Racial/ethnic minority
      ab: Abstract Research has demonstrated the negative impact of Adverse Childhood Experiences (ACEs) on long-term trajectories of mental and physical health. Yet existing literature on this topic is limited in its understanding of outcomes among youth samples, optimal measurement items and methods, and differences in adverse experiences across race/ethnicity. The current study used a person-centered approach to measure ACEs and their impact on youth health outcomes across three different racial/ethnic groups from a large national database. Patterns of exposure to adverse experiences among Black, Latinx, and White youth (N = 30,668, ages 12–17) were determined empirically using latent class analysis (LCA). Significant differences in class membership by demographic indicators (age, household income, sex) and concurrent health outcomes were identified. Different models emerged for Black (2 classes), Latinx (3 classes), and White youth (3 classes). Older and lower-income youth were more likely to have experienced adversities, but there were no differences in adversity likelihood by sex. Additionally, racial/ethnic minority youth were at greater risk of experiencing higher levels of adversity, poverty, and poor health when compared to their White counterparts. Rather than occuring in meaningful clusters, adverse experiences among youth reflected a cumulative risk model such that classes were defined by the overall intensity of adverse experiences (i.e., low, moderate, high). Findings provide greater knowledge regarding the relationship between ACEs and health and future research directions to inform more targeted and culturally-appropriate screening, prevention, and intervention programs.
      pubtype: Academic Journal
      doctype: Article
      src: R
    language: English
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