Adverse Childhood Experiences and Health Outcomes Among Transition-Age Autistic Youth.

Background: Adverse childhood experiences (ACEs) have been associated with poor health outcomes in the general population. However, their impact on autistic youth remains unclear. Objective: The primary objective was to understand how childhood adversity is related to the general health, mental heal...

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Publicado en:Journal of Autism & Developmental Disorders Vol. 55; no. 8; pp. 2844 - 2858
Autores principales: Song, Wei, McLean, Kiley J., Gifford, Jordan, Kissner, Hailey, Sipe, Rosalind
Formato: research tables/charts Journal Article
Publicado: Springer Nature Aug2025
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Aug2025
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      place: New York, New York
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        atl: Adverse Childhood Experiences and Health Outcomes Among Transition-Age Autistic Youth.
      aug:
        au:
          Song, Wei
          McLean, Kiley J.
          Gifford, Jordan
          Kissner, Hailey
          Sipe, Rosalind
        affil: https://ror.org/04bdffz58 A.J. Drexel Autism Institute, Drexel University, 3020 Market Street, Suite 560, 19104, Philadelphia, PA, USA
      sug:
        subj:
          Adverse Childhood Experiences Complications
          Autism Spectrum Disorder
          Transition to Adulthood Evaluation
          Health Status
          Mental Health
          Psychological Well-Being
          Outcomes (Health Care)
          Human
          Child
          Adolescence
          Male
          Female
          Funding Source
          Cross Sectional Studies
          Surveys
          Child Health
          Logistic Regression
          Prevalence
          Dose-Response Relationship
          Support, Social
          Social Work Service
          Child: 6-12 years
          Adolescent: 13-18 years
          Male
          Female
      ab: Background: Adverse childhood experiences (ACEs) have been associated with poor health outcomes in the general population. However, their impact on autistic youth remains unclear. Objective: The primary objective was to understand how childhood adversity is related to the general health, mental health, and physical health of transition-age autistic youth. Participants and Setting: Using data from the 2018–2021 National Survey of Children's Health, this cross-sectional study involved 2056 autistic youth aged 12–17. Methods: Logistic regression was employed to test the association between three measures of ACEs - individual ACEs, cumulative ACEs, and grouped ACEs based on contexts, and health outcomes of autistic youth. Results: Our study observed a high prevalence of ACEs among autistic youth, with a substantially higher proportion experiencing multiple ACEs than their neurotypical peers. Individual ACEs were significantly associated with specific health issues. Cumulative ACEs demonstrated a clear dose-response relationship with health outcomes, with higher ACE counts increasing the likelihood of experiencing poor general health, mental health conditions, and physical health issues. Moreover, grouped ACEs associated with health differently, with community-based ACEs being particularly linked to general health status, mental health conditions, and physical health conditions, while family-based ACEs correlated more with more severe mental health conditions and being overweight. Conclusion: These findings collectively emphasize the importance of addressing ACEs as a public health concern among transition-age autistic youth, highlighting the need for targeted interventions, prevention strategies, and support services to mitigate the negative impact of ACEs on the overall well-being of this growing community.
      pubtype: Academic Journal
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        research
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        Journal Article
      ougenre: Article
    language: English
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