Global Pediatric Health (Apr 2018)

Health Status of Adolescents Reporting Experiences of Adversity

  • Naomi N. Duke MD, PhD, MPH,
  • Iris W. Borowsky MD, PhD

DOI
https://doi.org/10.1177/2333794X18769555
Journal volume & issue
Vol. 5

Abstract

Read online

This study examines relationships between adverse childhood experiences (ACEs) and adolescent health indicators among a sample of 8th, 9th, and 11th graders participating in the 2016 Minnesota Student Survey. Logistic regression was used to determine whether 10 types of ACEs were associated with health indicators that may link to health in adulthood, including self-rated health, body mass index (BMI), sleep duration, and dietary and physical activity participation after adjustment for demographic covariates. Individual and cumulative ACEs measures were significantly associated with adverse health indicators, including poorer self-rated health, increased odds of BMI ≥85% and frequent fast food intake, and reduced odds of adequate sleep duration, daily fruit intake, and physical activity participation on most days of the week. Findings advocate screening for ACEs as a means to inform anticipatory guidance strategies and to support development of care models that are relevant and responsive to youth and family needs.