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Gepubliceerd in: Journal of Youth and Adolescence 3/2023

29-11-2022 | Empirical Research

Contextualizing Adverse Childhood Experiences: The Intersections of Individual and Community Adversity

Auteurs: Tara D. Warner, Lindsay Leban, Danielle A. Pester, Jeffery T. Walker

Gepubliceerd in: Journal of Youth and Adolescence | Uitgave 3/2023

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Abstract

Adverse Childhood Experiences (ACEs) are traumatic childhood events that can undermine youth development, and are linked to chronic health problems, mental illness, and risk-taking behaviors in adulthood. ACEs are preventable, yet effective response strategies require comprehensive conceptualization and measurement of adversity. Although typically measured as individual experiences in the family and home (e.g., abuse, neglect), adversity also exists outside the home, in the many contexts in which youth development unfolds (e.g., communities, neighborhoods). Yet, such contexts and experiences are often absent in ACEs research. Using data from a nationally representative youth sample, this study addresses that gap, advancing a measure that contextualizes individual-level ACEs within social and structural domains of community-level adversity. Among 13,267 youth (mean age = 15.25 [range 12–18]; 51% female; 71% White; 13% Black; 10% Hispanic; 3% Asian; 2% American Indian/Multiracial), 61% and 73% were exposed to at least one individual and community ACE, respectively, while 15% of youth reported severe individual ACE exposure (≥3 ACEs) and 20% were exposed to severe (≥3) community ACEs. All ACE exposures were associated with problem behaviors later in adolescence, but youth reporting both severe individual and community ACEs were especially at high risk for later violence, delinquency, and other health-risk behaviors. These findings highlight that community adversity exacerbates the damaging effects of individual/family adversity and thus should be addressed in efforts to prevent ACEs and reduce their long-term harm.
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Metagegevens
Titel
Contextualizing Adverse Childhood Experiences: The Intersections of Individual and Community Adversity
Auteurs
Tara D. Warner
Lindsay Leban
Danielle A. Pester
Jeffery T. Walker
Publicatiedatum
29-11-2022
Uitgeverij
Springer US
Gepubliceerd in
Journal of Youth and Adolescence / Uitgave 3/2023
Print ISSN: 0047-2891
Elektronisch ISSN: 1573-6601
DOI
https://doi.org/10.1007/s10964-022-01713-2

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