Brief report: examining the association of autism and adverse childhood experiences in the national survey of children's health: the important role of income and co-occurring mental health conditions
Open accessAbstract
Adverse childhood experiences (ACEs) are risk factors for mental and physical illness and more likely to occur for children with autism spectrum disorder (ASD). The present study aimed to clarify the contribution of poverty, intellectual disability and mental health conditions to this disparity. Data on child and family characteristics, mental health conditions and ACEs were analyzed in 67,067 youth from the 2011-2012 National Survey of Children's Health. In an income-stratified sample, the association of ASD and ACEs was greater for lower income children and significantly diminished after controlling for child mental health conditions, but not intellectual disability. Findings suggest that the association of ACEs and ASD is moderated by family income and contingent on co-occurring mental health conditions.
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Case ascertainment was based on self-reporting in four studies and sample characteristics were missing in Polyak et al.
“In addition, case ascertainment was based on self-reporting in four studies (30–33) and sample characteristics were missing in Polyak et al. (34).”
From Prevalence of Autism Spectrum Disorder and Co-morbidities in Children and Adolescents: A Systematic Literature Review (2021) · cites this paper as [30]
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- Authors
- Kerns, C. M., Newschaffer, C. J., Berkowitz, S., & Lee, B. K.
- Affiliations
- Drexel University (US)
- University of Pennsylvania (US)
- Corresponding author
- Kerns, Connor Morrow
- Venue
- Journal of Autism and Developmental Disorders
- Published
- 2017-04-04
- Volume
- 47
- Issue
- 7
- Pages
- 2275-2281
- ISSN
- 0162-3257 (ISSN-L)
- 1573-3432
- PMC
- PMC5523127
- OpenAlex
- W2605276938
- Cited by
- 99
- References
- 30
- Citations by year
- 2026: 4 · 2025: 10 · 2024: 17 · 2023: 7 · 2022: 17 · 2021: 20 · 2020: 9 · 2019: 8 · 2018: 6
- FWCI
- 7.78
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Journal of Autism and Developmental Disorders (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institute of Child Health and Human Development (K23 HD087472)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Child Abuse and Trauma
- Life Sciences › Neuroscience › Cognitive Neuroscience › Autism Spectrum Disorder Research
- Social Sciences › Psychology › Clinical Psychology › Family and Disability Support Research
- Keywords
- autism spectrum disorder, adverse childhood experiences, household income, poverty, intellectual disability, co-occurring mental health disorders, child mental health, health disparities, National Survey of Children's Health
- MeSH terms
- Child Health, Adolescent, Autistic Disorder, Child, Child Abuse, Family Characteristics, Female, Humans, Income, Male, Mental Health
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