Cited by 729Child Abuse and TraumaChild Welfare and AdoptionChild and Adolescent Psychosocial and Emotional Development

Impacts of adverse childhood experiences on health, mental health, and substance use in early adulthood: A cohort study of an urban, minority sample in the U.S.

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Mersky, J.P., Topitzes, J., Reynolds, A.J.·2013·Child Abuse & Neglect

Abstract

Research has shown that adverse childhood experiences (ACEs) increase the risk of poor health-related outcomes in later life. Less is known about the consequences of ACEs in early adulthood or among diverse samples. Therefore, we investigated the impacts of differential exposure to ACEs on an urban, minority sample of young adults. Health, mental health, and substance use outcomes were examined alone and in aggregate. Potential moderating effects of sex were also explored. Data were derived from the Chicago Longitudinal Study, a panel investigation of individuals who were born in 1979 or 1980. Main-effect analyses were conducted with multivariate logistic and OLS regression. Sex differences were explored with stratified analysis, followed by tests of interaction effects with the full sample. Results confirmed that there was a robust association between ACEs and poor outcomes in early adulthood. Greater levels of adversity were associated with poorer self-rated health and life satisfaction, as well as more frequent depressive symptoms, anxiety, tobacco use, alcohol use, and marijuana use. Cumulative adversity also was associated with cumulative effects across domains. For instance, compared to individuals without an ACE, individuals exposed to multiple ACEs were more likely to have three or more poor outcomes (OR range=2.75-10.15) and four or more poor outcomes (OR range=3.93-15.18). No significant differences between males and females were detected. Given that the consequences of ACEs in early adulthood may lead to later morbidity and mortality, increased investment in programs and policies that prevent ACEs and ameliorate their impacts is warranted.

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Authors
Mersky, J. P., Topitzes, J., & Reynolds, A. J.
Affiliations
  • University of Illinois Chicago (US)
  • University of Wisconsin–Milwaukee (US)
  • University of Minnesota (US)
Corresponding author
Mersky, J.P.
Venue
Child Abuse & Neglect
Publisher
Elsevier BV
Published
2013-11
Volume
37
Issue
11
Pages
917-925
ISSN
0145-2134 (ISSN-L)
OpenAlex
W2078123345
Cited by
729
References
58
Citations by year
2026: 31 · 2025: 56 · 2024: 63 · 2023: 74 · 2022: 86 · 2021: 129 · 2020: 78 · 2019: 67 · 2018: 52 · 2017: 38 · 2016: 30 · 2015: 17 · 2014: 6
FWCI
19.63
Type
journal article
Language
en
Open access
Locations
  • Child Abuse & Neglect (publishedVersion)
  • PubMed (publishedVersion)
  • PubMed Central (acceptedVersion)
Funders
Eunice Kennedy Shriver National Institute of Child Health and Human Development (R01HD034294)
Topics
  • Social Sciences › Psychology › Clinical Psychology › Child Abuse and Trauma
  • Social Sciences › Safety Research › Child Welfare and Adoption
  • Social Sciences › Psychology › Clinical Psychology › Child and Adolescent Psychosocial and Emotional Development
Keywords
adverse childhood experiences, early adulthood, self-rated health, life satisfaction, depressive symptoms, anxiety, tobacco use, alcohol consumption, cannabis use, substance use, cumulative adversity, sex differences, Chicago Longitudinal Study
MeSH terms
Adult, Mental Disorders, Black or African American, Chicago, Female, Health Status, Health Surveys, Hispanic or Latino, Humans, Male, Poverty Areas, Sex Factors, Urban Population, Cohort Studies, Multivariate Analysis, Confidence Intervals, Odds Ratio, Substance-Related Disorders, Adult Survivors of Child Abuse, Young Adult

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