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Childhood Trauma and Psychiatric Disorders as Correlates of School Dropout in a National Sample of Young Adults

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Porche, Michelle V, Fortuna, Lisa R, Lin, Julia, Alegria, Margarita·2011·Child Development

DOI 10.1111/j.1467-8624.2010.01534.xPMC PMC3089672

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Abstract

The effect of childhood trauma, psychiatric diagnoses, and mental health services on school dropout among U.S.-born and immigrant youth is examined using data from the Collaborative Psychiatric Epidemiology Surveys, a nationally representative probability sample of African Americans, Afro-Caribbeans, Asians, Latinos, and non-Latino Whites, including 2,532 young adults, aged 21–29. The dropout prevalence rate was 16% overall, with variation by childhood trauma, childhood psychiatric diagnosis, race/ethnicity, and nativity. Childhood substance and conduct disorders mediated the relation between trauma and school dropout. Likelihood of dropout was decreased for Asians, and increased for African Americans and Latinos, compared to non-Latino Whites as a function of psychiatric disorders and trauma. Timing of U.S. immigration during adolescence increased risk of dropout.

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Introduction
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Authors: Porche, M. V., Fortuna, L. R., Lin, J., & Alegria, M.
Affiliations: Wellesley College (US)
University of Massachusetts Chan Medical School (US)
Cambridge Health Alliance (US)
Corresponding author: Porche, Michelle V
ORCID: Porche, Michelle V
Fortuna, Lisa R
Alegria, Margarita
Venue: Child Development
Publisher: Oxford University Press (OUP)
Published: 2011-05-01
Volume: 82
Issue: 3
Pages: 982-998
ISSN: 0009-3920 (ISSN-L)
1467-8624
DOI: 10.1111/j.1467-8624.2010.01534.x
PMC: PMC3089672
OpenAlex: W1656953608
Cited by: 242
References: 99
Citations by year: 2026: 4 · 2025: 10 · 2024: 8 · 2023: 15 · 2022: 22 · 2021: 26 · 2020: 29 · 2019: 16 · 2018: 44 · 2017: 22 · 2016: 7 · 2015: 14 · 2014: 13 · 2013: 8 · 2012: 3
FWCI: 8.62
Type: journal article
Language: en
Open access: green
www.ncbi.nlm.nih.gov
Licence: academic.oup.com/pages/standard-publication-reuse-rights (vor)
onlinelibrary.wiley.com/termsAndConditions#vor (vor)
Locations: Child Development (publishedVersion)
PubMed (publishedVersion)
PubMed Central (acceptedVersion)
The Journal of the American Medical Association (JAMA) Network (American Medical Association) (submittedVersion)
Funders: National Institute of Mental Health (U01 MH 06220-06 A2, U01MH062209)
National Institute on Drug Abuse (K23DA018715)
Topics: Social Sciences › Psychology › Clinical Psychology › Child Abuse and Trauma
Social Sciences › Psychology › Clinical Psychology › Posttraumatic Stress Disorder Research
Social Sciences › Education › Educational Outcomes and Influences
Keywords: childhood trauma, school dropout, mental illness, substance use disorders, conduct disorder, immigrant youth, nativity, race and ethnicity, mental health services, young adults, mediation
MeSH terms: Adolescent, Adult, Anxiety Disorders, Mental Disorders, Child, Depressive Disorder, Ethnicity, Female, Humans, Internal-External Control, Life Change Events, Male, Mental Health Services, Risk Factors, Statistics as Topic, Stress Disorders, Post-Traumatic, Student Dropouts, United States, Conduct Disorder, Substance-Related Disorders, Emigrants and Immigrants, Young Adult

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Childhood Trauma and Psychiatric Disorders as Correlates of School Dropout in a National Sample of Young Adults

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