Adverse Childhood Experiences and Household Food Insecurity: Findings From the 2016 National Survey of Children's Health

2019 ◽  
Vol 57 (5) ◽  
pp. 667-674 ◽  
Author(s):  
Dylan B. Jackson ◽  
Mariana Chilton ◽  
Kecia R. Johnson ◽  
Michael G. Vaughn
Keyword(s):  
Food Insecurity ◽  
National Survey ◽  
Adverse Childhood Experiences ◽  
Children's Health ◽  
Children’S Health ◽  
Household Food Insecurity ◽  
Childhood Experiences ◽  
Household Food ◽  
Adverse Childhood

scholarly journals Influence of race/ethnicity and income on the link between adverse childhood experiences and child flourishing

2020 ◽  
Author(s):  
Ellen Goldstein ◽  
James Topitzes ◽  
Julie Miller-Cribbs ◽  
Roger L. Brown
Keyword(s):  
Protective Factors ◽  
National Survey ◽  
Adverse Childhood Experiences ◽  
Family Resilience ◽  
Children's Health ◽  
Children’S Health ◽  
Childhood Experiences ◽  
Adverse Childhood ◽  
Race Ethnicity ◽  
Cumulative Adversity

Abstract Background The impact of early adversity increases the risk of poor outcomes across the life course. Identifying factors that protect against or contribute to deleterious life outcomes represents an important step in resilience promotion among children exposed to adversity. Informed by resilience science, we hypothesized that family resilience mediates the relationship between adverse childhood experiences (ACEs) and child flourishing, and these pathways vary by race/ethnicity and income. Methods We conducted a secondary data analysis using the 2016–17 National Survey of Children’s Health data reported by parents/guardians for 44,686 children age 6–17 years. A moderated-mediation model estimated direct, indirect, and total effects using a probit link function and stacked group approach with weighted least square parameter estimates. Results The main variables were related in expected directions. Family resilience partially mediated the ACEs-flourishing association. Although White and socioeconomically advantaged families were more likely to maintain family resilience, their children functioned more poorly at high-risk levels relative to Black and Hispanic children and across income groups. Conclusion Children suffer from cumulative adversity across race/ethnicity and income. Partial mediation of family resilience indicates that additional protective factors are needed to develop comprehensive strategies, while racial/ethnic differences underscore the importance of prevention and intervention programs that are culturally sensitive. Impact The key message of the article reinforces the notion that children suffer from cumulative adversity across race/ethnicity and income, and prevention of ACEs should be the number one charge of public policy, programs, and healthcare. This is the first study to examine family resilience in the National Survey Children’s Health (NSCH) data set as mediating ACEs-flourishing by race/ethnicity and family poverty level. Examining an ACEs dose–response effect using population-based data within the context of risk and protective factors can inform a public health response resulting in a greater impact on prevention efforts.

scholarly journals Adverse Childhood Experiences among American Indian/Alaska Native Children: The 2011-2012 National Survey of Children’s Health

Scientifica ◽  
2016 ◽  
Vol 2016 ◽  
pp. 1-14 ◽  
Author(s):  
Mary Kay Kenney ◽  
Gopal K. Singh
Keyword(s):  
American Indian ◽  
National Survey ◽  
Alaska Native ◽  
Adverse Childhood Experiences ◽  
Children's Health ◽  
Children’S Health ◽  
Related Factors ◽  
Cross Sectional ◽  
Childhood Experiences ◽  
Adverse Childhood

We examined parent-reported adverse childhood experiences (ACEs) and associated outcomes among American Indian and Alaska Native (AI/AN) children aged 0–17 years from the 2011-2012 National Survey of Children’s Health. Bivariate and multivariable analyses of cross-sectional data on 1,453 AI/AN children and 61,381 non-Hispanic White (NHW) children assessed race-based differences in ACEs prevalence and differences in provider-diagnosed chronic emotional and developmental conditions, health characteristics, reported child behaviors, and health services received as a function of having multiple ACEs. AI/AN children were more likely to have experienced 2+ ACEs (40.3% versus 21%), 3+ ACEs (26.8% versus 11.5%), 4+ ACEs (16.8% versus 6.2%), and 5+ ACEs (9.9% versus 3.3%) compared to NHW children. Prevalence rates for depression, anxiety, and ADHD were higher among AI/AN children with 3+ ACEs (14.4%, 7.7%, and 12.5%) compared to AI/ANs with fewer than 2 ACEs (0.4%, 1.8%, and 5.5%). School problems, grade failures, and need for medication and counseling were 2-3 times higher among AI/ANs with 3+ ACEs versus the same comparison group. Adjusted odds ratio for emotional, developmental, and behavioral difficulties among AI/AN children with 2+ ACEs was 10.3 (95% CI = 3.6–29.3). Race-based differences were largely accounted for by social and economic-related factors.

Adverse childhood experiences and household food insecurity among children aged 0–5 years in the USA

2020 ◽  
pp. 1-9 ◽  
Author(s):  
Philip Baiden ◽  
Catherine A LaBrenz ◽  
Shawndaya Thrasher ◽  
Gladys Asiedua-Baiden ◽  
Boniface Harerimana
Keyword(s):  
Food Insecurity ◽  
Adverse Childhood Experiences ◽  
Multinomial Logistic Regression ◽  
Childhood Adversity ◽  
Outcome Variable ◽  
Household Food Insecurity ◽  
Childhood Experiences ◽  
Household Food ◽  
Adverse Childhood ◽  
The Usa

Abstract Objective: Although studies have examined the association between adverse childhood experiences (ACE) and health and mental health outcomes, few studies have investigated the association between ACE and household food insecurity among children aged 0–5 years in the USA. The objective of this study is to investigate the association between ACE and household food insecurity among children aged 0–5 years. Design: The data used in this study came from the 2016–2017 National Survey of Children’s Health. Data were analysed using multinomial logistic regression with household food insecurity as the outcome variable. Setting: United States. Participants: An analytic sample of 17 543 children aged 0–5 years (51·4% boys). Results: Of the 17 543 respondents, 83·7% experienced no childhood adversity. About one in twenty (4·8%) children experienced moderate-to-severe food insecurity. Controlling for other factors, children with one adverse childhood experience had 1·43 times the risk of mild food insecurity (95 % CI 1·25, 1·63) and 2·33 times the risk of moderate-to-severe food insecurity (95 % CI 1·84, 2·95). The risk of mild food insecurity among children with two or more ACE was 1·5 times higher (95 % CI 1·24, 1·81) and that of moderate-to-severe food insecurity was 3·96 times higher (95 % CI 3·01, 5·20), when compared with children with no childhood adversity. Conclusion: Given the critical period of development during the first few years of life, preventing ACE and food insecurity and early intervention in cases of adversity exposure is crucial to mitigate their negative impact on child development.

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