The Association of Adverse Childhood Experiences and Resilience With Health Outcomes in Adolescents: An Observational Study

摘要

The relationship between Adverse childhood experiences (ACEs), resilience, and health outcomes has not been as thoroughly studied in adolescents. Adolescents completed the ACEs Questionnaire and a validated resilience measure (Child Youth Resilience Measure, or CYRM). Poor health outcome was having 1 or more: obesity, hypertension, and/or depression. 34.5% of teens had a poor health outcome, 38.6% had ACE scores of 4 or more, and resilience ranged from 45 to 84 (mean?=?74.6). By univariate and bivariate analysis, ACEs (OR?=?1.11, 95% CI?=?1.03-1.19, P ?=?.0039; OR?=?1.08, 95% CI?=?1.0-1.16, P ?=?.045) and resilience (OR?=?0.95, 95% CI?=?0.92-0.98, P ?=?.0016; OR?=?0.96, 95% CI?=?0.93-0.99, P ?=?.016) were significantly associated with poor health outcome. Resilience relationship subscale was significantly associated with reduced health risk (OR?=?0.85, 95%CI?=?0.75-0.95, P ?=?.005). ACEs are associated with poor health outcomes in adolescents, resilience is inversely related, and the caregiver relationship may be the driving force.