Adverse Childhood Experiences, Neighborhood Support, and Internalizing and Externalizing Mental Disorders among

Ahmad Khanijahani1, Kenan Sualp2

  • 1Department of Health Administration and Public Health, John G. Rangos School of Health Sciences, Duquesne University, Pittsburgh, PA, USA. khanijahania@duq.edu.

Insights

Adverse Childhood Experiences (ACEs) are common in US children. Higher neighborhood support can reduce the risk of internalizing and externalizing mental disorders, especially in adolescents.

Area of Science:

  • Child Psychology
  • Public Health
  • Epidemiology

Background:

  • Adverse Childhood Experiences (ACEs) affect nearly half of US children.
  • Mental health disorders, including internalizing (anxiety/depression) and externalizing (ADHD/behavior problems), are prevalent in children.
  • Understanding the interplay between ACEs, neighborhood support, and mental health is crucial for effective interventions.

Purpose of the Study:

  • To investigate the association between lifelong Adverse Childhood Experiences (ACEs), neighborhood support, and mental disorders in US children aged 6-17.
  • To determine if neighborhood support moderates the relationship between ACEs and mental health outcomes.
  • To examine age-related differences in these associations.

Main Methods:

  • Utilized pooled data from the National Survey of Children's Health (2016-2019), including 94,369 children aged 6-17.
  • Employed logistic regression models to analyze the associations between ACEs, neighborhood support, and diagnoses of internalizing and externalizing mental disorders.
  • Controlled for neighborhood support to assess its moderating effect on the ACEs-mental disorder relationship.

Main Results:

  • Increased types of ACEs and lower neighborhood support were significantly associated with higher odds of internalizing and externalizing mental disorders.
  • The association between ACEs and mental disorders remained significant even after accounting for neighborhood support.
  • Neighborhood support showed a stronger association with externalizing disorders than internalizing disorders, and its protective effect was more pronounced in older children (12-17 years).

Conclusions:

  • Higher neighborhood support can mitigate the negative impact of ACEs on children's mental health, particularly externalizing disorders in adolescents.
  • Neighborhood support is a significant protective factor against mental disorders in children exposed to ACEs.
  • Interventions aimed at strengthening neighborhood support may be beneficial in preventing and managing mental health issues in children with a history of ACEs.

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