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Adverse Childhood Experiences and Positive Childhood Experiences Among United States Military Children

Elizabeth Crouch1,2, Tia S Andersen3, Hayden P Smith3

  • 1Rural and Minority Health Research Center, Arnold School of Public Health, University of South Carolina, Columbia, SC 29210, USA.

Military Medicine
|October 28, 2023
PubMed

Insights

Military children experience similar positive childhood experiences (PCEs) but face higher risks of adverse childhood experiences (ACEs) like domestic violence and household mental health issues compared to civilian children.

Area of Science:

  • Child Health
  • Military Sociology
  • Psychology

Background:

  • Military life presents unique challenges and support systems impacting child well-being.
  • Previous research has not comprehensively examined adverse childhood experiences (ACEs) and positive childhood experiences (PCEs) in military children.
  • Understanding these experiences is crucial for targeted support and intervention strategies.

Purpose of the Study:

  • To investigate the association between military caregiver status and exposure to ACEs and PCEs in children aged 6-17.
  • To compare the prevalence of ACEs and PCEs in children with active-duty caregivers versus civilian caregivers.

Main Methods:

  • Utilized data from the 2020-2021 National Survey of Children's Health (n=54,256).
  • Employed weighted bivariate analyses (Pearson's chi-squared tests) for national representativeness.
  • Conducted multivariable regression models to assess the relationship between military status and specific ACEs.

Main Results:

  • No statistically significant differences in PCEs were found between military and civilian children.
  • Children with active-duty caregivers showed higher odds of experiencing domestic violence (aOR 1.61).
  • Increased odds of household mental health issues/depression (aOR 1.28) and substance use (aOR 1.28) were observed in military-connected families.

Conclusions:

  • This study moves beyond a deficit-focused approach to military families, highlighting both risks and resilience.
  • Findings underscore the need for tailored interventions to mitigate ACEs and promote PCEs in military-connected children.
  • Results can inform child welfare advocates and policymakers in developing community-based programs.
Abstract

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