Abstract：
OBJECTIVE:To examine the association between chronic school absenteeism and adverse childhood experiences (ACEs) among school-age children. METHODS:We conducted a secondary analysis of data from the 2011-2012 National Survey of Children's Health including children 6 to 17 years old. The primary outcome variable was chronic school absenteeism (≥15 days absent in the past year). We examined the association between chronic school absenteeism and ACEs by logistic regression with weighting for individual ACEs, summed ACE score, and latent class analysis of ACEs. RESULTS:Among the 58,765 school-age children in the study sample, 2416 (4.1%) experienced chronic school absenteeism. Witnessing or experiencing neighborhood violence was the only individual ACE significantly associated with chronic absenteeism (adjusted odds ratio [aOR] 1.55, 95% confidence interval [CI] 1.20-2.01). Having 1 or more ACE was significantly associated with chronic absenteeism: 1 ACE (aOR 1.35, 95% CI 1.02-1.79), 2 to 3 ACEs (aOR 1.81, 95% CI 1.39-2.36), and ≥4 ACEs (aOR 1.79, 95% CI 1.32-2.43). Three of the latent classes were also associated with chronic absenteeism, and children in these classes had a high probability of endorsing neighborhood violence, family substance use, or having multiple ACEs. CONCLUSIONS:ACE exposure was associated with chronic school absenteeism in school-age children. To improve school attendance, along with future graduation rates and long-term health, these findings highlight the need for an interdisciplinary approach to address child adversity that involves pediatricians, mental health providers, schools, and public health partners.
journal_name
Acad Pediatrjournal_title
Academic pediatricsauthors
Stempel H,Cox-Martin M,Bronsert M,Dickinson LM,Allison MAdoi
10.1016/j.acap.2017.09.013subject
Has Abstractpub_date
2017-01-01 00:00:00pages
837-843issue
8eissn
1876-2859issn
1876-2867pii
S1876-2859(17)30493-Xjournal_volume
17pub_type
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journal_title：Academic pediatrics
pub_type： 杂志文章
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journal_title：Academic pediatrics
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abstract：OBJECTIVE:To determine if parents' self-efficacy in communicating with their child's pediatrician is associated with African American mothers' disclosure of psychosocial concerns during pediatric primary care visits. METHODS:Self-identified African American mothers (n = 231) of children 2 to 5 years were recruited fro...
journal_title：Academic pediatrics
pub_type： 杂志文章,多中心研究
doi：10.1016/j.acap.2014.03.002
更新日期：2014-07-01 00:00:00
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journal_title：Academic pediatrics
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doi：10.1016/j.acap.2020.05.016
更新日期：2020-05-31 00:00:00
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journal_title：Academic pediatrics
pub_type： 杂志文章,评审
doi：10.1016/j.acap.2013.04.014
更新日期：2013-11-01 00:00:00
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pub_type： 杂志文章,多中心研究
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更新日期：2009-01-01 00:00:00
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journal_title：Academic pediatrics
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journal_title：Academic pediatrics
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journal_title：Academic pediatrics
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journal_title：Academic pediatrics
pub_type： 杂志文章
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更新日期：2016-04-01 00:00:00
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journal_title：Academic pediatrics
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更新日期：2017-01-01 00:00:00
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更新日期：2015-07-01 00:00:00
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journal_title：Academic pediatrics
pub_type： 杂志文章,评审
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更新日期：2016-04-01 00:00:00
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更新日期：2011-05-01 00:00:00
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更新日期：2015-07-01 00:00:00
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更新日期：2013-07-01 00:00:00
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journal_title：Academic pediatrics
pub_type： 杂志文章,多中心研究
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更新日期：2018-08-01 00:00:00
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journal_title：Academic pediatrics
pub_type： 杂志文章
doi：10.1016/j.acap.2014.02.002
更新日期：2014-05-01 00:00:00
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journal_title：Academic pediatrics
pub_type： 杂志文章
doi：10.1016/j.acap.2018.09.004
更新日期：2019-01-01 00:00:00
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journal_title：Academic pediatrics
pub_type： 杂志文章
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更新日期：2015-05-01 00:00:00
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journal_title：Academic pediatrics
pub_type： 杂志文章,评审
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更新日期：2017-01-01 00:00:00
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journal_title：Academic pediatrics
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更新日期：2019-01-01 00:00:00
