Childhood Adversity Phenotypes and Risky Health Behaviors among Chinese Adolescents: Extending the Concept of Adversity.

Geng Fu Wang; Meng Yuan Yuan; Jun Jie Chang; Yong Han LI; Pu Yu SU

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Childhood Adversity Phenotypes and Risky Health Behaviors among Chinese Adolescents: Extending the Concept of Adversity.

Author: Geng Fu WANG ^{1
,

2
,

3} ; Meng Yuan YUAN ⁴ ; Jun Jie CHANG ⁴ ; Yong Han LI ⁴ ; Pu Yu SU ^{1
,

2
,

3}
Author Information

1. Department of Maternal, Child and Adolescent Health, School of Public Health, Anhui Medical University, Hefei 230032, Anhui, China
2. Key Laboratory of Population Health Across Life Cycle (Anhui Medical University), Ministry of Education of the People's Republic of China, Hefei 230032, Anhui, China
3. NHC Key Laboratory of study on abnormal gametes and reproductive tract, Hefei 230032, Anhui, China.
4. Department of Maternal, Child and Adolescent Health, School of Public Health, Anhui Medical University, Hefei 230032, Anhui, China.
Publication Type:Journal Article
Keywords: Adolescents; Adverse childhood experiences; China; Healthy risky behaviors; Peer victimization; Sexual abuse
MeSH: Adverse Childhood Experiences; Health Risk Behaviors; Humans; Phenotype; Self-Injurious Behavior/epidemiology*
From: Biomedical and Environmental Sciences 2022;35(8):699-710
CountryChina
Language:English
Abstract: OBJECTIVE:To present an approach to phenotyping ACEs and explore the association between ACEs and adolescent health risky behaviors based on the social context of China.
METHODS:Totally, 5,726 adolescents aged 12-18 years were investigated about their ACEs in the family, peer, school, and personal domains and the occurrence of six types of risky health behaviors (i.e., smoking, drinking, sexual intercourse, self-harm, and suicidal ideation and attempts). Latent class analysis (LCA) was used to explore the ACE patterns.
RESULTS:Six latent classes of ACEs were identified, including low adversity, school adversity, school adversity and peer victimization, peer victimization, maltreatment and peer victimization, and high adversity, and associated with risky health behaviors in adolescents. Being physically punished by a teacher, experiencing sexual abuse, and experiencing family trauma most strongly differentiated from the six ACE classes and were correlated with an increased risk for risky adolescent health behaviors.
CONCLUSION:This study supports a positive association between ACEs and risky adolescent health behaviors. Peer victimization, school adversity and associated contexts need to be considered in future ACE studies.