Adverse experiences in early childhood and their longitudinal impact on later behavioral problems of children living in poverty.
BACKGROUND
Adverse childhood experiences (ACEs) are an identified risk factor for the social and emotional development of children. What is less known is the long-term effects of ACEs when poverty and ACEs coincide.


OBJECTIVE
Using longitudinal cohort-panel data, we examined whether exposure to ACEs by the age of three among poor children would longitudinally result in behavioral problems at ages three, five, nine, and 15, after controlling for mothers' socioeconomic status and their children's characteristics.


PARTICIPANTS AND SETTING
We used a subsample of 2750 children and their parents living in urban poverty from the Fragile Families and Child Wellbeing study.


METHODS
Logistic regression modeling was used to obtain adjusted odds ratios of ACE categories predicting behavioral problems after accounting for family socioeconomic position.


RESULTS
Our findings indicate that experiencing ACEs in early childhood was significantly associated with later behavioral outcomes from childhood to adolescence. Exposure to multiple ACEs before the age of three was significantly associated with the top-risk behavior group at age five; the odd ratios were 2.0 (CI = 1.3-3.1) and 2.9 (CI = 1.8-4.6) for two ACEs and three or more ACEs, respectively. At both ages nine and 15, children experiencing two or more ACEs had 1.9 to 3.2 times higher odds to demonstrate more the top 10th percentile of behavioral problems. Among covariates, mothers' race and education, and children's gender and temperament were identified as significant factors to determine behavior problems.


CONCLUSIONS
The findings support policies and programs for families with children who have experienced economic disadvantages and early childhood adversity.
['Choi|Jeong-Kyun|JK|', 'Wang|Dan|D|', 'Jackson|Aurora P|AP|']
D000293:Adolescent D000076783:Adverse Childhood Experiences D002605:Character D002648:Child D002653:Child Behavior Disorders D016241:Child of Impaired Parents D002675:Child, Preschool D015331:Cohort Studies D005260:Female D006801:Humans D007223:Infant D008137:Longitudinal Studies D008297:Male D011203:Poverty D012307:Risk Factors D012309:Risk-Taking D012959:Socioeconomic Factors
Behavior problems Poverty Adverse childhood experience fragile families