Abstract：
OBJECTIVE: To determine disparities in adverse childhood experiences (ACEs) by sexual identity in a national cohort of early adolescents.
METHODS: We analyzed cross-sectional data from year 2 of the Adolescent Brain Cognitive Development Study (N=10,934, 2018-2020, ages 10-14 years). Disparities in ACE score across lesbian, gay, or bisexual (LGB), not sure, and heterosexual adolescents were assessed using multinomial logistic regression analyses. Logistic regressions estimated the associations between sexual identity and each individual ACE. Analyses were adjusted for potential confounders.
RESULTS: In adjusted models, LGB adolescents had higher risk of experiencing 2, 3, or ≥4 ACEs (Relative Risk Ratios [RRR] =1.57, 95% CI 1.01-2.42), 3 (RR=1.78, 95% CI 1.100-2.88), or ≥4 ACEs (RRR=3.20, 95% CI 1.92-5.32), and not sure adolescents had a higher risk of having ≥4 ACEs (RRR=2.17, 95% CI 1.22-3.87), compared to heterosexual adolescents. LGB and not sure adolescents had higher risks of reporting emotional abuse (\"yes\" OR =4.21, 95% CI 1.84-9.61; \"maybe\" OR=6.20, 95% CI 2.91-13.19) and parent mental illness (\"yes\" OR=1.95, 95% CI 1.48-2.57; \"maybe\" OR=1.63, 95% CI 1.21-2.18) compared to heterosexual adolescents.
CONCLUSIONS: LGB adolescents and those questioning their sexual identity were at greater risk of having higher ACE scores, with LGB adolescents experiencing the highest risk of experiencing ACEs. LGB adolescents also had higher odds of reporting emotional and parent mental illness. Recognizing this heightened risk of ACEs in early adolescence is critical for designing clinic and school-based interventions.
METHODS: We analyzed cross-sectional data from year 2 of the Adolescent Brain Cognitive Development Study (N=10,934, 2018-2020, ages 10-14 years). Disparities in ACE score across lesbian, gay, or bisexual (LGB), not sure, and heterosexual adolescents were assessed using multinomial logistic regression analyses. Logistic regressions estimated the associations between sexual identity and each individual ACE. Analyses were adjusted for potential confounders.
RESULTS: In adjusted models, LGB adolescents had higher risk of experiencing 2, 3, or ≥4 ACEs (Relative Risk Ratios [RRR] =1.57, 95% CI 1.01-2.42), 3 (RR=1.78, 95% CI 1.100-2.88), or ≥4 ACEs (RRR=3.20, 95% CI 1.92-5.32), and not sure adolescents had a higher risk of having ≥4 ACEs (RRR=2.17, 95% CI 1.22-3.87), compared to heterosexual adolescents. LGB and not sure adolescents had higher risks of reporting emotional abuse (\"yes\" OR =4.21, 95% CI 1.84-9.61; \"maybe\" OR=6.20, 95% CI 2.91-13.19) and parent mental illness (\"yes\" OR=1.95, 95% CI 1.48-2.57; \"maybe\" OR=1.63, 95% CI 1.21-2.18) compared to heterosexual adolescents.
CONCLUSIONS: LGB adolescents and those questioning their sexual identity were at greater risk of having higher ACE scores, with LGB adolescents experiencing the highest risk of experiencing ACEs. LGB adolescents also had higher odds of reporting emotional and parent mental illness. Recognizing this heightened risk of ACEs in early adolescence is critical for designing clinic and school-based interventions.
摘要：
目的：在全国早期青少年队列中，通过性别认同来确定不良儿童经历（ACE）的差异。
方法：我们分析了青少年脑认知发展研究第2年的横断面数据（N=10,934，2018-2020，年龄10-14岁）。女同性恋的ACE得分差异，同性恋,或双性恋（LGB），不确定,和异性恋青少年使用多项逻辑回归分析进行评估。Logistic回归估计了性认同与每个ACE之间的关联。对潜在的混杂因素进行了分析调整。
结果：在调整后的模型中，LGB青少年经历2次、3次或4次以上ACE的风险较高（相对风险比[RRR]=1.57，95%CI1.01-2.42），3（RR=1.78，95%CI1.100-2.88），或≥4个ACE（RRR=3.20，95%CI1.92-5.32），并且不确定青少年患有≥4种ACE的风险较高（RRR=2.17，95％CI1.22-3.87），与异性恋青少年相比。与异性恋青少年相比，LGB和不确定青少年报告情感虐待的风险更高（“是”OR=4.21，95％CI1.84-9.61；“可能”OR=6.20，95％CI2.91-13.19）和父母精神疾病（“是”OR=1.95，95％CI1.48-2.57；“可能”OR=1.63，95％CI1.21-2.18）。
结论：LGB青少年和质疑其性身份的青少年有更高的ACE评分风险，LGB青少年经历ACE的风险最高。LGB青少年报告情绪和父母精神疾病的几率也更高。认识到青春期早期ACE的风险增加对于设计诊所和学校干预措施至关重要。
方法：我们分析了青少年脑认知发展研究第2年的横断面数据（N=10,934，2018-2020，年龄10-14岁）。女同性恋的ACE得分差异，同性恋,或双性恋（LGB），不确定,和异性恋青少年使用多项逻辑回归分析进行评估。Logistic回归估计了性认同与每个ACE之间的关联。对潜在的混杂因素进行了分析调整。
结果：在调整后的模型中，LGB青少年经历2次、3次或4次以上ACE的风险较高（相对风险比[RRR]=1.57，95%CI1.01-2.42），3（RR=1.78，95%CI1.100-2.88），或≥4个ACE（RRR=3.20，95%CI1.92-5.32），并且不确定青少年患有≥4种ACE的风险较高（RRR=2.17，95％CI1.22-3.87），与异性恋青少年相比。与异性恋青少年相比，LGB和不确定青少年报告情感虐待的风险更高（“是”OR=4.21，95％CI1.84-9.61；“可能”OR=6.20，95％CI2.91-13.19）和父母精神疾病（“是”OR=1.95，95％CI1.48-2.57；“可能”OR=1.63，95％CI1.21-2.18）。
结论：LGB青少年和质疑其性身份的青少年有更高的ACE评分风险，LGB青少年经历ACE的风险最高。LGB青少年报告情绪和父母精神疾病的几率也更高。认识到青春期早期ACE的风险增加对于设计诊所和学校干预措施至关重要。
