Adverse Childhood Experiences, Racial Discrimination, and Internalizing Problems among Asian Adolescents

IF 1.7 Q2 FAMILY STUDIES Journal of Child & Adolescent Trauma Pub Date : 2024-08-19 DOI:10.1007/s40653-024-00652-3

Isak Kim, Hyemi Jang, So Rin Kim, Jihyeon Choi

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Abstract

The purpose of the current research study was to examine the relationship among Adverse Childhood Experiences (ACEs), racial discrimination, and internalizing problems (i.e., anxiety, depression) among Asian adolescents in the US. We used a subsample of Asian adolescents from the National Survey of Children's Health (NSCH) 2018–2019 (n = 1,110; age = 14.73 years; 47.8% male). Results of binary logistic regression analyses revealed most individual ACEs were not significantly associated with anxiety and depression, but ‘family mental illness’ had a strong association with the condition of depression (OR = 5.39, 95% CI [2.17, 13.40], p < .001). Racial discrimination was significantly associated with both anxiety (OR = 3.70, 95% CI [1.98, 6.89]) and depression (OR = 3.47., 95% CI [1.74, 6.91]), even after accounting for cumulative scores of other ACEs and sociodemographic covariates in the regression models. The findings demonstrate the unique role of racial discrimination in developing internalizing problems among Asian adolescents in the US. Implications for practitioners and future research are discussed.

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亚裔青少年的不良童年经历、种族歧视和内化问题

本研究旨在探讨美国亚裔青少年的不良童年经历（ACE）、种族歧视和内化问题（即焦虑、抑郁）之间的关系。我们使用了2018-2019年全国儿童健康调查（NSCH）中的亚裔青少年子样本（n=1110；年龄=14.73岁；47.8%为男性）。二元逻辑回归分析结果显示，大多数个体 ACE 与焦虑和抑郁无显著关联，但 "家庭精神疾病 "与抑郁状况有很强的关联性（OR = 5.39，95% CI [2.17，13.40]，p < .001）。种族歧视与焦虑（OR = 3.70，95% CI [1.98，6.89]）和抑郁（OR = 3.47.，95% CI [1.74，6.91]）明显相关，即使在回归模型中考虑了其他 ACE 的累积分数和社会人口协变量。研究结果表明，种族歧视在美国亚裔青少年内化问题的形成过程中扮演着独特的角色。本文还讨论了对从业人员和未来研究的启示。

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来源期刊

Journal of Child & Adolescent Trauma Multiple-

CiteScore

3.00

自引率

6.70%

发文量

期刊介绍： Underpinned by a biopsychosocial approach, the Journal of Child & Adolescent Trauma presents original research and prevention and treatment strategies for understanding and dealing with symptoms and disorders related to the psychological effects of trauma experienced by children and adolescents during childhood and where the impact of these experiences continues into adulthood. The journal also examines intervention models directed toward the individual, family, and community, new theoretical models and approaches, and public policy proposals and innovations. In addition, the journal promotes rigorous investigation and debate on the human capacity for agency, resilience and longer-term healing in the face of child and adolescent trauma. With a multidisciplinary approach that draws input from the psychological, medical, social work, sociological, public health, legal and education fields, the journal features research, intervention approaches and evidence-based programs, theoretical articles, specific review articles, brief reports and case studies, and commentaries on current and/or controversial topics. The journal also encourages submissions from less heard voices, for example in terms of geography, minority status or service user perspectives. Among the topics examined in the Journal of Child & Adolescent Trauma: The effects of childhood maltreatment Loss, natural disasters, and political conflict Exposure to or victimization from family or community violence Racial, ethnic, gender, sexual orientation or class discrimination Physical injury, diseases, and painful or debilitating medical treatments The impact of poverty, social deprivation and inequality Barriers and facilitators on pathways to recovery The Journal of Child & Adolescent Trauma is an important resource for practitioners, policymakers, researchers, and academics whose work is centered on children exposed to traumatic events and adults exposed to traumatic events as children.