@article{ref1,
title="Adverse childhood experiences and alcohol use and misuse: testing the impact of traditional and expanded adverse childhood experiences among racially/ethnically diverse youth transitioning into adulthood",
journal="Psychological trauma: theory, research, practice, and policy",
year="2023",
author="Zhen-Duan, Jenny and Colombo, Daniella and Cruz-Gonzalez, Mario A. and Hoyos, Mercedes and Álvarez, Kiara",
volume="15",
number="Suppl 1",
pages="S55-S64",
abstract="OBJECTIVE: Traditional Adverse Childhood Experiences (T-ACEs), such as abuse and neglect, have been associated with an increased risk of youth alcohol use and misuse. This study aims to compare associations of T-ACEs and Expanded ACEs (E-ACEs), an expanded set of ACEs that encompass community-level adversities, with alcohol use and misuse by race/ethnicity. <br><br>METHOD: Data came from a three-wave (1998-1999; 1999-2000; 2004-2005) community-based study in Houston, including youth transitioning into adulthood. We compared associations between ACEs at Wave 1 and past-year alcohol use, abuse, and dependence at Wave 3. <br><br>RESULTS: Participants (n = 2,391) included White (n =908), Black (n = 898) and Latinx (n = 585) youth (M (SD) = 14.00 (2.04)) transitioning into young adulthood (M (SD) = 19.77 (2.34)). T-ACEs were associated with higher odds of alcohol use, abuse, and dependence (OR = 1.15, OR = 1.18, OR = 1.24, respectively) while E-ACEs increased the odds of alcohol dependence (OR = 1.23) in the total sample. No significant differences by race/ethnicity were found. Racial/ethnic differences in increased alcohol risk were observed for some ACE items, such as bullying and use for Latinx youth (OR = 2.13) and poverty and dependence for White youth (OR = 2.01). <br><br>CONCLUSIONS: T-ACES and E-ACEs increase the risk of alcohol use and misuse. <br><br>RESULTS highlight the importance of preventing ACEs exposure as a risk factor for youth alcohol use and misuse. Public policies must also focus on preventing ACEs through multi-level interventions aimed at reducing violence, bullying, and financial instability.<p /> <p>Language: en</p>",
language="en",
issn="1942-9681",
doi="10.1037/tra0001458",
url="http://dx.doi.org/10.1037/tra0001458"
}