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Health and adverse childhood experiences among homeless youth

BMC Pediatrics Apr 16, 2021

Barnes AJ, Gower AL, Sajady M, et al. - Researchers examined the correlation between adverse childhood experiences (ACEs), housing, and child health, and investigated if: 1) ACEs and health differ by housing context; 2) ACEs and homelessness independently link with health risks; and 3) ACEs associate with housing with regard to adolescent health. Analyses of data from 119,254 8th–11th graders revealed variation in the prevalence of ACEs by housing status, with 34.1% of housed youth experiencing ≥ 1 ACE vs 56.3% of family-homeless and 85.5% of unaccompanied-homeless youth. Findings support the independent predictive value of ACEs and housing status for health status during adolescence beyond other sociodemographic risks. Increased health risk was observed in correlation with experiencing homelessness, whether unaccompanied or with family, and this risk increased with every additional ACE. They recommend clinicians and health systems to advocate for policies that incorporate stable housing as a protective factor.

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