Adverse childhood experiences (ACEs) are associated with health-risk behaviors in general samples of adults and adolescents. The current study examined the association between ACEs and these behaviors among a high-risk sample of early adolescents. Five hundred fifteen 9- to 11-year-old children placed in foster care due to maltreatment were interviewed about their engagement in violence, substance use, and delinquency. A multi-informant ACEs score was derived based on exposure to six adverse experiences. Regression analyses examined the relationship between ACEs and risk behaviors and the potential moderating effects of age, sex, and minority status. ACE scores were predictive of risk behaviors after controlling for age, sex, and minority status. Although males and older youth were more likely to engage in risk behaviors, none of the demographic characteristics moderated the ACE-risk behavior association. This study extends previous research by demonstrating an association between ACEs and risk behaviors in extremely vulnerable early adolescents.

Appleyard, K., Egeland, B., van Dulmen, M. H., Sroufe, L. A. (2005). When more is not better: The role of cumulative risk in child behavior outcomes. Journal of Child Psychology and Psychiatry, 46, 235-245.
Google Scholar | Crossref | Medline | ISI
Baglivio, M. T., Jackowski, K., Greenwald, M. A., Howell, J. C. (2014). Serious, violent, and chronic juvenile offenders: A statewide analysis of prevalence and prediction of subsequent recidivism using risk and protective factors. Criminology & Public Policy, 13, 83-116.
Google Scholar | Crossref | ISI
Bollen, K., Lennox, R. (1991). Conventional wisdom on measurement: A structural equation perspective. Psychological Bulletin, 110, 305-314.
Google Scholar | Crossref | ISI
Center for Disease Control and Prevention . (2011). Web-based injury statistics query and reporting system (WISQARS). Retrieved from https://webappa.cdc.gov/sasweb/ncipc/leadcaus10_us.html
Google Scholar
Cronholm, P. F., Forke, C. M., Wade, R., Bair-Merritt, M. H., Davis, M., Harkins-Schwarz, M., . . . Fein, J. A. (2015). Adverse childhood experiences: Expanding the concept of adversity. American Journal of Preventive Medicine, 49, 354-361.
Google Scholar | Crossref | Medline | ISI
Dube, S. R., Felitti, V. J., Dong, M., Chapman, D. P., Giles, W. H., Anda, R. F. (2003). Childhood abuse, neglect, and household dysfunction and the risk of illicit drug use: The adverse childhood experiences study. Pediatrics, 111, 564-572.
Google Scholar | Crossref | Medline | ISI
Dube, S. R., Miller, J. W., Brown, D. W., Giles, W. H., Felitti, V. J., Dong, M., Anda, R. F. (2006). Adverse childhood experiences and the association with ever using alcohol and initiating alcohol use during adolescence. Journal of Adolescent Health, 38,444 e1-444 e10.
Google Scholar | Crossref | Medline
Duke, N. N., Pettingell, S. L., McMorris, B. J., Borowsky, I. W. (2010). Adolescent violence perpetration: Associations with multiple types of adverse childhood experiences. Pediatrics, 125, e778-e786.
Google Scholar | Crossref | Medline | ISI
Fang, X., Brown, D. S., Florence, C. S., Mercy, J. A. (2012). The economic burden of child maltreatment in the United States and implications for prevention. Child Abuse & Neglect, 36, 156-165.
Google Scholar | Crossref | Medline | ISI
Fang, X., Corso, P. S. (2007). Child maltreatment, youth violence, and intimate partner violence: Developmental relationships. American Journal of Preventive Medicine, 33, 281-290.
Google Scholar | Crossref | Medline | ISI
Farrington, D. P. (2003). Key results from the first 40 years of the Cambridge Study in Delinquent Development. In Thornberry, T. P., Krohn, M. D. (Eds.), Taking stock of delinquency: An overview of findings from contemporary longitudinal studies (pp. 137-183). New York, NY: Kluwer.
Google Scholar | Crossref
Farrington, D. P., Coid, J. W., Harnett, L., Joliffe, D., Soteriou, N., Turner, R., West, D. J. (2006). Criminal careers up to age 50 and life success up to age 48: New findings from The Cambridge Study in Delinquent Development (Home Office Research Study No. 299). London, England: Home Office.
Google Scholar
Felitti, V. J., Anda, R. F., Nordenberg, D., Williamson, D. F., Spitz, A. M., Edwards, V., . . . Marks, J. S. (1998). Relationship of childhood abuse and household dysfunction to many of the leading causes of death in adults. The adverse childhood experiences (ACE) study. American Journal of Preventive Medicine, 14, 245-258.
Google Scholar | Crossref | Medline | ISI
Finkelhor, D., Shattuck, A., Turner, H., Hamby, S. (2013). Improving the adverse childhood experiences study scale. JAMA Pediatrics, 167, 70-75.
Google Scholar | Crossref | Medline | ISI
Forehand, R., Biggar, H., Kotchick, B. A. (1998). Cumulative risk across family stressors: Short- and long-term effects for adolescents. Journal of Abnormal Child Psychology, 26, 119-128.
Google Scholar | Crossref | Medline | ISI
Foster, E. M., Jones, D., & Conduct Problems Prevention Research Group . (2006). Can a costly intervention be cost-effective?: An analysis of violence prevention. Archives of General Psychiatry, 63, 1284-1291.
Google Scholar | Crossref | Medline
Garcia, A. R., O’Brien, K., Kim, M., Pecora, P. J., Harachi, T., Aisenberg, E. (2015). Adverse childhood experiences and poor mental health outcomes among racially diverse foster care alumni: Impact of perceived agency helpfulness. Journal of Child and Family Studies, 24, 3293-3305.
Google Scholar | Crossref
Garrido, E. F., Culhane, S. E., Petrenko, C. L., Taussig, H. N. (2011). Psychosocial consequences of caregiver transitions for maltreated youth entering foster care: The moderating impact of community violence exposure. American Journal of Orthopsychiatry, 81, 382-389.
Google Scholar | Crossref | Medline
Gerard, J. M., Buehler, C. (2004). Cumulative environmental risk and youth maladjustment: The role of youth attributes. Child Development, 75, 1832-1849.
Google Scholar | Crossref | Medline | ISI
Greeson, J. K., Briggs, E. C., Layne, C. M., Belcher, H. M., Ostrowski, S. A., Kim, S., . . . Fairbank, J. A. (2014). Traumatic childhood experiences in the 21st century: Broadening and building on the ACE studies with data from the national child traumatic stress network. Journal of Interpersonal Violence, 29, 536-556.
Google Scholar | SAGE Journals | ISI
Hawkins, J. D., Brown, E. C., Oesterle, S., Arthur, M. W., Abbott, R. D., Catalano, R. F. (2008). Early effects of communities that care on targeted risks and initiation of delinquent behavior and substance use. Journal of Adolescent Health, 43, 15-22.
Google Scholar | Crossref | Medline | ISI
Jonson-Reid, M., Barth, R. P. (2000). From maltreatment report to juvenile incarceration: The role of child welfare services. Child Abuse & Neglect, 24, 505-520.
Google Scholar | Crossref | Medline | ISI
Kerr, M. A., Black, M. M., Krishnakumar, A. (2000). Failure-to-thrive, maltreatment and the behavior and development of 6-year-old children from low-income, urban families: A cumulative risk model. Child Abuse & Neglect, 24, 587-598.
Google Scholar | Crossref | Medline | ISI
Loeber, R., Farrington, D. P. (2011). Young homicide offenders and victims: Risk factors, prediction, and prevention from childhood. New York, NY: Springer.
Google Scholar | Crossref
Loeber, R., Farrington, D. P., Petechuk, D. (2003). Child delinquency: Early intervention and prevention. Washington, DC: U.S. Department of Justice, Office of Justice Programs, Office of Juvenile Justice and Delinquency Prevention.
Google Scholar
Mackner, L. M., Starr, R. H., Black, M. M. (1997). The cumulative effect of neglect and failure to thrive on cognitive functioning. Child Abuse & Neglect, 21, 691-700.
Google Scholar | Crossref | Medline
Maxfield, M. G., Widom, C. S. (1996). The cycle of violence: Revisited 6 years later. Archives of Pediatrics and Adolescent Medicine, 150, 390-395.
Google Scholar | Crossref | Medline
Mersky, J. P., Topitzes, J., Reynolds, A. J. (2013). Impacts of adverse childhood experiences on health, mental health, and substance use in early adulthood: A cohort study of an urban, minority sample in the U.S. Child Abuse & Neglect, 37, 917-925.
Google Scholar | Crossref | Medline | ISI
Moffitt, T. E. (1993). Adolescence-limited and life-course-persistent antisocial behavior: A developmental taxonomy. Psychological Review, 100, 674-701.
Google Scholar | Crossref | Medline | ISI
Moffitt, T. E., Caspi, A. (2001). Childhood predictors differentiate life-course persistent and adolescence-limited antisocial pathways among males and females. Developmental Psychopathology, 13, 355-375.
Google Scholar | Crossref | Medline | ISI
Nayak, M. B., Lown, E. A., Bond, J. C., Greenfield, T. K. (2012). Lifetime victimization and past year alcohol use in a U.S. population sample of men and women drinkers. Drug and Alcohol Dependence, 123, 213-219.
Google Scholar | Crossref | Medline
Osius, E., Rosenthal, J. (2009). The national research council/institute of medicine’s adolescent health services: Highlights and considerations for state health policymakers. Portland, ME: National Academy for State Health Policy.
Google Scholar
Podsakoff, P. M., MacKenzie, S. B., Lee, J. Y., Podsakoff, N. P. (2003). Common method biases in behavioral research: A critical review of the literature and recommended remedies. Journal of Applied Psychology, 88, 879-903. doi:10.1037/0021-9010.88.5.879
Google Scholar | Crossref | Medline | ISI
Raviv, T., Taussig, H. N., Culhane, S. E., Garrido, E. F. (2010). Cumulative risk exposure and mental health symptoms among maltreated youth placed in out-of-home care. Child Abuse & Neglect, 34, 742-751. doi:10.1016/j.chiabu.2010.02.011
Google Scholar | Crossref | Medline | ISI
Richters, J. E., Martinez, P. (1993). The NIMH community violence project: I. Children as victims of and witnesses to violence. Psychiatry, 56, 7-21.
Google Scholar | Crossref | Medline | ISI
Rothman, E. F., Bernstein, J., Strunin, L. (2010). Why might adverse childhood experiences lead to underage drinking among US youth? Findings from an emergency department-based qualitative pilot study. Substance Use & Misuse, 45, 2281-2290.
Google Scholar | Crossref | Medline
Ryan, J. P., Testa, M. F. (2005). Child maltreatment and juvenile delinquency: Investigating the role of placement and placement instability. Children and Youth Services Review, 27, 227-249. doi:10.1016/j.childyouth.2004.05.007
Google Scholar | Crossref | ISI
Sameroff, A. J., Bartko, W. T., Baldwin, A., Baldwin, C., Seifer, R. (1999). Family and social influences on the development of child competence. In Lewis, M., Feiring, C. (Eds.), Families, risk, and competence (pp. 161-186). Mahwah, NJ: Lawrence Erlbaum.
Google Scholar
Schaeffer, C. M., Borduin, C. M. (2005). Long-term follow-up to a randomized clinical trial of multisystemic therapy with serious and violent juvenile offenders. Journal of Consulting and Clinical Psychology, 73, 445-453.
Google Scholar | Crossref | Medline | ISI
Schilling, E. A., Aseltine, R. H., Gore, S. (2007). Adverse childhood experiences and mental health in young adults: A longitudinal survey. BMC Public Health, 7, Article 30. doi:10.1186/1471-2458-7-30
Google Scholar | Crossref | ISI
Snyder, H. N. (2001). Epidemiology of official offending. In Loeber, D. P. R., Farrington, D. P. (Ed.), Child delinquents: Development, intervention, and service needs (pp. 25-46). Thousand Oaks, CA: Sage.
Google Scholar | Crossref
Stevens, S. B., Brice, C. S., Ale, C. M., Morris, T. L. (2011). Examining depression, anxiety, and foster care placement as predictors of substance use and sexual activity in adolescents. Journal of Social Service Research, 37, 539-554.
Google Scholar | Crossref
Strine, T. W., Dube, S. R., Edwards, V. J., Prehn, A. W., Rasmussen, S., Wagenfeld, M., . . . Croft, J. B. (2012). Associations between adverse childhood experiences, psychological distress, and adult alcohol problems. American Journal of Health Behavior, 36, 408-423. doi:10.5993/AJHB.36.3.11
Google Scholar | Crossref | Medline | ISI
Taussig, H. N., Culhane, S. E. (2010). Impact of a mentoring and skills group program on mental health outcomes for maltreated children in foster care. Archives of Pediatrics and Adolescent Medicine, 164, 739-746. doi:10.1001/archpediatrics.2010.124
Google Scholar | Crossref | Medline
Taussig, H. N., Culhane, S. E., Garrido, E., Knudtson, M. D. (2012). RCT of a mentoring and skills group program: Placement and permanency outcomes for foster youth. Pediatrics, 130, e33-e39. doi:10.1542/peds.2011-3447
Google Scholar | Crossref | Medline
Taussig, H. N., Culhane, S. E., Hettleman, D. (2007). Fostering healthy futures: An innovative preventive intervention for preadolescent youth in out-of-home care. Child Welfare, 86, 113-131.
Google Scholar | Medline | ISI
Trickett, P. K., Kim, K., Prindle, J. (2011). Variations in emotional abuse experiences among multiply maltreated young adolescents and relations with developmental outcomes. Child Abuse & Neglect, 35, 876-886.
Google Scholar | Medline | ISI
Wade, R., Shea, J. A., Rubin, D., Wood, J. (2014). Adverse childhood experiences of low-income urban youth. Pediatrics, 134, e13-e20.
Google Scholar | Crossref | Medline
Widom, C. S. (1991). The role of placement experiences in mediating the criminal consequences of early childhood victimization. American Journal of Orthopsychiatry, 61, 195-209.
Google Scholar | Crossref | Medline | ISI
Widom, C. S., Schuck, A. M., White, H. R. (2006). An examination of pathways from childhood victimization to violence: The role of early aggression and problematic alcohol use. Violence and Victims, 21, 675-690.
Google Scholar | Crossref | Medline
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