Associations of adverse childhood experiences with blood pressure among early adolescents in the United States.

Journal: American journal of preventive cardiology

Volume: 20

Issue: 

Year of Publication: 

Affiliated Institutions:  Department of Pediatrics, Division of Adolescent and Young Adult Medicine, University of California San Francisco, San Francisco, CA, USA. Factor-Inwentash Faculty of Social Work, University of Toronto, Toronto, ON, Canada. Department of Management, Policy and Community Health, University of Texas Health Science Center at Houston, Houston, TX, USA. Department of Epidemiology, University of Alabama at Birmingham, Birmingham, AL, USA. Division of General Pediatrics and Adolescent Medicine, Department of Pediatrics, Emory University School of Medicine, Atlanta, GA, USA. Center for Health Sciences, SRI International, Menlo Park, CA, USA.

Abstract summary 

The associations of adverse childhood experiences (ACEs) with blood pressure in adulthood are inconclusive. Similarly, the association between ACEs and blood pressure earlier in the life course is understudied. This study aims to assess the associations of ACEs with blood pressure among early adolescents. We utilized data collected at baseline (age: 9-10 years) and Year 2 follow-up from 4077 participants in the Adolescent Brain Cognitive Development (ABCD) Study. We used adjusted multiple linear regression models to estimate the associations of ACEs (cumulative score and subtypes) at baseline with systolic blood pressure (SBP) and diastolic blood pressure (DBP) at year 2 of follow-up. Experiencing ≥4 ACEs (compared to 0) was significantly associated with higher SBP ( = 3.31, 95 % CI 0.03, 6.57, = 0.048). Of the ACEs subtypes, household substance use ( = 2.28, 95 % CI 0.28, 4.28, = 0.028) and divorce or separation ( = 2.08, 95 % CI 0.01, 4.15, = 0.048) were both significantly associated with a higher SBP while household mental illness ( = 2.57, 95 % CI 1.32, 3.81, < 0.001) was significantly associated with a higher DBP. Our findings suggest that exposure to multiple ACEs is associated with higher blood pressure in adolescence.

Authors & Co-authors:  Al-Shoaibi Abubakr A A AAA Lee Christopher M CM Raney Julia H JH Ganson Kyle T KT Testa Alexander A Dooley Erin E EE Gooding Holly C HC Gabriel Kelley Pettee KP Baker Fiona C FC Nagata Jason M JM

Study Outcome 

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Statistics
Citations : 
Authors :  10
Identifiers
Doi : 10.1016/j.ajpc.2024.100883
SSN : 2666-6677
Study Population
Male,Female
Mesh Terms
Other Terms
Adolescents;Adverse childhood experiences;Diastolic blood pressure;Systolic blood pressure
Study Design
Study Approach
Country of Study
Publication Country
Netherlands