Manuel E. Jiménez|Roy Wade|Yong Lin|Lesley Mandel Morrow|Nancy E. Reichman
Adverse Experiences in Early Childhood and Kindergarten Outcomes
Rutgers, The State University of New Jersey|Children's Specialized Hospital|Children's Hospital of Philadelphia|Rutgers, The State University of New Jersey|Rutgers, The State University of New Jersey
objective examine associations adverse childhood experiences aces early childhood teacherreported academic behavioral problems kindergarten methods conducted secondary analysis data fragile families child wellbeing study national urban birth cohort subjects primary caregiverreported information ace exposures ascertained 5 years teacherreported outcomes end childs kindergarten year included outcomes included teacher ratings academic skills emergent literacy skills behavior included 8 ace exposures basis original centers disease control prevention kaiser study created ace score summing individual adversities examined associations teacherreported academic behavioral outcomes ace scores using logistic regression results study sample 1007 children included fiftyfive percent experienced 1 ace 12 experienced 3 adjusting potential confounders experiencing 3 aces associated belowaverage language literacy skills adjusted odds ratio aors 18 95 confidence interval ci 1129 math skills aor 18 95 ci 1129 poor emergent literacy skills attention problems aor 35 95 ci 1865 social problems aor 27 95 ci 1450 aggression aor 23 95 ci 1246 conclusions study urban children experiencing aces early childhood associated belowaverage teacherreported academic literacy skills behavior problems kindergarten findings underscore importance integrated approaches promote optimal development among vulnerable children