title: Adverse childhood experiences, family functioning and adolescent health and emotional well-being.
abstract: OBJECTIVE
  Adverse childhood experiences (ACEs) have been consistently linked in a strong and graded fashion to a host of health problems in later adulthood but few studies have examined the more proximate effect of ACEs on health and emotional well-being in adolescence.
  
  
  METHODS
  Nationally representative cross-sectional study.
  
  
  METHODS
  Using logistic regression on the 2011/12 National Survey of Children's Health, we examined the cumulative effect of total ACE score on the health and emotional well-being of US adolescents aged 12 to 17 years. We investigated the moderating effect of family functioning on the impact of ACE on adolescent health and emotional well-being.
  
  
  RESULTS
  Adolescents with higher ACE scores had worse reported physical and emotional well-being than adolescents with fewer ACEs net of key demographic and socio-economic characteristics. Family functioning moderated the negative impact of cumulative ACE on adolescent health and emotional well-being.
  
  
  CONCLUSIONS
  Adolescent well-being has enduring consequences; identifying children with ACE exposure who also have lower-functioning family could also help identify those families at particular risk.
authors.affiliation: Center for Family and Demographic Research, Bowling Green State University, USA. Electronic address: kellyba@bgsu.edu.
authors.forename: K S
authors.initials: KS
authors.lastname: Balistreri
authors.affiliation: Center for Family and Demographic Research, Bowling Green State University, USA.
authors.forename: M
authors.initials: M
authors.lastname: Alvira-Hammond
mesh_terms: D000293:Adolescent; D000067697:Adolescent Health / Q000706:statistics & numerical data*; D002648:Child; D003430:Cross-Sectional Studies; D005195:Family Relations / Q000523:psychology*; D005260:Female; D006306:Health Surveys; D006801:Humans; D008016:Life Change Events; D016015:Logistic Models; D008297:Male; D001523:Mental Disorders / Q000453:epidemiology*; D017741:Survivors / Q000523:psychology* / Q000706:statistics & numerical data
keywords: Adverse childhood experiences; Family functioning; Health and well-being