Evidence map›Paper›PMID 29709622›Full record

ArticleAcademic pediatrics2018

Adverse Childhood Experiences and Young Adult Health Outcomes Among Youth Aging Out of Foster Care.

Rebecca Rebbe, Paula S Nurius, Mark E Courtney, Kym R Ahrens

Open access · greenAbstract readComparative Study
In one paragraph

Article in Academic pediatrics, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
3.0field-weighted citation impact, top 9% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

13 citing papers in PubMed, 36 citations in OpenAlex.

  1. Article
  2. Article
  3. CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2025
    Article
  4. Foster Youth's Resilience and Wellbeing During Placement Changes.Child care in practice : Northern Ireland journal of multi-disciplinary child care practice · 2025
    Article
  5. Children and youth in care.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2025
    Article
  6. Article
  7. Article
  8. Review
  9. Article
  10. Article
  11. Article
  12. Social relationships and relational pain in brain tumor patients and their partners.Frontiers in pain research (Lausanne, Switzerland) · 2022
    Review
  13. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 3 institutions in 1 country.

Rebecca RebbeSchool of Social Work, University of Washington, Seattle, Wash. Electronic address: rebbe@uw.edu.
Paula S NuriusSchool of Social Work, University of Washington, Seattle, Wash.
Mark E CourtneySchool of Social Service Administration, University of Chicago, Chicago, Ill.
Kym R AhrensSeattle Children's Hospital & Research Institute, Seattle, Wash.
University of Washington · USSeattle Children's Hospital · USUniversity of Chicago · US

Funding

Methods and Data CoreR24HD042828 · NICHD · UNIVERSITY OF WASHINGTON · PI CURRAN, SARA R. · 2002 to 2016
$9.3M
Scientific/Technical CoreP2CHD042828 · NICHD · UNIVERSITY OF WASHINGTON · PI SARA R. CURRAN · 2017 to 2026
$6.3M
Institute of Translational Health SciencesTL1TR000422 · NCATS · UNIVERSITY OF WASHINGTON · PI DISIS, MARY L. · 2012 to 2016
$2.1M
Developing an HIV/STI intervention for Foster Youth Using Attachment TheoryK23MH090898 · NIMH · SEATTLE CHILDREN'S HOSPITAL · PI AHRENS, KYM R · 2010 to 2014
$882k
NCATS NIH HHS TL1 TR000422NICHD NIH HHS P2C HD042828NICHD NIH HHS R24 HD042828NIMH NIH HHS K23 MH090898
6 · The paper itself

Abstract

objectiveFormer youth in foster care (YFC) are at greater risk of chronic health conditions than their peers. Although research in general population samples has shown a dose-response relationship between adverse childhood experiences (ACEs) and adult health outcomes, few studies have conducted similar analyses in highly stress-exposed populations such as YFC. In this study we used person-centered latent class analysis methods to examine the relationship between different profiles of ACE exposures and divergent health trajectories among this high-risk population.

methodsData are from longitudinal research that followed transition-age YFC from age 17 to 26 (N = 732). Using 3 subgroups previously identified by their ACEs histories-complex, environmental, and lower adversity groups-we applied group mean statistics to test for differences between the groups for physical and sexual health outcomes in young adulthood.

resultsIn contrast to previous research that showed that the environmental group was at the highest risk of criminalbehavior outcomes, for most of the physical and sexual health risk outcomes evaluated in this study, the complex adversity group had the highest risk.

conclusionsThis study shows that there are subgroups of YFC, which each have a distinct profile of risk in young adulthood, with the complex group being at highest risk of the physical and sexual health risk outcomes evaluated. Findings strongly suggest the need for targeted strategies to promote screening for ACEs and chronic health conditions, linkage to adult health care, and continuity of care for adolescents and young adults in foster care to offset these trajectories.

Indexed as

Adverse Childhood ExperiencesHealth Status DisparitiesAdolescentAdultCardiovascular DiseasesChronic DiseaseCriminal BehaviorFemaleFoster Home CareHealth StatusHumansLogistic ModelsLongitudinal StudiesMaleMidwestern United StatesRisk Factorsadverse childhood experiencesaging outfoster carelatent class analysisyoung adultsyouth

Identifiers

PMID29709622
PMCPMC6035089
OpenAlexW2800754434

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.