Evidence map›Paper›PMID 33827511›Full record

ArticleBMC pediatrics2021

Health and adverse childhood experiences among homeless youth.

Andrew J Barnes, Amy L Gower, Mollika Sajady, Katherine A Lingras

Open access · goldAbstract read
In one paragraph

Article in BMC pediatrics, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed
9.6field-weighted citation impact, top 2% 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

21 citing papers in PubMed, 43 citations in OpenAlex.

  1. Trial
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  4. Resilience and Support Networks of Youth Experiencing Homelessness.The Journal of adolescent health : official publication of the Society for Adolescent Medicine · 2025
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  8. Youth-centered Recommendations to Address Social Stigma and Discrimination Against Unhoused Youth: An Integrative Literature Review.The Journal of school nursing : the official publication of the National Association of School Nurses · 2025
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  18. Brain Injury Is Prevalent and Precedes Tobacco Use among Youth and Young Adults Experiencing Homelessness.International journal of environmental research and public health · 2023
    Article
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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.

Andrew J BarnesDevelopmental-Behavioral Pediatrics, Division of Clinical Behavioral Neuroscience, Department of Pediatrics, University of Minnesota, Minneapolis, MN, USA. drbarnes@umn.edu.ORCID 0000-0002-9205-5046
Amy L GowerDepartment of Pediatrics, University of Minnesota Medical School, 717 Delaware Street SE, Minneapolis, MN, 55414, USA.
Mollika SajadyChildren's Minnesota Developmental Pediatrics, 2530 Chicago Ave S STE G055, Minneapolis, MN, 55404, USA.
Katherine A LingrasDepartment of Psychiatry and Behavioral Sciences, University of Minnesota, Minneapolis, MN, USA.
University of Minnesota · USChildren’s Minnesota - St. Paul Hospital · USUniversity of Minnesota Medical Center · US

Funding

NCCDPHP CDC HHS U48 DP005022
6 · The paper itself

Abstract

backgroundHomelessness is associated with health problems and with adverse childhood experiences (ACEs). The risk of chronic health conditions for homeless compared to housed youth, and how this risk interacts with ACEs remains unclear. This study investigated the relationship between ACEs, housing, and child health, and whether: 1) ACEs and health vary by housing context; 2) ACEs and homelessness confer independent health risks; and 3) ACEs interact with housing with regard to adolescent health.

methodsUsing data from 119,254 8th-11th graders, we tested independent and joint effects of ACEs and past-year housing status (housed, family homelessness, unaccompanied homelessness) on overall health and chronic health conditions, controlling for sociodemographic covariates.

resultsThe prevalence of ACEs varied by housing status, with 34.1% of housed youth experiencing ≥1 ACE vs. 56.3% of family-homeless and 85.5% of unaccompanied-homeless youth. Health status varied similarly. Homelessness and ACEs were independently associated with low overall health and chronic health conditions, after adjusting for covariates. Compared to housed youth, both family-homeless youth and unaccompanied-homeless youth had increased odds of low overall health and chronic physical and/or mental health conditions. All ACE x housing-status interactions were significant (all p < 0.001), such that ACE-related health risks were moderated by housing status.

conclusionsACEs and housing status independently predict health status during adolescence beyond other sociodemographic risks. Experiencing homelessness, whether unaccomapnied or with family, is associated with increased health risk, and every additional ACE increases this risk. Clinicians and health systems should advocate for policies that include stable housing as a protective factor.

Indexed as

Adverse Childhood ExperiencesHomeless YouthIll-Housed PersonsMental DisordersAdolescentChildHousingHumansAdverse childhood experiencesDevelopmental origins of health and diseaseHomelessness

Identifiers

PMID33827511
PMCPMC8025366
OpenAlexW3110934900

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.