ArticlemedRxiv : the preprint server for health sciences2025
Research Letter: Childhood Adversity and Risk of Subsequent Head and Neck Injury: an ABCD Cohort Analysis.
Article in medRxiv : the preprint server for health sciences, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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3 authors.
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Abstract
Objective: This study examined whether baseline reports of adverse childhood experiences (ACEs) and early life adversity (ELA) were associated with subsequent head/neck injury or probable brain injury in the Adolescent Brain Cognitive Development (ABCD) Study Setting: ABCD Study Participants: ABCD Study Design: Prospective observational design. Main Measures: Head and/or neck injuries and probable brain injuries were assessed using the caregiver-reported Ohio State University Traumatic Brain Injury Identification Method Short Form. We used previously published recommendations for the ABCD study to calculate a proxy ACEs score and a broader measure of ELA using both caregiver and youth report at baseline. Age, gender, race/ethnicity, primary caregiver education, child's history of ADHD, report of head/neck or probable brain injury at baseline, and broken bone injury at baseline or follow-up were covariates in logistic regression models examining the association between risk of head/neck injury or probable brain injury with ACEs or ELA. Results: Exposure to more adversity (ACES: Odds Ratio [95% Confidence Interval] OR[95%CI]=0.04[0.001,0.08]; ELA: OR[95%CI]=0.05[0.01,0.08]) was associated with higher odds of sustaining a head or neck injury at any of the follow-up time points but not of probable brain injury (ACES: OR[95%CI]=0.002[-0.08,0.08]; ELA: OR[95%CI]=0.01[-0.06,0.07]). Conclusion: Limited public knowledge of and reliance on caregiver report of head/neck injury increases misclassification bias and underscores the need for improved education and measurement strategies. We observed a stronger association between ELA and head/neck injury, potentially reflecting differences in disclosure and awareness rather than due to types of exposure.
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