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Adverse childhood experiences and health-related outcomes in early adulthood: Evidence from the Korean Welfare Panel Study

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  • Choi, Changyong
  • Mersky, Joshua P.

Abstract

Research has reliably shown that adverse childhood experiences (ACEs) are highly prevalent and consequential, though scientific progress has been hindered by the frequent use of retrospective, cross-sectional study designs. As a result, there is limited knowledge of when ACEs are most likely to occur, and there are lingering questions about causal inferences and effect sizes. This study aimed to estimate the period prevalence of ACEs in early-, mid-, and late-adolescence, and to compare crosssectional and longitudinal associations between ACEs and health-related outcomes in adolescence and early adulthood. Using a panel study of 353 participants and their caregivers from 2006 to 2021 in South Korea, eight ACEs were measured across three time periods: ages 10–12, 13–15, and 16–18. Descriptive analyses produced estimates of period prevalence, while correlational and path analyses generated direct and indirect associations between ACEs and health-related outcomes (chronic illness; depressive symptoms) in lateadolescence and early adulthood. Results showed that period prevalence estimates ranged from 53 % to 67 %. ACEs were associated with more robust effects on depressive symptoms in late adolescence than early adulthood and in cross-sectional analyses than longitudinal analyses. Conversely, significant associations with chronic illness were only observed prospectively in early adulthood. The link between ACEs and adult depressive symptoms was partly mediated by depressive symptoms in late adolescence, whereas paths between ACEs and adult chronic illness were unmediated. The findings confirm that ACEs are highly prevalent and harmful. Future ACE research should explore the extent to which findings are influenced by method effects.

Suggested Citation

  • Choi, Changyong & Mersky, Joshua P., 2025. "Adverse childhood experiences and health-related outcomes in early adulthood: Evidence from the Korean Welfare Panel Study," Children and Youth Services Review, Elsevier, vol. 170(C).
    • Handle: RePEc:eee:cysrev:v:170:y:2025:i:c:s0190740925000416
    DOI: 10.1016/j.childyouth.2025.108158
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    References listed on IDEAS

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    1. Lyons, Kiara & Tibbits, Melissa & Schmid, Kendra K. & Ratnapradipa, Kendra L. & Watanabe-Galloway, Shinobu, 2023. "Prevalence and measurement of adverse childhood experiences (ACE) among children and adolescents in the U.S.: A scoping review," Children and Youth Services Review, Elsevier, vol. 153(C).
    2. Ohrnberger, Julius & Fichera, Eleonora & Sutton, Matt, 2017. "The relationship between physical and mental health: A mediation analysis," Social Science & Medicine, Elsevier, vol. 195(C), pages 42-49.
    3. Lee, Hye Yeon & Kim, Isak & Nam, Sojeong & Jeong, Jeongwoon, 2020. "Adverse childhood experiences and the associations with depression and anxiety in adolescents," Children and Youth Services Review, Elsevier, vol. 111(C).
    4. Lei Zhang & Dandan Zhang & Ying Sun, 2019. "Adverse Childhood Experiences and Early Pubertal Timing Among Girls: A Meta-Analysis," IJERPH, MDPI, vol. 16(16), pages 1-13, August.
    5. Park, Eonju & Lee, Jaegoo & Han, Jisu, 2021. "The association between adverse childhood experiences and young adult outcomes: A scoping study," Children and Youth Services Review, Elsevier, vol. 123(C).
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