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Associations between adverse childhood experiences and health service utilisation, prescription claims, and school performance during adolescence

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  • Wijekulasuriya, Shalini
  • Lystad, Reidar
  • Zurynski, Yvonne
  • Harrison, Reema
  • Braithwaite, Jeffrey
  • Mitchell, Rebecca

Abstract

Adverse childhood experiences (ACEs) can affect childhood development, often leading to detrimental outcomes in adolescence and adulthood. This study examined the characteristics of young people who experience ACEs, and the association between ACEs in childhood and health service use, prescription claims, and educational achievement in adolescence. This study utilised the Longitudinal Study of Australian Children (LSAC) Kindergarten Cohort, with biennial surveys from age 4 regarding health, social, and family domains. ACEs exposure during childhood (4–11 years) were centred on household dysfunction, including parental separation, parental substance abuse, parental mental illness, or domestic violence. LSAC survey data was linked to administrative health service and education data, which were used to determine number of health service claims, prescription claims, health service costs, and poor educational achievement during adolescence (12–19 years). Around 62% of the cohort experienced ≥1 ACE during childhood. Young people experiencing ACEs had higher odds of poor mental health and lower odds of a physical health condition in adolescence, however, ACEs were not associated with total health service claims, total prescription claims, or total health service costs in the same period. Exposure to one ACE compared to no ACEs resulted in higher odds of poor numeracy in Grade 7, and poor numeracy and poor reading achievement in Grade 9. There was inconsistent evidence of a dose-response relationship between ACEs and poor educational achievement. In this study, the association between ACEs and educational achievement, but not health service outcomes in adolescence may be due to accessibility factors. Future interventions could integrate health and social care services to better support families affected by ACEs.

Suggested Citation

  • Wijekulasuriya, Shalini & Lystad, Reidar & Zurynski, Yvonne & Harrison, Reema & Braithwaite, Jeffrey & Mitchell, Rebecca, 2025. "Associations between adverse childhood experiences and health service utilisation, prescription claims, and school performance during adolescence," Social Science & Medicine, Elsevier, vol. 368(C).
  • Handle: RePEc:eee:socmed:v:368:y:2025:i:c:s0277953625001285
    DOI: 10.1016/j.socscimed.2025.117799
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    References listed on IDEAS

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    1. Tomás Cano & Pablo Gracia, 2022. "The Gendered Effects of Divorce on Mothers’ and Fathers’ Time with Children and Children’s Developmental Activities: A Longitudinal Study," European Journal of Population, Springer;European Association for Population Studies, vol. 38(5), pages 1277-1313, December.
    2. Lotte C Houtepen & Jon Heron & Matthew J Suderman & Abigail Fraser & Catherine R Chittleborough & Laura D Howe, 2020. "Associations of adverse childhood experiences with educational attainment and adolescent health and the role of family and socioeconomic factors: A prospective cohort study in the UK," PLOS Medicine, Public Library of Science, vol. 17(3), pages 1-21, March.
    3. Papanicolas, Irene & Woskie, Liana R. & Jha, Ashish K., 2018. "Health care spending in the United States and other high-income countries," LSE Research Online Documents on Economics 87362, London School of Economics and Political Science, LSE Library.
    4. Gillian Murphy & Kath Peters & Debra Jackson & Lesley Wilkes, 2011. "A qualitative meta‐synthesis of adult children of parents with a mental illness," Journal of Clinical Nursing, John Wiley & Sons, vol. 20(23‐24), pages 3430-3442, December.
    5. Lucinda Roper & Vincent Yaofeng He & Oscar Perez-Concha & Steven Guthridge, 2023. "Complex early childhood experiences: Characteristics of Northern Territory children across health, education and child protection data," PLOS ONE, Public Library of Science, vol. 18(1), pages 1-22, January.
    6. Kat Ford & Karen Hughes & Katie Cresswell & Nel Griffith & Mark A. Bellis, 2022. "Associations between Adverse Childhood Experiences (ACEs) and Lifetime Experience of Car Crashes and Burns: A Cross-Sectional Study," IJERPH, MDPI, vol. 19(23), pages 1-10, November.
    7. Paula Zeanah & Karen Burstein & Jeanne Cartier, 2018. "Addressing Adverse Childhood Experiences: It’s All about Relationships," Societies, MDPI, vol. 8(4), pages 1-16, November.
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