Research Article

Adverse Childhood Experiences among American Indian/Alaska Native Children: The 2011-2012 National Survey of Children’s Health

Table 5

Adjusted odds ratios for sociodemographic characteristics associated with (1) having 2 or more ACEs and (2) having parent-reported emotional/developmental/behavioral problems among AI/AN children 0–17 years of age: National Survey of Children’s Health 2011-2012.

Sociodemographic characteristicsOutcome: two or more adverse family experiencesOutcome: parent-reported emotional/developmental/behavioral problems
Adjusted odds ratio95% confidence limitsAdjusted odds ratio95% confidence limits

Adverse childhood events
 2 or more ACEsnana10.33.64–29.3
 Less than 2 ACEsnana1.00Reference

Birth weight
 Within normal limits1.00Reference1.00Reference
 Low/very low birth weight0.720.23–2.255.411.48–19.8

Child’s gestation
 Within normal limits1.560.60–4.051.00Reference
 3 or more weeks’ premature1.00Reference1.610.48–5.37

Child’s gender
 Male0.840.50–1.411.300.60–2.81
 Female1.00Reference1.00Reference

Child’s age
 0–5 years1.00Reference1.00Reference
 6–11 years4.572.23–9.361.040.42–2.60
 12–17 years8.153.55–18.71.890.66–5.43

Household income (FPL)
 <100% 1.510.51–4.471.220.33–4.51
 100–199%1.310.43–3.941.710.49–5.94
 200–399%1.090.42–2.800.660.18–2.40
 400+% 1.00Reference1.00Reference

Family structure
 Two parents, biological/adopted1.00Reference1.00Reference
 Two parents, step family2.040.97–4.321.050.38–2.90
 Single mother, no father present4.012.00–8.030.340.12–0.94
 Other4.851.99–11.80.630.18–2.16

Mother’s age
 30 years or less1.060.41–2.700.860.21–3.53
 31–45 years1.270.63–2.561.300.46–3.65
 >45 years1.00Reference1.00Reference

Highest household education level
 Less than high school0.730.37–1.470.880.38–2.90
 High school1.030.61–1.780.880.39–1.96
 More than high school1.00Reference1.00Reference

Child’s insurance coverage
 Public2.231.17–4.261.130.43–2.95
 No coverage1.890.64–5.590.910.21–3.95
 Private1.00Reference1.00Reference

Medical home
 Has a medical home1.00Reference1.00Reference
 Does not have a medical home1.170.70–1.942.030.86–4.79

Neighborhoods
 Supportive1.00Reference1.00Reference
 Nonsupportive1.741.01–3.000.700.29–1.68

Metropolitan status
 Within a MSA1.00Reference1.00Reference
 Not within a MSA0.920.56–1.520.580.26–1.32

AI/AN regions
 Alaska1.060.56–2.001.690.68–4.21
 East1.00Reference1.00Reference
 Northern Plains2.181.21–3.940.760.31–1.85
 Pacific Coast1.490.58–3.851.950.51–7.53
  Southwest1.260.63–2.530.690.24–1.98

Wald statistic and value96.5<0.000146.60.005
(Nagelkerke max-rescaled -square)0.850.49

Federal poverty levels (FPL) are based on the Department of Health and Human Services 2012 poverty guidelines. Income below 100% of the poverty threshold was defined as less than 15,130 for a family of two, 19,090 for a family of three, and 23,050 for a family of four.