Adverse childhood experiences (ACEs) confer risk to the mental health of Black youth, but few studies have examined how youth gender, family, and neighborhood factors jointly influence the psychological impact of adversity. This study investigates if family resilience and neighborhood cohesion jointly moderate the link between latent ACE profiles and mental health among Black girls and boys. This study uses data from the National Survey of Children's Health, combined across the years 2016 through 2021, and includes a nationally representative sample of 5,493 Black youth (48% female) between the ages of 12 and 17. Two patterns of ACEs were identified using latent class analysis characterized by no-to-minimal ACE exposure and moderate-to-high ACE exposure. Membership in the high-ACEs class increased the risk for internalizing problems among Black boys (b = 0.56, p < .001) and girls (b = 0.42, p < .01). Only boys in the high-ACEs class who also reported low levels of family resilience and low neighborhood cohesion evidenced an increased risk for externalizing concerns (b = 0.70, p < .001). Conversely, only girls in the high-ACEs class who reported high levels of family resilience and low levels of neighborhood cohesion evidenced an increased risk for externalizing problems (b = 0.69, p < .01). Findings suggest that the impact of ACEs on mental health is not uniform across Black boys and girls, and that family and neighborhood-level factors may collectively shape the impact of ACEs on the mental health among Black youth in unique ways. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

中文翻译：

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检查家庭复原力和邻里凝聚力的模式作为不良童年经历对黑人青少年心理健康影响的调节因素。


不良童年经历（ACE）会给黑人青少年的心理健康带来风险，但很少有研究探讨青少年性别、家庭和邻里因素如何共同影响逆境的心理影响。这项研究调查了家庭复原力和邻里凝聚力是否共同调节了黑人女孩和男孩的潜在 ACE 特征与心理健康之间的联系。本研究使用了 2016 年至 2021 年全国儿童健康调查的数据，并包括 5,493 名 12 至 17 岁黑人青少年（48% 女性）的全国代表性样本。使用以下方法确定了两种 ACE 模式：潜在类别分析的特征是无至最低 ACE 暴露和中至高 ACE 暴露。高 ACE 班级的成员身份增加了黑人男孩 (b = 0.56, p < .001) 和女孩 (b = 0.42, p < .01) 内化问题的风险。只有高 ACE 班级中的男孩也报告家庭复原力水平低、邻里凝聚力低，证明外化担忧的风险增加 (b = 0.70, p < .001)。相反，只有高 ACE 班级中家庭复原力水平高、邻里凝聚力水平低的女孩才证明外化问题的风险增加（b = 0.69，p < .01）。研究结果表明，ACE 对黑人男孩和女孩心理健康的影响并不相同，家庭和社区层面的因素可能以独特的方式共同影响 ACE 对黑人青少年心理健康的影响。 （PsycInfo 数据库记录 (c) 2024 APA，保留所有权利）。