# Role of Adverse Childhood Experiences and Intersecting Identities on Adolescents' School Engagement in the United States

**Authors:** Juhee K. Cavins, Hye Yeon Lee, Isak Kim

PMC · DOI: 10.1111/josh.70072 · The Journal of School Health · 2025-08-20

## TL;DR

This study explores how childhood trauma and identity factors like gender and ethnicity affect school engagement among U.S. adolescents.

## Contribution

The study introduces a novel approach by combining adverse childhood experiences with intersecting identities to analyze school engagement.

## Key findings

- Adolescents in the Multiple High Risk ACE class showed significantly lower school engagement across all identities.
- Asian female adolescents had the highest school engagement, while White males had the lowest.
- Combining ACEs and identities revealed disparities not seen when analyzing each factor separately.

## Abstract

The purpose of this study was to investigate the role of adverse childhood experiences (i.e., ACEs) and intersecting identities (i.e., gender and ethnicity) on school engagement among adolescents in the United States.

We analyzed the 2021 National Survey of Children's Health Data.

We first identified four ACE classes, with each class representing different proportions of intersecting identities: No ACEs, Multiple Low Risk, Mental Health Issues, and Multiple High Risk. We then found significant differences in school engagement across the ACE class memberships and eight different intersecting identities, both separately and together. When we investigated ACE class memberships and intersecting identities separately, the results underscored the pervasive negative impact of the Multiple High Risk class on school engagement across all intersecting identities. Regarding intersecting identities, Asian female adolescents exhibited the highest school engagement levels, while White male adolescents had the lowest. When considering both ACE class memberships and intersecting identities, Asian male, Black female, Black male, Hispanic male, and White male adolescents in the Multiple High Risk class demonstrated lower school engagement levels, which contrasted with the results when examining only either intersecting identities or ACEs.

These findings highlight the importance of addressing both factors in school health policies and practices to better support various adolescent populations.

Our study provides a foundation for future studies and informs the development of more equitable, trauma‐informed school policies and practices to foster student engagement.

## Full-text entities

- **Genes:** AP2B1 (adaptor related protein complex 2 subunit beta 1) [NCBI Gene 163] {aka ADTB2, AP105B, AP2-BETA, CLAPB1}
- **Diseases:** Mental Health Issues (OMIM:603663), trauma (MESH:D014947)

## Full text

_Full body text omitted from this summary view._ Fetch the complete paper as Markdown: https://tomesphere.com/paper/PMC12621162/full.md

## Figures

1 figure with captions in the complete paper: https://tomesphere.com/paper/PMC12621162/full.md

## References

72 references — full list in the complete paper: https://tomesphere.com/paper/PMC12621162/full.md

---
Source: https://tomesphere.com/paper/PMC12621162