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Adverse Childhood Experiences, Mental Health, and Access to Treatment

Differences Among Rural and Urban Youth

Dados Bibliográficos

ID21834981
AutoresLuke Muentner (0000-0002-0969-581X, RTI International, autor correspondente), Alycia Chmielewski (Medical School, University of Minnesota), Rebecca Freese (0000-0001-9477-4231, University of Minnesota), Carrie Henning‐smith (0000-0002-0273-0387, University of Minnesota), Rebecca J Shlafer (0000-0001-7833-9053, University of Minnesota), Rebecca Shlafer (University of Minnesota)
Ano2026
Volume41
Fascículo2
Páginas135-145
Data de publicação2026-02-17
Peer ReviewedSim
Open AccessNão
TipoARTICLE
PeriódicoSocial Work in Public Health (JOURNAL)
Identificadores do periódicoISSN: 1937-190X • E-ISSN: 1937-1918
EditoraInforma UK Limited (PUBLISHER • GB)
DOI10.1080/19371918.2025.2573795
PMID41074621
OpenAlexW4415075567
IdiomaEN
Referências citadas26

Adverse childhood experiences (ACEs) are associated with poor adolescent mental health. Despite evidence that ACEs may be more prevalent in rural communities, it remains underexplored how region moderates the association between ACEs and mental health, as well as how access to treatment may vary across regions. Data for this study come from the 2019 Minnesota Student Survey, a state-wide survey of 125,375 adolescents. Results suggest that cumulative ACEs and certain mental health conditions (i.e. suicidality) were more common among town and rural youth compared to city and suburban youth. Even after adjusting for ACEs, town and rural youth who endorsed a mental health problem were less likely to receive treatment compared to urban peers. The findings have implications for social work and public health responses that reduce ACEs, particularly in rural communities, and expand treatment options for adolescent mental health in more remote settings

Adverse Childhood Experiences · Mental health · Mental illness · Occupational safety and health · Public health · Rural area · Suicide prevention · Child Abuse and Trauma · Child and Adolescent Psychosocial and Emotional Development · Child Welfare and Adoption

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