Exploring the Relationship between Adverse Childhood Experiences and Sexual Victimization in High School Students

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Title: Exploring the Relationship between Adverse Childhood Experiences and Sexual Victimization in High School Students
Language: English
Authors: Victoria Y. Dunbar (ORCID 0009-0009-3066-4215), Kristyn E. Widger, Kassie R. Terrell (ORCID 0000-0002-5655-4964), Zhigang Xie, Elissa M. Barr
Source: Journal of School Health. 2026 96(3).
Availability: Wiley. Available from: John Wiley & Sons, Inc. 111 River Street, Hoboken, NJ 07030. Tel: 800-835-6770; e-mail: cs-journals@wiley.com; Web site: https://www.wiley.com/en-us
Peer Reviewed: Y
Page Count: 10
Publication Date: 2026
Document Type: Journal Articles
Reports - Research
Education Level: High Schools
Secondary Education
Descriptors: Victims of Crime, Sexual Abuse, Children, Mental Health, Sexuality, Adolescents, LGBTQ People, Trauma Informed Approach, Prevention, High School Students, Child Abuse, Correlation
DOI: 10.1111/josh.70120
ISSN: 0022-4391
1746-1561
Abstract: Background: Adverse Childhood Experiences (ACEs) have lasting mental, sexual, and physical health effects, including increased risk of psychological disorders, chronic conditions, and risky sexual behavior. Yet, few studies examine their link to sexual victimization in adolescents, particularly LGBTQIA+ youth. This study addresses these gaps to inform targeted, trauma-informed prevention strategies. Methods: Using national CDC YRBS data, participants included 10,553 high school students who provided information on both ACEs and sexual victimization. The independent variable included ACEs questions, while the dependent variable included sexual victimization questions. Weighted analysis using SAS version 9.4 included descriptive statistics, Chi squares, and simple and multivariable log-binomial regression. Results: Half (50.3%) of all participants reported at least one ACE. ACEs were significantly associated with sexual victimization among teens, with transgender students experiencing the highest prevalence of both ACEs and sexual victimization, compared to their cisgender peers. Implications for School Health Policy, Practice, and Equity: These findings highlight the need for trauma-informed interventions and comprehensive sex education on consent, boundaries, and sexual victimization, with particular focus on LGBTQIA+ students who face elevated risk of ACEs and sexual victimization. Conclusions: Teens who have experienced ACEs are significantly more likely to report sexual victimization than peers without such experiences. LGBTQIA+ youth reported disproportionately higher rates of both ACEs and sexual victimization.
Abstractor: As Provided
Entry Date: 2026
Accession Number: EJ1498732
Database: ERIC
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  Data: Exploring the Relationship between Adverse Childhood Experiences and Sexual Victimization in High School Students
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  Data: <searchLink fieldCode="AR" term="%22Victoria+Y%2E+Dunbar%22">Victoria Y. Dunbar</searchLink> (ORCID <externalLink term="https://orcid.org/0009-0009-3066-4215">0009-0009-3066-4215</externalLink>)<br /><searchLink fieldCode="AR" term="%22Kristyn+E%2E+Widger%22">Kristyn E. Widger</searchLink><br /><searchLink fieldCode="AR" term="%22Kassie+R%2E+Terrell%22">Kassie R. Terrell</searchLink> (ORCID <externalLink term="https://orcid.org/0000-0002-5655-4964">0000-0002-5655-4964</externalLink>)<br /><searchLink fieldCode="AR" term="%22Zhigang+Xie%22">Zhigang Xie</searchLink><br /><searchLink fieldCode="AR" term="%22Elissa+M%2E+Barr%22">Elissa M. Barr</searchLink>
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  Data: <searchLink fieldCode="SO" term="%22Journal+of+School+Health%22"><i>Journal of School Health</i></searchLink>. 2026 96(3).
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  Data: Wiley. Available from: John Wiley & Sons, Inc. 111 River Street, Hoboken, NJ 07030. Tel: 800-835-6770; e-mail: cs-journals@wiley.com; Web site: https://www.wiley.com/en-us
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  Data: Y
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  Data: 10
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  Data: 2026
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  Data: Journal Articles<br />Reports - Research
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  Data: <searchLink fieldCode="EL" term="%22High+Schools%22">High Schools</searchLink><br /><searchLink fieldCode="EL" term="%22Secondary+Education%22">Secondary Education</searchLink>
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  Data: <searchLink fieldCode="DE" term="%22Victims+of+Crime%22">Victims of Crime</searchLink><br /><searchLink fieldCode="DE" term="%22Sexual+Abuse%22">Sexual Abuse</searchLink><br /><searchLink fieldCode="DE" term="%22Children%22">Children</searchLink><br /><searchLink fieldCode="DE" term="%22Mental+Health%22">Mental Health</searchLink><br /><searchLink fieldCode="DE" term="%22Sexuality%22">Sexuality</searchLink><br /><searchLink fieldCode="DE" term="%22Adolescents%22">Adolescents</searchLink><br /><searchLink fieldCode="DE" term="%22LGBTQ+People%22">LGBTQ People</searchLink><br /><searchLink fieldCode="DE" term="%22Trauma+Informed+Approach%22">Trauma Informed Approach</searchLink><br /><searchLink fieldCode="DE" term="%22Prevention%22">Prevention</searchLink><br /><searchLink fieldCode="DE" term="%22High+School+Students%22">High School Students</searchLink><br /><searchLink fieldCode="DE" term="%22Child+Abuse%22">Child Abuse</searchLink><br /><searchLink fieldCode="DE" term="%22Correlation%22">Correlation</searchLink>
– Name: DOI
  Label: DOI
  Group: ID
  Data: 10.1111/josh.70120
– Name: ISSN
  Label: ISSN
  Group: ISSN
  Data: 0022-4391<br />1746-1561
– Name: Abstract
  Label: Abstract
  Group: Ab
  Data: Background: Adverse Childhood Experiences (ACEs) have lasting mental, sexual, and physical health effects, including increased risk of psychological disorders, chronic conditions, and risky sexual behavior. Yet, few studies examine their link to sexual victimization in adolescents, particularly LGBTQIA+ youth. This study addresses these gaps to inform targeted, trauma-informed prevention strategies. Methods: Using national CDC YRBS data, participants included 10,553 high school students who provided information on both ACEs and sexual victimization. The independent variable included ACEs questions, while the dependent variable included sexual victimization questions. Weighted analysis using SAS version 9.4 included descriptive statistics, Chi squares, and simple and multivariable log-binomial regression. Results: Half (50.3%) of all participants reported at least one ACE. ACEs were significantly associated with sexual victimization among teens, with transgender students experiencing the highest prevalence of both ACEs and sexual victimization, compared to their cisgender peers. Implications for School Health Policy, Practice, and Equity: These findings highlight the need for trauma-informed interventions and comprehensive sex education on consent, boundaries, and sexual victimization, with particular focus on LGBTQIA+ students who face elevated risk of ACEs and sexual victimization. Conclusions: Teens who have experienced ACEs are significantly more likely to report sexual victimization than peers without such experiences. LGBTQIA+ youth reported disproportionately higher rates of both ACEs and sexual victimization.
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  Data: 2026
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  Data: EJ1498732
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        Value: 10.1111/josh.70120
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      – Text: English
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        PageCount: 10
    Subjects:
      – SubjectFull: Victims of Crime
        Type: general
      – SubjectFull: Sexual Abuse
        Type: general
      – SubjectFull: Children
        Type: general
      – SubjectFull: Mental Health
        Type: general
      – SubjectFull: Sexuality
        Type: general
      – SubjectFull: Adolescents
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      – SubjectFull: LGBTQ People
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      – SubjectFull: Trauma Informed Approach
        Type: general
      – SubjectFull: Prevention
        Type: general
      – SubjectFull: High School Students
        Type: general
      – SubjectFull: Child Abuse
        Type: general
      – SubjectFull: Correlation
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