Rates of Exposure to Victimizing Events and Use of Substances Among California’s Middle and High School Students

Abstract

Nearly half of 5- to 17-year-olds have experienced trauma in the form of at-school victimization. Exposure to trauma increases students’ risk for mental health disorders and school failure. This study reviews at-school victimization in middle and high school students and associated health outcomes that may negatively impact academic outcomes. Analyzing the California Healthy Kids Survey 2010, we examine rates of victimization on school grounds, substance use, and symptoms of depression and eating disorders among a sample of 6th to 12th graders (N = 639,925). Between 20% and 50% of students had experienced at least one type of victimizing event on school grounds, with the highest incidence in middle schools. A significantly higher share of victimized students reported using substances, symptoms of depression and eating disorders when compared to nonvictimized students. School district investment in school nurses, social workers, and school-based health centers could increase preventive interventions to improve school climate, student well-being, and academic success.

Keywords

mental health victimization substance use child and adolescent school-based health services

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References

Arnett

J. J.

(2000). Emerging adulthood: A theory of development from the late teens through the twenties. American Psychologist, 55, 469–480. Retrieved from http://doi.org/10.1037//0003-066X.55.5.469

Austin

(2013). The California Healthy Kids Survey: The case for continuation. Retrieved from http://chks.wested.org/resources/PreventionTactics.pdf

Austin

Bates

Duerr

(2005). Guidebook for the California Healthy Kids Survey part II: Data use and dissemination (2011-12 ed.). San Francisco, CA: WestEd.

Bruns

E. J.

Walrath

Glass-Siegel

Weist

M. D.

(2004). School-based mental health services in Baltimore: Association with school climate and special education referrals. Behavior Modification, 28, 491–513. Retrieved from http://doi.org/10.1177/0145445503259524

Busby

D. R.

Lambert

S. F.

Ialongo

N. S.

(2013). Psychological symptoms linking exposure to community violence and academic functioning in African American adolescents. Journal of Youth and Adolescence, 42, 250–262. Retrieved from http://doi.org/10.1007/s10964-012-9895-z

California Department of Education. (2014, 5 17). California Healthy Kids Survey. Retrieved from http://chks.wested.org/administer/download/

California Department of Education. (2016, 5 17). New release: State schools chief Tom Torlakson reports new record high school graduation rate and sixth consecutive year of an increase. Retrieved from http://www.cde.ca.gov/nr/ne/yr16/yr16rel38.asp

Cohen

(2006). Social, emotional, ethical, and academic education: Creating a climate for learning, participation in democracy, and well-being. Harvard Educational Review, 76, 201–237.

Denny

S. J.

Robinson

E. M.

Utter

Fleming

T. M.

Grant

Milfont

T. L.

Clark

(2011). Do schools influence student risk-taking behaviors and emotional health symptoms? Journal of Adolescent Health, 48, 259–267. Retrieved from http://doi.org/10.1016/j.jadohealth.2010.06.020

10.

Eccles

J. S.

Midgley

Wigfield

Buchanan

C. M.

Reuman

Flanagan

Iver

D. M.

(1993). Development during adolescence: The impact of stage-environment fit on young adolescents’ experiences in school and in families. American Psychologist, 48, 90–101.

11.

Flannery

D. J.

Todres

Bradshaw

C. P.

Amar

A. F.

Graham

Hatzenbuehler

… Rivara

(2016). Bullying prevention: A summary of the report of the national academies of sciences, engineering, and medicine. Preventive Science, 17, 1044–1053.

12.

Fiscella

Kitzman

(2009). Disparities in academic achievement and health: The intersection of child education and health policy. Pediatrics, 123, 1073–1080. Retrieved from http://doi.org/10.1542/peds.2008-0533

13.

Freudenberg

Ruglis

(2007). Reframing school dropout as a public health issue. Preventing Chronic Disease: Public Health Research, Practice, and Policy, 4, 1–11.

14.

Haas

S. A.

Fosse

N. E.

(2008). Health and the educational attainment of adolescents: Evidence from the NLSY97. Journal of Health and Social Behavior, 49, 178–192.

15.

Harden

Kenemore

Mann

Edwards

List

Martinson

K. J.

(2014). The Truth N’ Trauma Project: Addressing community violence through a youth-led, trauma-informed and restorative framework. Child and Adolescent Social Work Journal, 32, 65–79. Retrieved from http://doi.org/10.1007/s10560-014-0366-0

16.

Hong

J. S.

Peguero

A. A.

Choi

Lanesskog

Espelage

D. L.

Lee

N. Y.

(2014). Social ecology of bullying and peer victimization of Latino and Asian youth in the United States: A review of the literature. Journal of School Violence, 13, 315–338.

17.

Keeton

Soleimanpour

Brindis

C. D.

(2012). School-based health centers in an era of health care reform: Building on history. Current Problems in Pediatric and Adolescent Health Care, 42, 132–156. Retrieved from http://doi.org/10.1016/j.cppeds.2012.03.002

18.

Larson

Spetz

Brindis

C. D.

Chapman

(in press). Characteristic differences between school-based health centers with and without mental health providers: A review of national trends. Journal of Pediatric Health Care. Retrieved from http://dx.doi.org/10.1016/j.pedhc.2016.12.007

19.

Lesser

Vacca

J. D.

Pineda

D. V.

(2015). Promoting the positive development of Latino youth in an alternative school setting: A culturally relevant trauma-informed intervention. Issues in Mental Health Nursing, 36, 388–390. Retrieved from http://doi.org/10.3109/01612840.2014.994689

20.

MacCallum

R. C.

Zhang

Preacher

K. J.

Rucker

D. D.

(2002). On the practice of dichotomization of quantitative variables. Psychological Methods, 7, 19–40.

21.

Marshall

B. D. L.

Galea

Wood

Kerr

(2013). Longitudinal associations between types of childhood trauma and suicidal behavior among substance users: A cohort study. American Journal of Public Health, 103, e69–e75. Retrieved from http://doi.org/10.2105/AJPH.2013.301257

22.

Mathews

Dempsey

Overstreet

(2009). Effects of exposure to community violence on school functioning: The mediating role of posttraumatic stress symptoms. Behaviour Research and Therapy, 47, 586–591. Retrieved from http://doi.org/10.1016/j.brat.2009.04.001

23.

Merikangas

K. R.

Burstein

Swanson

S. A.

Avenevoli

Cui

… Swendsen

(2010). Lifetime prevalence of mental disorders in U.S. adolescents: Results from the National Comorbidity Survey Replication–Adolescent Supplement (NCS-A). Journal of the American Academy of Child & Adolescent Psychiatry, 49, 980–989. Retrieved from http://doi.org/10.1016/j.jaac.2010.05.017

24.

Merikangas

K. R.

Burstein

Swendsen

Avenevoli

Case

… Olfson

(2011). Service utilization for lifetime mental disorders in U.S. adolescents: Results of the National Comorbidity Survey–Adolescent Supplement (NCS-A). Journal of the American Academy of Child & Adolescent Psychiatry, 50, 32–45. Retrieved from http://doi.org/10.1016/j.jaac.2010.10.006

25.

National Association of School Nurses. (2017). The complementary roles of the school nurse and school based health centers. Retrieved from http://www.nasn.org/PolicyAdvocacy/PositionPapersandReports/NASNPositionStatementsFullView/tabid/462/smid/824/ArticleID/46/Default.aspx

26.

Paternite

C. E.

(2005). School-based mental health programs and services: Overview and introduction to the special issue. Journal of Abnormal Child Psychology, 33, 657–663.

27.

Porche

M. V.

Fortuna

L. R.

Lin

Alegria

(2011). Childhood trauma and psychiatric disorders as correlates of school dropout in a national sample of young adults. Child Development, 82, 982–998. Retrieved from http://doi.org/10.1111/j.1467-8624.2010.01534.x

28.

Rich

Corbin

Bloom

Rich

Evans

Wilson

(2010). Healing the hurt: Trauma-informed approaches to the health of boys and young men of color. Center for Nonviolence & Social Justice, Drexel University School of Public Health. Retrieved from http://www.nonviolenceandsocialjustice.org/Research-Literature/25/

29.

School-Based Health Alliance. (2016, 1 7). 2013-14 Census of school-based health centers. Retrieved from http://censusreport.sbh4all.org

30.

Slade

E. P.

Wissow

L. S.

(2007). The influence of childhood maltreatment on adolescents’ academic performance. Economics of Education Review, 26, 604–614. Retrieved from http://doi.org/10.1016/j.econedurev.2006.10.003

31.

The Education Trust. (2011, 8). Press Release: New CALPADS data reveal accurate California graduation rates for all students; Shows unacceptable results for students of color and English learners. Retrieved from https://west.edtrust.org/press_release/new-calpads-data-reveal-accurate-california-graduation-and-dropout-rates-for-all-students-shows-unacceptable-results-for-students-of-color-and-english-learners-3/

32.

The National Academies of Sciences, Engineering, and Medicine. (2016). Preventing bullying through science, policy, and practice (pp. 1–311). Washington, DC: National Academies Press. Retrieved from http://doi.org/10.17226/23482

33.

Turner

H. A.

Finkelhor

Ormrod

(2006). The effect of lifetime victimization on the mental health of children and adolescents. Social Science & Medicine, 62, 13–27.

34.

Turner

H. A.

Finkelhor

Ormrod

(2010). Poly-victimization in a national sample of children and youth. American Journal of Preventive Medicine, 38, 323–330.

35.

Turner

H. A.

Shattuck

Finkelhor

Hamby

(2016). Polyvictimization and youth violence exposure across contexts. Journal of Adolescent Health, 58, 208–214.

36.

Voisin

D. R.

Hunnicutt

Neilands

T. B.

(2011). Mechanisms linking violence exposure and school engagement among African American adolescents: Examining the roles of psychological problem behaviors and gender. American Journal of Orthopsychiatry, 81, 67–71. Retrieved from http://doi.org/10.1111/j.1939-0025.2010.01072.x