{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,5]],"date-time":"2026-06-05T11:16:26Z","timestamp":1780658186376,"version":"3.54.1"},"reference-count":83,"publisher":"MDPI AG","issue":"11","license":[{"start":{"date-parts":[[2024,11,5]],"date-time":"2024-11-05T00:00:00Z","timestamp":1730764800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"Australian National Health and Medical Research Council (NHMRC) Investigator Grant"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Behavioral Sciences"],"abstract":"<jats:p>Improving social and emotional well-being (SEWB) among Indigenous adolescents is crucial. Since neurodevelopmental disorders (NDDs) are common in Indigenous people and adverse childhood experiences (ACEs) are important contributors to negative health outcomes throughout the lifespan, we investigated whether limited ACE exposure is associated with reduced risk of NDDs in Australian Indigenous teens using the data from multiple waves (Wave 1 to Wave 9, and Wave 11) of the Longitudinal Study of Indigenous Children (LSIC). We also examined the role of other protective factors, such as Indigenous cultural identity and school connectedness, against NDDs. A strengths-based approach using mixed-effects logistic regression models examined the protective effect of limited ACE exposure (from LSIC waves 1\u20139) on NDDs (outcome from LSIC wave 11), adjusting for sociodemographic factors. The NDDs included autism, ADHD, intellectual, neurological, and specific learning disabilities. Of the 370 individuals analysed, 73.2% valued Indigenous cultural identity, and 70.5% were strongly connected at school. More than one-fourth (27.8%) reported limited ACE exposure, while the majority was not diagnosed with NDDs (93%). Longitudinal analysis revealed limited ACE exposure was 6.01 times (95% CI: 1.26\u201328.61; p = 0.024) more likely to be protective against NDDs compared to those exposed to multiple ACEs. Moreover, valuing cultural identity (aOR = 2.81; 95% CI: 1.06\u20137.39; p = 0.038) and girls (aOR = 13.88; 95% CI: 3.06\u201362.84; p = 0.001) were protective against NDDs compared to their respective counterparts. Our findings highlight the need to prevent ACE exposure and promote Indigenous cultural identity in preventing negative health outcomes and the exacerbation of health inequities to strengthen the SEWB of Indigenous communities.<\/jats:p>","DOI":"10.3390\/bs14111047","type":"journal-article","created":{"date-parts":[[2024,11,5]],"date-time":"2024-11-05T11:36:39Z","timestamp":1730806599000},"page":"1047","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Thriving Beyond Adversity: A Prospective Longitudinal Cohort Study Using a Strength-Based Approach Depicts Indigenous Adolescents with Less Adverse Childhood Experiences (ACEs) Had Fewer Neurodevelopmental Disorders (NDDs)"],"prefix":"10.3390","volume":"14","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7637-5907","authenticated-orcid":false,"given":"Md Irteja","family":"Islam","sequence":"first","affiliation":[{"name":"Sydney School of Public Health, Faculty of Medicine and Health, The University of Sydney, Edward Ford Building, A27 Fisher Road, Sydney, NSW 2006, Australia"},{"name":"Research, Innovation and Grants, Spreeha Bangladesh, Gulshan-2, Dhaka 1212, Bangladesh"},{"name":"Centre for Health Research, The University of Southern Queensland, Darling Heights, Toowoomba, QLD 4350, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bernadette Yan Yue","family":"Lam","sequence":"additional","affiliation":[{"name":"Sydney School of Public Health, Faculty of Medicine and Health, The University of Sydney, Edward Ford Building, A27 Fisher Road, Sydney, NSW 2006, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0277-4950","authenticated-orcid":false,"given":"Tuguy","family":"Esgin","sequence":"additional","affiliation":[{"name":"Sydney School of Public Health, Faculty of Medicine and Health, The University of Sydney, Edward Ford Building, A27 Fisher Road, Sydney, NSW 2006, Australia"},{"name":"Dean Indigenous Engagement, Faculty of Business and Law, Curtin University, Bentley, Perth, WA 6102, Australia"},{"name":"School of Medical and Health Sciences, Edith Cowan University, Joondalup, Perth, WA 6027, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1368-8206","authenticated-orcid":false,"given":"Alexandra","family":"Martiniuk","sequence":"additional","affiliation":[{"name":"Sydney School of Public Health, Faculty of Medicine and Health, The University of Sydney, Edward Ford Building, A27 Fisher Road, Sydney, NSW 2006, Australia"},{"name":"Dalla Lana School of Public Health, The University of Toronto, 155 College St Room 500, Toronto, ON M5T 3M7, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2024,11,5]]},"reference":[{"key":"ref_1","unstructured":"Commonwealth of Australia (2017). National Strategic Framework for Aboriginal and Torres Strait Islander Peoples\u2019 Mental Health and Social and Emotional Wellbeing, Commonwealth of Australia."},{"key":"ref_2","doi-asserted-by":"crossref","unstructured":"Islam, M.I., Sharwood, L., Chadwick, V., Esgin, T., and Martiniuk, A. (2022). Protective Factors against Self-Harm and Suicidality among Australian Indigenous Adolescents: A Strengths-Based Analysis of the Longitudinal Study of Indigenous Children. Int. J. Environ. Res. Public Health, 19.","DOI":"10.3390\/ijerph19159131"},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"401","DOI":"10.1007\/s40653-021-00393-7","article-title":"Examining Adverse Childhood Experiences (ACEs) within Indigenous Populations: A Systematic Review","volume":"15","author":"Radford","year":"2022","journal-title":"J. Child Adolesc. Trauma"},{"key":"ref_4","doi-asserted-by":"crossref","unstructured":"Maegan Rides at the Door, and Shaw, S. (2023). The Other Side of the ACEs Pyramid: A Healing Framework for Indigenous Communities. Int. J. Environ. Res. Public Health, 20.","DOI":"10.3390\/ijerph20054108"},{"key":"ref_5","unstructured":"ABS (2018\u20132019). National Aboriginal and Torres Strait Islander Health Survey, Aboriginal and Torres Strait Islander Peoples."},{"key":"ref_6","unstructured":"Australian Institute of Health and Welfare (2022). Australian Burden of Disease Study 2018: Interactive Data on Risk Factor Burden Among Aboriginal and Torres Strait Islander People."},{"key":"ref_7","unstructured":"Coalition of Peaks (2020). National Agreement on Closing the Gap, Coalition of Peaks."},{"key":"ref_8","unstructured":"Australian Government Department of Health (2021). National Aboriginal and Torres Strait Islander Health Plan 2021\u20132031."},{"key":"ref_9","unstructured":"Australian Institute of Health and Welfare (2023). Intergenerational Trauma and Mental Health."},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"85","DOI":"10.1016\/j.chiabu.2017.11.014","article-title":"Psychosocial resilience and vulnerability in Western Australian Aboriginal youth","volume":"78","author":"Hopkins","year":"2018","journal-title":"Child Abus. Negl."},{"key":"ref_11","unstructured":"Australian Institute of Health and Welfare (2022). Australia\u2019s Children."},{"key":"ref_12","doi-asserted-by":"crossref","first-page":"429","DOI":"10.1177\/13634615221109359","article-title":"Relations between bullying and distress among youth living in First Nations communities: Assessing direct and moderating effects of culture-related variables","volume":"61","author":"Paul","year":"2024","journal-title":"Transcult. Psychiatry"},{"key":"ref_13","doi-asserted-by":"crossref","first-page":"e053646","DOI":"10.1136\/bmjopen-2021-053646","article-title":"Early detection of Australian Aboriginal and Torres Strait Islander infants at high risk of adverse neurodevelopmental outcomes at 12 months corrected age: LEAP-CP prospective cohort study protocol","volume":"12","author":"Luke","year":"2022","journal-title":"BMJ Open"},{"key":"ref_14","doi-asserted-by":"crossref","first-page":"e329","DOI":"10.1038\/tp.2013.108","article-title":"Neurodevelopmental disorders: Mechanisms and boundary definitions from genomes, interactomes and proteomes","volume":"3","author":"Mullin","year":"2013","journal-title":"Transl. Psychiatry"},{"key":"ref_15","unstructured":"Zubrick, S., Lawrence, D., Silburn, S., Blair, E., Milroy, H., Wilkes, T., Eades, S., D\u2019Antoine, H., Read, A., and Ishiguchi, P. (2004). The Western Australian Aboriginal Child Health Survey: The Health of Aboriginal Children and Young People, Telethon Institute for Child Health Research."},{"key":"ref_16","doi-asserted-by":"crossref","first-page":"232","DOI":"10.1016\/j.jpeds.2017.06.008","article-title":"Twenty-Five Year Survival of Children with Intellectual Disability in Western Australia","volume":"188","author":"Bourke","year":"2017","journal-title":"J. Pediatr."},{"key":"ref_17","doi-asserted-by":"crossref","first-page":"36","DOI":"10.1111\/dmcn.13005","article-title":"Comparing risks of cerebral palsy in births between Australian Indigenous and non-Indigenous mothers","volume":"58","author":"Blair","year":"2016","journal-title":"Dev. Med. Child Neurol."},{"key":"ref_18","unstructured":"U.S. Environmental Protection Agency (2015). America\u2019s Children and the Environment."},{"key":"ref_19","unstructured":"Productivity Commission (2023). Closing the Gap Annual Data Compilation Report July 2023."},{"key":"ref_20","doi-asserted-by":"crossref","first-page":"1031","DOI":"10.1177\/1362361319894829","article-title":"Indigenous Australians with autism: A scoping review","volume":"24","author":"Bailey","year":"2020","journal-title":"Autism"},{"key":"ref_21","doi-asserted-by":"crossref","first-page":"e34","DOI":"10.1093\/pch\/pxac100.071","article-title":"72 Prevalence of Neurodevelopmental Disorder among Indigenous Children: A Systematic Review","volume":"27","author":"Lau","year":"2022","journal-title":"Paediatr. Child Health"},{"key":"ref_22","unstructured":"Australian Medical Association (2013). Aboriginal and Torres Strait Islander Health Report Card 2012\u20132013: The Healthy Early Years\u2014Getting the Right Start in Life, Australian Medical Association."},{"key":"ref_23","doi-asserted-by":"crossref","unstructured":"Nikolich, K., and Hyman, S.E. (2015). What Do We Know about Early Onset Neurodevelopmental Disorders?. Translational Neuroscience: Toward New Therapies [Internet], MIT Press.","DOI":"10.7551\/mitpress\/9780262029865.001.0001"},{"key":"ref_24","doi-asserted-by":"crossref","first-page":"587","DOI":"10.1111\/dmcn.12295","article-title":"Motor impairment in very preterm-born children: Links with other developmental deficits at 5 years of age","volume":"56","author":"Potharst","year":"2014","journal-title":"Dev. Med. Child Neurol."},{"key":"ref_25","doi-asserted-by":"crossref","first-page":"1448","DOI":"10.1017\/S0954579420000620","article-title":"Early environmental risk factors for neurodevelopmental disorders\u2014A systematic review of twin and sibling studies","volume":"33","author":"Carlsson","year":"2021","journal-title":"Dev. Psychopathol."},{"key":"ref_26","doi-asserted-by":"crossref","unstructured":"Gibberd, A.J., Simpson, J.M., Jones, J., Williams, R., Stanley, F., and Eades, S.J. (2019). A large proportion of poor birth outcomes among Aboriginal Western Australians are attributable to smoking, alcohol and substance misuse, and assault. BMC Pregnancy Childbirth, 19.","DOI":"10.1186\/s12884-019-2252-4"},{"key":"ref_27","doi-asserted-by":"crossref","unstructured":"Westrupp, E.M., D\u2019Esposito, F., Freemantle, J., Mensah, F.K., and Nicholson, J.M. (2019). Health outcomes for Australian Aboriginal and Torres Strait Islander children born preterm, low birthweight or small for gestational age: A nationwide cohort study. PLoS ONE, 14.","DOI":"10.1371\/journal.pone.0212130"},{"key":"ref_28","doi-asserted-by":"crossref","first-page":"374","DOI":"10.5694\/mja16.00854","article-title":"Improving maternity services for Indigenous women in Australia: Moving from policy to practice","volume":"205","author":"Kildea","year":"2016","journal-title":"Med. J. Aust."},{"key":"ref_29","unstructured":"World Health Organisation (2023, September 27). Adverse Childhood Experiences International Questionnaire (ACE-IQ). Available online: https:\/\/www.who.int\/publications\/m\/item\/adverse-childhood-experiences-international-questionnaire-(ace-iq)."},{"key":"ref_30","doi-asserted-by":"crossref","first-page":"245","DOI":"10.1016\/S0749-3797(98)00017-8","article-title":"Relationship of Childhood Abuse and Household Dysfunction to Many of the Leading Causes of Death in Adults: The Adverse Childhood Experiences (ACE) Study","volume":"14","author":"Felitti","year":"1998","journal-title":"Am. J. Prev. Med."},{"key":"ref_31","unstructured":"CDC (2024, April 23). Adverse Childhood Experiences (ACEs) Preventing Early Trauma to Improve Adult Health, Available online: https:\/\/www.cdc.gov\/vitalsigns\/aces\/index.html."},{"key":"ref_32","doi-asserted-by":"crossref","first-page":"132","DOI":"10.1016\/j.paed.2017.12.008","article-title":"Adverse childhood experiences","volume":"28","author":"Boullier","year":"2018","journal-title":"Paediatr. Child Health"},{"key":"ref_33","doi-asserted-by":"crossref","first-page":"319","DOI":"10.1111\/1468-0009.12263","article-title":"Risks for Mental Illness in Indigenous Australian Children: A Descriptive Study Demonstrating High Levels of Vulnerability","volume":"95","author":"Twizeyemariya","year":"2017","journal-title":"Milbank Q."},{"key":"ref_34","doi-asserted-by":"crossref","first-page":"e32748","DOI":"10.1002\/brb3.2748","article-title":"Understanding the association between adverse childhood experiences and subsequent attention deficit hyperactivity disorder: A systematic review and meta-analysis of observational studies","volume":"12","author":"Zhang","year":"2022","journal-title":"Brain Behav."},{"key":"ref_35","doi-asserted-by":"crossref","first-page":"533","DOI":"10.1136\/archdischild-2023-325942","article-title":"Abuse, neglect and neurodevelopment across the life course: What can paediatricians and child psychiatrists do about this together? The Illingworth-Rees keynote lecture 2023","volume":"109","author":"Minnis","year":"2024","journal-title":"Arch. Dis. Child."},{"key":"ref_36","doi-asserted-by":"crossref","first-page":"217","DOI":"10.1177\/0020764019835264","article-title":"Profile of transcultural patients in a regional Child and Adolescent Mental Health Service in Gippsland, Australia: The need for a multidimensional understanding of the complexities","volume":"65","author":"Basu","year":"2019","journal-title":"Int. J. Soc. Psychiatry"},{"key":"ref_37","doi-asserted-by":"crossref","first-page":"953","DOI":"10.1080\/13218719.2021.2003263","article-title":"Suicidal behaviour in Aboriginal and non-Aboriginal young men under custodial youth justice supervision: Understanding the role of adverse childhood experiences","volume":"29","author":"Malvaso","year":"2022","journal-title":"Psychiatry Psychol. Law"},{"key":"ref_38","doi-asserted-by":"crossref","unstructured":"Zarei, K., Xu, G., Zimmerman, B., Giannotti, M., and Strathearn, L. (2021). Adverse Childhood Experiences Predict Common Neurodevelopmental and Behavioral Health Conditions among U.S. Children. Children, 8.","DOI":"10.3390\/children8090761"},{"key":"ref_39","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1007\/s00787-022-02081-9","article-title":"Double jeopardy: Implications of neurodevelopmental conditions and adverse childhood experiences for child health","volume":"32","author":"Gajwani","year":"2023","journal-title":"Eur. Child Adolesc. Psychiatry"},{"key":"ref_40","doi-asserted-by":"crossref","first-page":"116","DOI":"10.1111\/jcpp.13135","article-title":"Practitioner Review: Twenty years of research with adverse childhood experience scores\u2014Advantages, disadvantages and applications to practice","volume":"61","author":"Lacey","year":"2020","journal-title":"J. Child Psychol. Psychiatry"},{"key":"ref_41","doi-asserted-by":"crossref","unstructured":"Brown, D.W., Anda, R.F., Felitti, V.J., Edwards, V.J., Malarcher, A.M., Croft, J.B., and Giles, W.H. (2010). Adverse childhood experiences are associated with the risk of lung cancer: A prospective cohort study. BMC Public Health, 10.","DOI":"10.1186\/1471-2458-10-20"},{"key":"ref_42","doi-asserted-by":"crossref","first-page":"7151297","DOI":"10.1155\/2018\/7151297","article-title":"Adverse Childhood Experiences, Health-Related Quality of Life, and Chronic Disease Risks in Rural Areas of the United States","volume":"2018","author":"Chanlongbutra","year":"2018","journal-title":"J. Environ. Public Health"},{"key":"ref_43","doi-asserted-by":"crossref","first-page":"345","DOI":"10.1016\/j.amepre.2014.09.006","article-title":"Childhood adversity and adult chronic disease: An update from ten states and the District of Columbia, 2010","volume":"48","author":"Gilbert","year":"2015","journal-title":"Am. J. Prev. Med."},{"key":"ref_44","doi-asserted-by":"crossref","first-page":"185","DOI":"10.1093\/ajcn\/80.1.185","article-title":"Early environment and child-to-adult growth trajectories in the 1958 British birth cohort","volume":"80","author":"Li","year":"2004","journal-title":"Am. J. Clin. Nutr."},{"key":"ref_45","doi-asserted-by":"crossref","unstructured":"Oh, D.L., Jerman, P., Silv\u00e9rio Marques, S., Koita, K., Purewal Boparai, S.K., Burke Harris, N., and Bucci, M. (2018). Systematic review of pediatric health outcomes associated with childhood adversity. BMC Pediatr., 18.","DOI":"10.1186\/s12887-018-1037-7"},{"key":"ref_46","doi-asserted-by":"crossref","first-page":"358","DOI":"10.1080\/0312407X.2021.2004180","article-title":"What Is the Best Thing About Being an Indigenous Father in Australia?","volume":"75","author":"Prehn","year":"2022","journal-title":"Aust. Soc. Work"},{"key":"ref_47","first-page":"100637","article-title":"Strengths-based approaches for quantitative data analysis: A case study using the Australian Longitudinal Study of Indigenous Children. SSM-Popul","volume":"12","author":"Thurber","year":"2020","journal-title":"Health"},{"key":"ref_48","doi-asserted-by":"crossref","first-page":"789","DOI":"10.1093\/ije\/dyu122","article-title":"Cohort Profile: Footprints in Time, the Australian Longitudinal Study of Indigenous Children","volume":"44","author":"Thurber","year":"2015","journal-title":"Int. J. Epidemiol."},{"key":"ref_49","unstructured":"Department of Social Services (2022). Footprints in Time: The Longitudinal Study of Indigenous Children\u2014Data User Guide."},{"key":"ref_50","unstructured":"Hewitt, B. (2012). The Longitudinal Study of Indigenous Children: Implications of the Study Design for Analysis and Results, The University of Queensland, Institute for Social Science Research."},{"key":"ref_51","doi-asserted-by":"crossref","first-page":"391","DOI":"10.1016\/j.chiabu.2016.11.005","article-title":"Adverse childhood experiences and behavioral problems in middle childhood","volume":"67","author":"Hunt","year":"2017","journal-title":"Child Abus. Negl."},{"key":"ref_52","doi-asserted-by":"crossref","unstructured":"Zhu, Y., Zhang, G., and Anme, T. (2023). Adverse Childhood Experiences, Resilience, and Emotional Problems in Young Chinese Children. Int. J. Environ. Res. Public Health, 20.","DOI":"10.3390\/ijerph20043028"},{"key":"ref_53","doi-asserted-by":"crossref","unstructured":"Harfield, S., Pearson, O., Morey, K., Kite, E., Canuto, K., Glover, K., Gomersall, J.S., Carter, D., Davy, C., and Aromataris, E. (2020). Assessing the quality of health research from an Indigenous perspective: The Aboriginal and Torres Strait Islander quality appraisal tool. BMC Med. Res. Methodol., 20.","DOI":"10.1186\/s12874-020-00959-3"},{"key":"ref_54","doi-asserted-by":"crossref","first-page":"333","DOI":"10.1146\/annurev-psych-010213-115137","article-title":"The Psychology of Change: Self-Affirmation and Social Psychological Intervention","volume":"65","author":"Cohen","year":"2014","journal-title":"Annu. Rev. Psychol."},{"key":"ref_55","doi-asserted-by":"crossref","first-page":"1583","DOI":"10.1177\/0886260514540808","article-title":"The Association Between Childhood Physical Abuse and Dyslexia:Findings From a Population-Based Study","volume":"30","author":"Hooper","year":"2015","journal-title":"J. Interpers. Violence"},{"key":"ref_56","doi-asserted-by":"crossref","first-page":"7424239","DOI":"10.1155\/2016\/7424239","article-title":"Adverse Childhood Experiences among American Indian\/Alaska Native Children: The 2011-2012 National Survey of Children\u2019s Health","volume":"2016","author":"Kenney","year":"2016","journal-title":"Scientifica"},{"key":"ref_57","doi-asserted-by":"crossref","first-page":"176","DOI":"10.1177\/14550725221110190","article-title":"Adverse childhood experiences and neurodevelopmental disorders among youth with and without prenatal substance exposure: A longitudinal matched register-based cohort study","volume":"40","author":"Koponen","year":"2023","journal-title":"Nord. Stud. Alcohol Drugs"},{"key":"ref_58","doi-asserted-by":"crossref","first-page":"509","DOI":"10.1080\/10253890.2020.1732346","article-title":"Stress, allostatic load and mental health in Indigenous Australians","volume":"23","author":"Ketheesan","year":"2020","journal-title":"Stress"},{"key":"ref_59","doi-asserted-by":"crossref","first-page":"72","DOI":"10.1177\/1039856215620025","article-title":"Allostatic load mediates the impact of stress and trauma on physical and mental health in Indigenous Australians","volume":"24","author":"Sarnyai","year":"2016","journal-title":"Australas. Psychiatry"},{"key":"ref_60","doi-asserted-by":"crossref","first-page":"132","DOI":"10.1186\/s12939-019-1036-9","article-title":"Effects of racism on the socio-emotional wellbeing of Aboriginal Australian children","volume":"18","author":"Macedo","year":"2019","journal-title":"Int. J. Equity Health"},{"key":"ref_61","doi-asserted-by":"crossref","first-page":"112564","DOI":"10.1016\/j.socscimed.2019.112564","article-title":"Childhood racial discrimination and adult allostatic load: The role of Indigenous cultural continuity in allostatic resiliency","volume":"241","author":"Currie","year":"2019","journal-title":"Soc. Sci. Med."},{"key":"ref_62","doi-asserted-by":"crossref","first-page":"e20200438","DOI":"10.1542\/peds.2020-0438","article-title":"Long-term Cognitive, Psychological, and Health Outcomes Associated With Child Abuse and Neglect","volume":"146","author":"Strathearn","year":"2020","journal-title":"Pediatrics"},{"key":"ref_63","unstructured":"Child Welfare Information Gateway (2020). Protective Factors Approaches in Child Welfare."},{"key":"ref_64","doi-asserted-by":"crossref","first-page":"470","DOI":"10.1177\/1559827619839997","article-title":"Building Resilience Against the Sequelae of Adverse Childhood Experiences: Rise Up, Change Your Life, and Reform Health Care","volume":"13","author":"Ortiz","year":"2019","journal-title":"Am. J. Lifestyle Med."},{"key":"ref_65","doi-asserted-by":"crossref","first-page":"74","DOI":"10.1016\/j.socscimed.2019.04.001","article-title":"Biological pathways for historical trauma to affect health: A conceptual model focusing on epigenetic modifications","volume":"230","author":"Conching","year":"2019","journal-title":"Soc. Sci. Med."},{"key":"ref_66","first-page":"1","article-title":"Mother\u2019s Adverse Childhood Experiences and Elevated Risk of Neuro-developmental Disorders in Offspring: A Case-Control Study","volume":"2","author":"Haque","year":"2021","journal-title":"Advers. Resil. Sci."},{"key":"ref_67","doi-asserted-by":"crossref","first-page":"1896","DOI":"10.1093\/aje\/kwy098","article-title":"Association of Maternal Exposure to Childhood Abuse With Elevated Risk for Attention Deficit Hyperactivity Disorder in Offspring","volume":"187","author":"Roberts","year":"2018","journal-title":"Am. J. Epidemiol."},{"key":"ref_68","doi-asserted-by":"crossref","first-page":"808","DOI":"10.1007\/s10880-021-09769-1","article-title":"Adverse Childhood Experiences Among Children with Neurodevelopmental Delays: Relations to Diagnoses, Behavioral Health, and Clinical Severity","volume":"28","author":"Mehari","year":"2021","journal-title":"J. Clin. Psychol. Med. Settings"},{"key":"ref_69","doi-asserted-by":"crossref","unstructured":"De Giambattista, C., Ventura, P., Trerotoli, P., Margari, F., and Margari, L. (2021). Sex Differences in Autism Spectrum Disorder: Focus on High Functioning Children and Adolescents. Front. Psychiatry, 12.","DOI":"10.3389\/fpsyt.2021.539835"},{"key":"ref_70","unstructured":"U.S. Department of Health and Human Services (2023). Data & Statistics on Autism Spectrum Disorder."},{"key":"ref_71","doi-asserted-by":"crossref","first-page":"1388","DOI":"10.1016\/j.acap.2021.03.009","article-title":"Examining the Relationship Between Adverse Childhood Experiences and ADHD Diagnosis and Severity","volume":"21","author":"Crouch","year":"2021","journal-title":"Acad. Pediatr."},{"key":"ref_72","doi-asserted-by":"crossref","first-page":"803","DOI":"10.1007\/s10964-020-01234-w","article-title":"Neurodisability among Children at the Nexus of the Child Welfare and Youth Justice System","volume":"50","author":"Baidawi","year":"2021","journal-title":"J. Youth Adolesc."},{"key":"ref_73","doi-asserted-by":"crossref","first-page":"300","DOI":"10.1016\/j.tins.2020.02.004","article-title":"Synthesizing Views to Understand Sex Differences in Response to Early Life Adversity","volume":"43","author":"Bath","year":"2020","journal-title":"Trends Neurosci."},{"key":"ref_74","doi-asserted-by":"crossref","first-page":"159","DOI":"10.2217\/fnl-2017-0006","article-title":"Protective effect or missed diagnosis? Females with autism spectrum disorder","volume":"12","author":"Hull","year":"2017","journal-title":"Future Neurol."},{"key":"ref_75","doi-asserted-by":"crossref","first-page":"90","DOI":"10.1097\/YCO.0000000000000770","article-title":"Towards equitable diagnoses for autism and attention-deficit\/hyperactivity disorder across sexes and genders","volume":"35","author":"Lai","year":"2022","journal-title":"Curr. Opin. Psychiatry"},{"key":"ref_76","unstructured":"Baxter, J., Lam, J., Povey, J., Lee, R., and Zubrick, S.R. (2022). Cultural Identity and Social and Emotional Wellbeing in Aboriginal and Torres Strait Islander Children. Family Dynamics over the Life Course: Foundations, Turning Points and Outcomes, Springer International Publishing."},{"key":"ref_77","doi-asserted-by":"crossref","first-page":"e208","DOI":"10.17269\/CJPH.108.5754","article-title":"Reclaiming Indigenous identities: Culture as strength against suicide among Indigenous youth in Canada","volume":"108","author":"Barker","year":"2017","journal-title":"Can. J. Public Health"},{"key":"ref_78","doi-asserted-by":"crossref","unstructured":"Shepherd, S.M., Delgado, R.H., Sherwood, J., and Paradies, Y. (2017). The impact of indigenous cultural identity and cultural engagement on violent offending. BMC Public Health, 18.","DOI":"10.1186\/s12889-017-4603-2"},{"key":"ref_79","doi-asserted-by":"crossref","first-page":"309","DOI":"10.1071\/PY16061","article-title":"Health and wellbeing outcomes of programs for Indigenous Australians that include strategies to enable the expression of cultural identities: A systematic review","volume":"23","author":"MacLean","year":"2017","journal-title":"Aust. J. Prim. Health"},{"key":"ref_80","doi-asserted-by":"crossref","unstructured":"Khanlou, N., Bender, A., Mill, C., Vazquez, L.M., and Rojas, L. (2018). Youth Experiences of Cultural Identity and Migration: A Systems Perspective. Today\u2019s Youth and Mental Health, Springer International Publishing.","DOI":"10.1007\/978-3-319-64838-5_4"},{"key":"ref_81","doi-asserted-by":"crossref","unstructured":"Walter, M., Martin, K.L., and Bodkin-Andrews, G. (2017). Culture and Identity: LSIC Parents\u2019 Beliefs and Values and Raising Young Indigenous Children in the Twenty-First Century. Indigenous Children Growing up Strong: A Longitudinal Study of Aboriginal and Torres Strait Islander Families, Palgrave Macmillan.","DOI":"10.1057\/978-1-137-53435-4_5"},{"key":"ref_82","doi-asserted-by":"crossref","first-page":"607","DOI":"10.1177\/070674370004500702","article-title":"The mental health of Aboriginal peoples: Transformations of identity and community","volume":"45","author":"Kirmayer","year":"2000","journal-title":"Can. J. Psychiatry"},{"key":"ref_83","doi-asserted-by":"crossref","first-page":"e2","DOI":"10.1017\/jtp.2017.1","article-title":"Attention Deficit Hyperactivity Disorder: An Aboriginal perspective on diagnosis and intervention","volume":"7","author":"Loh","year":"2017","journal-title":"J. Trop. Psychol."}],"container-title":["Behavioral Sciences"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/2076-328X\/14\/11\/1047\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,10]],"date-time":"2025-10-10T16:26:51Z","timestamp":1760113611000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/2076-328X\/14\/11\/1047"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,11,5]]},"references-count":83,"journal-issue":{"issue":"11","published-online":{"date-parts":[[2024,11]]}},"alternative-id":["bs14111047"],"URL":"https:\/\/doi.org\/10.3390\/bs14111047","relation":{},"ISSN":["2076-328X"],"issn-type":[{"value":"2076-328X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,11,5]]}}}