Table 5.

Protective factors model of resiliency: Multiplicative interaction between ACE exposure and protective factors on past 30-day cannabis use

	Past 30-Day Cannabis use
	High Family Communication^a	Low Family Communication
	APR (95% CI)	APR (95% CI)
Middle School ACE score × family communication ^b,c
0 ACEs	Ref	2.79 (1.45, 5.36)^**
1 – 2 ACEs	4.10 (2.42, 6.96)^***	4.27 (2.47, 7.36)^***
3+ ACEs	10.96 (6.15, 19.53)^***	10.23 (5.94, 17.60)^***
High School ACE score × family communication ^b,c
0 ACEs	Ref	1.75 (1.09, 2.80)^*
1 – 2 ACEs	2.33 (1.75, 3.12)^***	2.50 (1.82, 3.42)^***
3+ ACEs	3.42 (2.43, 4.80)^***	4.47 (3.31 ,6.03)^***
	Past 30-Day Cannabis use
	High School Connectedness^a	Low School Connectedness
	APR (95% CI)	APR (95% CI)
Middle School ACE score × school connectedness ^b,c
0 ACEs	Ref	2.85 (1.39, 5.85)^**
1 – 2 ACEs	3.69 (2.11, 6.46)^***	4.59 (2.69, 7.81)^***
3+ ACEs	8.19 (4.72, 14.21)^***	11.79 (6.91, 20.10)^***
High School ACE score × school connectedness ^b,c
0 ACEs	Ref	2.60 (1.72, 3.93)^***
1 – 2 ACEs	2.50 (1.76, 3.57)^***	3.83 (2.35, 5.54)^***
3+ ACEs	4.16 (2.86, 6.05)^***	6.23 (4.40, 8.82)^***

Note. APR = adjusted prevalence ratio. CI = confidence interval.

Score at or above the median=high family communication and high school connectedness

All models were weighted and accounted for classroom- and regional- level clustering.

All models adjusted for sex, grade, race, free and reduced lunch status, and parental permission status.

p<.05;

^**

p<.01;

^***

p<.001