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25 ± 1.98) or persistently since birth (3.48 ± 1.92), compared with those who did not separated from both parents (2.34 ± 1.53, F = 12.992, P less then 0.001). After adjustment of demographic covariates, body mass index as well as parent frequency of communication and parental warmth, children who separated from both parents in early childhood (β = 0.84, 95%CI0.40, 1.28, P less then 0.001) or persistently into adolescence (β = 1.27, 95%CI0.43, 2.12, P = 0.003) evinced the highest levels of AL. Conclusion This study is the first to show an