Maternal adverse childhood experiences (ACEs) and their associations with intimate partner violence and child maltreatment: Results from a Brazilian birth cohort.
Maternal adverse childhood experiences (ACEs) and their associations with intimate partner violence and child maltreatment: Results from a Brazilian birth cohort.
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DOI：
10.1016/j.ypmed.2021.106928
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发表时间：
2022-03
影响因子：
5.1
通讯作者：
Murray J
中科院分区：
文献类型：
--
作者：
Buffarini R;Hammerton G;Coll CVN;Cruz S;da Silveira MF;Murray J
不良童年经历（ACE）已被发现预测许多负面的生活结果。然而，关于亲密伴侣暴力和虐待儿童的证据很少。我们调查了三种不同的母亲ACE对IPV和CM的影响：累积风险，个人逆境和特定的ACE分组。2015年巴西南部的Pelanmar出生队列重复跟踪了基于人口的样本母亲和儿童，直到儿童4岁，当时母亲提供了ACE数据，以及当前的IPV和CM。ACE以三种不同的方式进行检查：（i）累积风险评分;（ii）个体逆境;（iii）ACE模式（潜在类别分析：LCA）。四分之一（25.4%）的母亲报告在儿童时期有5+ ACE。与无ACE的母亲相比，报告5+ ACE的母亲发生IPV的风险是无ACE的母亲的4.9倍（95%CI 3.5; 6.7），报告儿童虐待的风险是无ACE的母亲的3.8倍（95%CI 2.5; 5.6）。LCA结果还强调了多个ACE对后来的IPV和CM的主要影响。然而，个别ACE相关的暴力（暴露于虐待或家庭暴力）表现出一定的特异性，为后来的IPV和CM，以上累积的童年逆境的影响。这是第一项大型研究，证明了母亲ACE与IPV和CM之间的密切联系。累积ACE暴露和儿童期暴力的影响的一些特异性是重要的，后来的IPV和CM。综合预防对于减少逆境和暴力的代际传递至关重要。
Adverse childhood experiences (ACEs) have been found to predict many negative life outcomes. However, very little evidence exists on Intimate Partner Violence (IPV) and Child Maltreatment (CM). We investigated the impact of maternal ACEs on IPV and CM in three different: cumulative risk, individual adversities and particular groupings of ACEs. The 2015 Pelotas Birth Cohort, Southern Brazil, has followed a population-based sample mothers and children repeatedly until children were aged 4 years, when mothers provided data on ACEs, and current IPV and CM. ACEs were examined in three different ways: (i) as a cumulative risk score; (ii) individual adversities; and (iii) patterns of ACEs (Latent Class Analysis: LCA). One quarter (25.4%) of mothers reported having 5+ ACEs in childhood. Compared to mothers with no ACEs, those who reported 5+ ACEs, had 4.9 (95%CI 3.5; 6.7) times the risk of experiencing IPV and 3.8 (95%CI 2.5; 5.6) times the risk of reporting child maltreatment. LCA results also highlighted the major influence of multiple ACEs on later IPV and CM. However, individual ACEs related to violence (exposure to abuse or domestic violence) showed some specificity for both later IPV and CM, over and above the influence of cumulative childhood adversity. This is the first large study to demonstrate a strong link between maternal ACEs and both IPV and CM. Cumulative ACE exposure and some specificity in effects of childhood violence are important for later IPV and CM. Integrated prevention is essential for reducing the intergenerational transmission of adversity and violence.
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影响因子：
8.1
作者：
Buffarini R;Coll CVN;Moffitt T;Freias da Silveira M;Barros F;Murray J
通讯作者：
Murray J
影响因子：
4.5
作者：
Abramsky T;Watts CH;Garcia-Moreno C;Devries K;Kiss L;Ellsberg M;Jansen HA;Heise L
通讯作者：
Heise L
影响因子：
4.8
作者：
Finkelhor, D;Hamby, SL;Turner, H
通讯作者：
Turner, H
影响因子：
168.9
作者：
Gilbert, Ruth;Widom, Cathy Spatz;Janson, Staffan
通讯作者：
Janson, Staffan
影响因子：
168.9
作者：
Ertem, IO;Leventhal, JM;Dobbs, S
通讯作者：
Dobbs, S