Adverse childhood experiences: Prevalence and related factors in adolescents of a Brazilian birth cohort.
Adverse childhood experiences: Prevalence and related factors in adolescents of a Brazilian birth cohort.
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DOI：
10.1016/j.chiabu.2015.11.017
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发表时间：
2016-01
影响因子：
4.8
通讯作者：
Gonçalves H
中科院分区：
文献类型：
--
作者：
Soares AL;Howe LD;Matijasevich A;Wehrmeister FC;Menezes AM;Gonçalves H
不良童年经历（ACE）不仅会影响人们在经历ACE时的健康和福祉，而且会影响以后的生活。大多数关于ACE的研究都是在高收入国家进行的，对低收入和中等收入国家的流行情况知之甚少。因此，本研究的目的是评估ACE的患病率，ACE和社会人口因素之间的关联，以及巴西出生队列青少年ACE类型之间的相互关系。分析了1993年骨盆队列中3,951名青少年（占原始队列的78.4%）的数据。在18岁以下的儿童中评估了七种类型的ACE：身体虐待，性虐待，身体忽视，情感忽视，家庭暴力，父母分居和父母死亡。最常见的ACE是父母分居（42%），其次是情感忽视（19.7%）和家庭暴力（10.3%）。大约85%的青少年经历过至少一次ACE，女性报告的不良事件数量更多。一些社会经济、人口统计学和家庭相关特征与ACE的发生相关，例如非白人肤色、家庭收入低、母亲受教育程度低、母亲没有伴侣、母亲吸烟和母亲心理健康状况差。ACE之间存在很强的相互关系，表明风险聚集。卫生和社会护理专业人员在预防和识别儿童逆境时应考虑这些方面。
Adverse childhood experiences (ACEs) can affect people's health and wellbeing not only at the time the ACE is experienced, but also later in life. The majority of studies on ACEs are carried out in high-income countries and little is known about its prevalence in low and middle-income countries. Thus, the aim of this study was to assess the prevalence of ACEs, associations between ACEs and sociodemographic factors, and the interrelationship between types of ACEs in adolescents of a Brazilian birth cohort. Data from 3,951 adolescents (78.4% of the original cohort) from the 1993 Pelotas Cohort were analyzed. Seven types of ACEs were assessed in those up to 18 years old: physical abuse, sexual abuse, physical neglect, emotional neglect, domestic violence, parental separation and parental death. The most common ACE was parental separation (42%), followed by emotional neglect (19.7%) and domestic violence (10.3%). Approximately 85% of the adolescents experienced at least one ACE, and females reported a higher number of adversities. Several socioeconomic, demographic and family-related characteristics were associated with the occurrence of ACEs, e.g. non-white skin color, low family income, low maternal schooling, absence of mother's partner, maternal smoking, and poor maternal mental health. A strong interrelationship was observed among the ACEs, indicating clustering of risk. These aspects should be considered by health and social care professionals in the prevention and identification of childhood adversities.