Self-reported Adverse Childhood Experiences Among Custodial Grandmothers: Frequencies, Patterns, and Correlates.

Self-reported Adverse Childhood Experiences Among Custodial Grandmothers: Frequencies, Patterns, and Correlates.
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自我报告的不利童年经历:频率,模式和相关性。

DOI:
10.1177/00914150221106096
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发表时间:
2023-07
影响因子:
2
通讯作者:
Crowley, Daniel Max
Crowley, Daniel Max
中科院分区:
医学4区
文献类型:
--
作者:
Smith, Gregory Carl;Dolbin-MacNab, Megan;Infurna, Frank;Webster, Britney;Musil, Carol;Castro, Saul;Crowley, Daniel Max

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鉴于过去很少有关于监护祖父母早期生活情况的研究,我们调查了355名监护祖母(CGMs)报告的14种不良童年经历(ACE)的频率,模式和预测因素。主要的ACE是欺凌(54.6%),言语虐待(51.5%),身体虐待(45.4%)和与药物滥用者生活在一起(41.1%)。只有11%的CGM报告0例ACE,而52.4%报告>4例。潜在类别分析得出三种ACE暴露:轻微(54.1%)、身体/情感虐待(25.9%)和复杂(20.0%)。年龄是与ACE类别相关的唯一人口统计学因素,复杂类别比其他两个类别年轻。以年龄为协变量的MANCOVA显示,不同的ACE谱对CGMs的身体和心理健康有独特的影响。我们的结论是ACE是非常普遍的CGMs和严重的公共卫生问题。未来的研究,以支持这些照顾者和促进弹性的监护祖父母之间的CGMs解决ACE是至关重要的。
Given the scarce past research on custodial grandparents’ early life circumstances, we investigated frequencies, patterns, and predictors of 14 adverse childhood experiences (ACEs) reported by 355 custodial grandmothers (CGMs). Predominant ACEs were bullying (54.6%), verbal abuse (51.5%), physical abuse (45.4%), and living with a substance abuser (41.1%). Only 11% of CGMs reported 0 ACEs, whereas 52.4% reported >4. Latent class analyses yielded three classes of ACE exposure: minimal (54.1%), physical/emotional abuse (25.9%), and complex (20.0%). Age was the only demographic factor related to ACE class, with the complex class being younger than the other two. MANCOVAs with age as a covariate revealed that different ACE profiles have unique impacts on CGMs’ physical and psychological well-being. We conclude that ACEs are highly prevalent among CGMs and a serious public health concern. Future research addressing ACEs among CGMs is critical in order to support these caregivers and promote resilience in custodial grandfamilies.
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