Adverse Childhood Experiences Associated with Children's Patterns of Out of Home Placement Over Time and Subsequent Negative Outcomes During Adolescence.
Adverse Childhood Experiences Associated with Children's Patterns of Out of Home Placement Over Time and Subsequent Negative Outcomes During Adolescence.
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DOI：
10.1007/s10566-019-09526-4
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发表时间：
2020-04
影响因子：
1.8
通讯作者：
Murfree LV
中科院分区：
文献类型：
--
作者：
Mishra AA;Schwab-Reese LM;Murfree LV
福利院外儿童安置是一个与儿童虐待、忽视和家庭功能障碍相关的重要问题。很少有研究表明OOHP的不稳定性更大，负面结果更多。然而，仍然存在一些差距。目标是双重的。在涉及福利的青少年中，根据OOHP的持续时间和每个时间点实际安置的变化，确定与OOHP相关的不良童年经历的组合。第二个目标是了解与更大的安置不稳定性相关的青春期长期负面结果。数据来自全国儿童和青少年健康调查（n = 1，657）。多项逻辑回归用于评估与特定OOHP模式相关的不良童年经历。估计多变量回归模型，以评估青少年时期与特定模式的OOHP相关的犯罪，攻击以及抑郁和创伤症状。在样本中发现了六种类型的OOHP：1）无OOHP，2）一次OOHP，3）两次OOHP，4）两次OOHP并改变位置，5）三次OOHP，以及6）三次OOHP并改变位置。长时间的OOHP与更多的逆境暴露。更长的持续时间和更多的位置变化与最负面的结果相关。研究结果表明，未来需要在预防试验中对这些发现进行测试。
Out of home placement (OOHP) of welfare involved children is a critical problem associated with child abuse and neglect and household dysfunction. Few studies have also implicated greater instability in OOHP with more negative outcomes. However, several gaps remain. Objectives were twofold. To identify combinations of adverse childhood experiences that are associated with OOHP – based on both duration of OOHP and change in actual placement during each time point, among welfare involved youth. The second objective was to understand long-term negative outcomes during adolescence that are associated with greater placement instability. Data come from the National Survey of Child and Adolescent Wellbeing (n = 1,657). Multinomial logistic regression was used to evaluate adverse childhood experiences that were associated with specific patterns of OOHP. Multivariate regression models were estimated to evaluate delinquency, aggression as well as depressive and trauma symptoms during adolescence that were associated with specific patterns of OOHP. There were six categories of OOHP found in the sample: 1) no OOHP, 2) OOHP one time, 3) OOHP two times, 4) OOHP two times with change in placements, 5) OOHP three times, and 6) OOHP three times with change in placement. Longer duration of OOHP was associated with more adversity exposure. Longer duration and more change in placement were associated with the most negative outcomes. Findings demonstrate the need for future testing of these findings in prevention trials.
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影响因子：
5.9
作者：
Fisher PA;Stoolmiller M;Mannering AM;Takahashi A;Chamberlain P
通讯作者：
Chamberlain P
影响因子：
3.3
作者：
Costello, EJ;Erkanli, A;Angold, A
通讯作者：
Angold, A
影响因子：
3.8
作者：
Fallesen, Peter
通讯作者：
Fallesen, Peter
影响因子：
5.1
作者：
Kolko, David J.;Hurlburt, Michael S.;Burns, Barbara J.
通讯作者：
Burns, Barbara J.
影响因子：
3.3
作者：
Mennen, Ferol E.;Brensilver, Matthew;Trickett, Penelope K.
通讯作者：
Trickett, Penelope K.