Measuring Adverse Child Experiences Among Young Adolescents Globally: Relationships With Depressive Symptoms and Violence Perpetration
Measuring Adverse Child Experiences Among Young Adolescents Globally: Relationships With Depressive Symptoms and Violence Perpetration
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DOI：
10.1016/j.jadohealth.2019.01.020
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发表时间：
2019-07-01
影响因子：
7.6
通讯作者：
Naranjo-Rivera, Gia
中科院分区：
文献类型：
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作者：
Blum, Robert Wm;Li, Mengmeng;Naranjo-Rivera, Gia
目的：本研究的目的是制定适用于低收入和中等收入国家青少年 (ACE) 的 ACE 衡量标准，并分析 ACE 与两种结果的关系：抑郁症状和暴力实施。关于低收入和中等收入国家的不良儿童经历 (ACE) 对青少年健康和行为的影响的研究很少，而且几乎没有跨国研究。方法：作为全球早期青少年研究的一部分，制定了一项包含 11 项 ACE 的衡量标准，并在同等数量国家的 14 个城市社区的 1,284 名 10-14 岁青少年中进行了试点。除了使用访谈员的例外情况外，数据都是使用平板电脑匿名自我报告的。结果比较了 ACEs 指数总分和潜在类别分析。结果：研究结果显示，低收入和中等收入国家资源匮乏社区的青少年经历了较高的 ACEs 暴露率；男孩的暴露比例不成比例，以及 ACE 与抑郁症状和暴力行为之间存在密切关联。潜在类别分析对 ACE 总分进行了适度的细化。结论：虽然干预措施往往侧重于行为结果，但有证据表明 ACE 暴露是与抑郁症状和暴力实施相关的强有力的前因。 (C) 2019 年青少年健康与医学协会。由爱思唯尔公司出版
Purpose: The purpose of the study was to develop a measure of ACEs applicable for young adolescents in low- and middle-income countries (ACEs) and to analyze the relationships of ACEs against two outcomes: depressive symptoms and violence perpetration. There is a paucity of research on the consequences of adverse child experiences (ACEs) on adolescent health and behavior from low- and middle-income countries and virtually no multinational studies.Methods: As part of the Global Early Adolescent Study, an 11-item measure of ACEs was developed and piloted with 1,284 adolescents aged 10-14 years in 14 urban communities in an equal number of countries. With one exception where interviewers were used, data were self-reported anonymously using tablets. Results compared a summative ACEs index score and latent class analysis.Results: Findings show high rates of ACEs exposure experienced by young adolescents in resource-poor neighborhoods in low- and middle-income countries; disproportionate exposures of boys and strong associations between ACEs and both depressive symptoms and violence perpetration. Latent class analysis provided modest refinement over a summed ACEs score.Conclusion: While interventions tend to focus on behavioral outcomes, evidence suggests that ACEs exposure is a strong antecedent related to both depressive symptoms and violence perpetration. (C) 2019 Society for Adolescent Health and Medicine. Published by Elsevier Inc.