The Clustering of Adverse Childhood Experiences in the Avon Longitudinal Study of Parents and Children: Are Gender and Poverty Important?
The Clustering of Adverse Childhood Experiences in the Avon Longitudinal Study of Parents and Children: Are Gender and Poverty Important?
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DOI：
10.1177/0886260520935096
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发表时间：
2022-03
影响因子：
2.5
通讯作者：
Kelly Y
中科院分区：
文献类型：
--
作者：
Lacey RE;Howe LD;Kelly-Irving M;Bartley M;Kelly Y
先前的研究已经证明，报告的不良童年经历的数量(ACE评分)与儿童结果之间存在分级关系。然而，ACE评分缺乏特异性，忽略了逆境的模式，这为干预提供了信息。本研究的目的是探索ACEs的集群性，以及这种集群性是否因性别不同或因贫困而预测。研究对象是雅芳亲子纵向研究(ALSPAC)的8,572名参与者。ALSPAC是1991年至1992年在英格兰西南部埃文地区出生的具有区域代表性的产前队列儿童。ACES包括父母离婚、近亲死亡、父母间暴力、父母精神健康问题、父母酗酒、父母吸毒、父母有罪，以及出生至19岁之间的性虐待、情感虐待和身体虐待。潜在类别分析被用来得出ACE聚类以及贫困、性别和衍生类别之间的关联，并使用多项Logistic回归进行测试。有五个潜在类别：“低A级”(55%)、“父母分居与母亲精神健康问题”(18%)、“父母精神健康问题、定罪及分居”(15%)、“虐待及精神健康问题”(6%)及“多愁善感”(6%)。一位近亲的死亡和性虐待并没有伴随着其他不幸事件。聚集性不因性别而异。贫困与个人A级和集群密切相关。这些发现表明，ACEs以特定的模式聚集，贫困与此密切相关。因此，减少儿童贫困可能是减少ACEs的一种战略。
Previous research has demonstrated a graded relationship between the number of Adverse Childhood Experiences reported (an ACE score) and child outcomes. However, ACE scores lack specificity and ignore the patterning of adversities, which are informative for interventions. The aim of the present study was to explore the clustering of ACEs and whether this clustering differs by gender or is predicted by poverty. Data on 8,572 participants of the Avon Longitudinal Study of Parents and Children (ALSPAC) were used. ALSPAC is a regionally representative prenatal cohort of children born between 1991 and 1992 in the Avon region of South-West England. ACEs included parental divorce, death of a close family member, interparental violence, parental mental health problems, parental alcohol misuse, parental drug use, parental convictions, and sexual, emotional, and physical abuse, between birth and 19 years. Latent class analysis was used to derive ACE clusters and associations between poverty, gender, and the derived classes tested using multinomial logistic regression. Five latent classes were identified: “Low ACEs” (55%), “Parental separation and mother’s mental health problems” (18%), “Parental mental health problems, convictions and separation” (15%), “Abuse and mental health problems” (6%), and “Poly adversity” (6%). Death of a close family member and sexual abuse did not cluster with other adversities. The clustering did not differ by gender. Poverty was strongly related to both individual ACEs and clusters. These findings demonstrate that ACEs cluster in specific patterns and that poverty is strongly related to this. Therefore, reducing child poverty might be one strategy for reducing ACEs.
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影响因子：
4.6
作者：
CONGER, RD;CONGER, KJ;WHITBECK, LB
通讯作者：
WHITBECK, LB
影响因子：
1.6
作者：
Denholm, Rachel;Power, Chris;Li, Leah
通讯作者：
Li, Leah
影响因子：
2
作者：
Celeux, G;Soromenho, G
通讯作者：
Soromenho, G
影响因子：
3.3
作者：
Hanson, Rochelle F.;Borntrager, Camneo;Self-Brown, Shannon;Kilpatrick, Dean G.;Saunders, Benjamin E.;Resnick, Heidi S.;Amstadter, Ananda
通讯作者：
Amstadter, Ananda
影响因子：
13.6
作者：
Björkenstam E;Ekselius L;Burström B;Kosidou K;Björkenstam C
通讯作者：
Björkenstam C