Co-occurrence of adverse childhood experiences and its association with family characteristics. A latent class analysis with Dutch population data
Co-occurrence of adverse childhood experiences and its association with family characteristics. A latent class analysis with Dutch population data
复制标题
DOI：
10.1016/j.chiabu.2019.104185
复制
发表时间：
2019-12-01
影响因子：
4.8
通讯作者：
Tolsma, Jochem
中科院分区：
文献类型：
--
作者：
Bussemakers, Carlijn;Kraaykamp, Gerbert;Tolsma, Jochem
背景虽然不良的童年经历（ACE）是比较常见的儿童，有有限的知识共同发生的这种experiences.Objective：因此，目前的研究探讨共同发生的童年逆境在荷兰和特定集群是否更常见的某些类型的家庭。参与者和设置：采用2018年荷兰人口家庭调查的代表性数据（N = 3，128）。方法：我们估计潜在类别分析（LCA）模型来调查ACE的共现。作为ACE，我们研究虐待，家庭功能障碍，人口家庭事件，以及财务和慢性健康问题。虐待和财务问题的逐步措施进行了研究，使之有可能区分方面的严重程度experiences.Results：我们的研究结果表明，四个ACE集群可以确定：低ACE“，”中度ACE：家庭功能障碍“，”中度ACE：虐待“和”高ACE“。回归分析显示，母亲初产年龄及兄弟姐妹数与童年期遭遇逆境有关。我们发现有限的证据表明ACE与家庭的社会经济地位有关。结论：发现的ACE集群反映了儿童期逆境的严重程度，但也反映了儿童经历的逆境类型。为了筛查和预防儿童期逆境以及研究其后果，承认逆境的类型和严重性的这种共同发生是相关的。
Background Although adverse childhood experiences (ACEs) are relatively common among children, there is limited knowledge on the co-occurrence of such experiences.Objective: The current study therefore investigates co-occurrence of childhood adversity in the Netherlands and whether specific clusters are more common among certain types of families. Participants and Setting: Representative data from the Family Survey Dutch population 2018 (N = 3,128) are employed.Method: We estimate Latent Class Analysis (LCA) models to investigate co-occurrence of ACEs. As ACEs we examine maltreatment, household dysfunction, demographic family events, as well as financial and chronic health problems. Gradual measures for maltreatment and financial problems are studied to make it possible to differentiate with regard to the severity of experiences.Results: Our results show that four ACE clusters may be identified: low ACE', 'Moderate ACE: Household dysfunction', 'Moderate ACE: Maltreatment' and 'High ACE'. Regression analyses indicated that mother's age at first childbirth and the number of siblings were related to experiencing childhood adversity. We found limited evidence for ACEs to be related to a family's socioeconomic position.Conclusion: The found clusters of ACEs reflect severity of childhood adversity, but also the types of adversity a child experienced. For screening and prevention of childhood adversity as well as research on its consequences, it is relevant to acknowledge this co-occurrence of types and severity of adversity.