Adverse childhood experiences (ACEs) and child behaviour problems in KwaZulu-Natal, South Africa.
Adverse childhood experiences (ACEs) and child behaviour problems in KwaZulu-Natal, South Africa.
复制标题
DOI：
10.1111/cch.12950
复制
发表时间：
2022-05
影响因子：
1.9
通讯作者：
Davidson, Leslie L.
中科院分区：
文献类型：
--
作者：
Nazareth, Meaghan L.;Kvalsvig, Jane D.;Mellins, Claude A.;Desmond, Chris;Kauchali, Shuaib;Davidson, Leslie L.
Adverse childhood events (ACEs) are associated with negative health effects in adulthood. Despite knowledge of these later impacts, little is known about the earlier effect of ACEs on later child behavior in low- and middle-income countries (LMIC). The population-based Asenze cohort study was implemented in a peri-rural area of KwaZulu-Natal, South Africa, comprising five Zulu tribal areas. Two waves of data were examined: family information and ACEs exposure when children were on average 5 years old and child behavior problems (Strengths and Difficulties Questionnaire (SDQ)) approximately two years later (average age 7 years). Logistic regression analysis was used to examine unadjusted and adjusted relationships between cumulative ACEs experienced and the SDQ total scores (dichotomized as top 10% vs. the rest) as well as selected SDQ subscales. A significant relationship between increased ACEs exposure and SDQ total score was observed. The same relationship was also seen for the SDQ emotional symptoms and conduct problem subscales, but not for hyperactivity. The results of a sensitivity analysis excluding intimate partner violence from the ACEs measure demonstrated similar results. There is an association between exposure to ACEs and later child behavior problems within this LMIC population demonstrating an early negative impact for ACEs. While previous research has focused on the effects of ACEs on adult health, this study provided evidence for an earlier relationship between ACEs and child behavior problems that may be a part of the mechanism through which later health effects arise.
登录
查看更多内容
影响因子：
2.4
作者：
Freeman, Pamela A. Clarkson
通讯作者：
Freeman, Pamela A. Clarkson
影响因子：
7.6
作者：
Blum, Robert Wm;Li, Mengmeng;Naranjo-Rivera, Gia
通讯作者：
Naranjo-Rivera, Gia
影响因子：
3.5
作者：
Filmer, D;Pritchett, LH
通讯作者：
Pritchett, LH
影响因子：
4
作者：
Manyema, Mercy;Richter, Linda M.
通讯作者：
Richter, Linda M.
影响因子：
4.8
作者：
Soares AL;Howe LD;Matijasevich A;Wehrmeister FC;Menezes AM;Gonçalves H
通讯作者：
Gonçalves H