Intergenerational Continuity in Adverse Childhood Experiences and Rural Community Environments
Intergenerational Continuity in Adverse Childhood Experiences and Rural Community Environments
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不良童年经历和农村社区环境中的代际连续性
DOI：
10.2105/ajph.2018.304598
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发表时间：
2018
影响因子：
12.7
通讯作者：
R. Leeb
中科院分区：
文献类型：
--
作者：
Thomas J. Schofield;M. Donnellan;Melissa T. Merrick;K. Ports;J. Klevens;R. Leeb
目的了解社区环境对农村白色人群不良童年经历代际延续性的影响。方法爱荷华州农村12个县的父母回顾性报告了1989年自己的ACE。我们回顾性和前瞻性地测量了他们孩子在青春期的ACE（n = 451个家庭）。我们测量了社区环境的结构和社会过程相关指标（即，社区社会经济地位、父母对社区服务的感知、感知的社区社会凝聚力和邻里酒类供应商密度）。结果社区环境4项指标均与儿童ACE相关，但在纳入协变量后，只有卖酒者密度能预测ACE。ACE的代际连续性受到社会凝聚力（B =-0.11; SE = 0.04）和酒类供应商密度（B =-0.11; SE = 0.05）的调节。结论：努力提高社区社会凝聚力和管理酒精供应商密度可能有助于家庭打破跨代虐待的循环。
Objectives To understand the role of the community environment on intergenerational continuity in adverse childhood experiences (ACEs) among a rural White sample. Methods Parents in 12 counties in rural Iowa reported retrospectively on their own ACEs in 1989. We measured their child’s ACEs retrospectively and prospectively across adolescence (n = 451 families). We measured structural and social process-related measures of community environment (i.e., community socioeconomic status, parents’ perception of community services, perceived community social cohesion, and neighborhood alcohol vendor density) on multiple occasions during the child’s adolescence. Results The 4 measures of community environment were all correlated with the child’s ACEs, but only alcohol vendor density predicted ACEs after inclusion of covariates. Intergenerational continuity in ACEs was moderated by both social cohesion (b = −0.11; SE = 0.04) and alcohol vendor density (b = −0.11; SE = 0.05). Conclusions Efforts to increase community social cohesion and manage alcohol vendor density may assist families in breaking the cycle of maltreatment across generations.