Fathers' adverse childhood experiences (ACEs) and offspring health and wellbeing

项目摘要/摘要 背景：61%的美国成年人至少经历过一次不良童年经历(ACE)， 王牌是很常见的。ACES，儿童在家庭或社区中接触到潜在的创伤事件 18岁以前的环境，与不良的健康和心理健康结果，健康行为， 并在整个人生过程中进行育儿实践。新出现的研究强调了这种级联效应 王牌在几代人中的后果，主要集中在母亲，而不是父亲。作为父亲 在儿童发展中发挥关键作用，破坏性的育儿做法对后代产生负面影响 为了幸福，在考察ACEs对几代人的影响时，将父亲包括在内是至关重要的。 此外，迄今为止的研究不仅使用了对王牌的狭隘定义，忽视了对逆境的考虑 这发生在社区环境中，但也忽视了合作伙伴的王牌的作用。 在生命历程观点的指导下，这项拟议的研究通过使用两个 国家队列研究和对ACES的可靠衡量(包括发生在家庭和家庭中的逆境 社区环境)，以考察父亲的A级、父亲的行为健康、 为人父，以及后代的健康和幸福。拟议的研究也将是首批探索 在父母对子女健康和幸福方面的A级经验。 方法：Aim 1将使用国家青少年到成人健康纵向研究(Add Health)的数据 和结构方程模型(SEM)，以检查父亲的王牌和他们的行为之间的联系 健康和育儿实践。目标2和目标3将使用父亲和家庭(F&F)队列研究的数据。 目标2将使用扫描电子显微镜来检查父亲的行为健康和父亲作为父亲王牌的途径 传递给他们孩子的健康结果。目标3是一个探索性目标，将使用扫描电子显微镜和并元 方法探讨ACEs对子代健康结局的双亲体验。为了成功 为实现这些目标，拟议的培训计划包括建立妇幼保健方面的知识 在儿童发展领域以及在数据管理和二元方法方面。研究建议和 培训将在波士顿学院进行。 影响和公共卫生意义：拟议的研究是独一无二的，结果将进一步 了解怀孕前和怀孕后的因素如何影响父亲的行为健康、父亲的行为 以及由此产生的后代结果。更好地理解ACES的双亲内部体验 子女的健康和福祉对家庭干预具有影响。

PROJECT SUMMARY/ABSTRACT Background: With 61% of US adults having experienced at least 1 adverse childhood experience (ACE), ACEs are common. ACEs, childhood exposure to potentially traumatic events in the home or community environment prior to the age of 18, are linked with poor health and mental health outcomes, health behaviors, and parenting practices across the life course. Emerging research has highlighted the cascading consequences of ACEs across generations with a primary focus on mothers leaving aside fathers. As fathers play a critical role in child development and disruptive fathering practices negatively influence offspring wellbeing, it is essential to include fathers when examining the repercussions ACEs have across generations. Moreover, research to date has not only used a narrow definition of ACEs, neglecting to account for adversities which occur in the community environments, but has also overlooked the role of the coparents’ ACEs. Guided by the life course perspective, the proposed study addresses these gaps in the literature by using two national cohort studies and a robust measure of ACEs (including adversities that occur both in the home and community environments) to examine the relationships between fathers’ ACEs, fathers’ behavioral health, fathering, and offspring health and wellbeing. The proposed study will also be among the first to explore the within parent experience of ACEs on offspring health and wellbeing. Methods: Aim 1 will use data from The National Longitudinal Study of Adolescent to Adult Health (Add Health) and structural equational modeling (SEM) to examine the linkages between fathers’ ACEs and their behavioral health and fathering practices. Aims 2 and 3 will use data from the Fathers and Families (F&F) cohort study. Aim 2 will use SEM to examine fathers’ behavioral health and fathering as pathways by which fathers’ ACEs are transmitted to their children’s health outcomes. Aim 3, an exploratory aim, will use SEM and dyadic methods to explore the within parent dyad experience of ACEs on offspring health outcomes. To successfully carry out these Aims, the proposed training plan includes building knowledge in the maternal and child health and child development fields as well as in data management and dyadic methods. The research proposal and training will take place at Boston College. Implications and Public Health Significance: The proposed study is unique and results will further the understanding of how pre- and post-conception factors shape fathers’ behavioral health, fathering behaviors, and consequently offspring outcomes. A better understanding of the within parent dyad experience of ACEs on offspring health and wellbeing has implications for family interventions.