Suppr超能文献

童年不良经历:巴西出生队列青少年中的患病率及相关因素

Adverse childhood experiences: Prevalence and related factors in adolescents of a Brazilian birth cohort.

作者信息

Soares Ana Luiza Gonçalves, Howe Laura D, Matijasevich Alicia, Wehrmeister Fernando C, Menezes Ana M B, Gonçalves Helen

机构信息

Postgraduate Program in Epidemiology, Federal University of Pelotas, Pelotas, Brazil.

MRC Integrative Epidemiology Unit at the University of Bristol, School of Social & Community Medicine, University of Bristol, Bristol, UK.

出版信息

Child Abuse Negl. 2016 Jan;51:21-30. doi: 10.1016/j.chiabu.2015.11.017. Epub 2015 Dec 19.

Abstract

Adverse childhood experiences (ACEs) can affect people's health and wellbeing not only at the time the ACE is experienced, but also later in life. The majority of studies on ACEs are carried out in high-income countries and little is known about its prevalence in low and middle-income countries. Thus, the aim of this study was to assess the prevalence of ACEs, associations between ACEs and sociodemographic factors, and the interrelationship between types of ACEs in adolescents of a Brazilian birth cohort. Data from 3,951 adolescents (78.4% of the original cohort) from the 1993 Pelotas Cohort were analyzed. Seven types of ACEs were assessed in those up to 18 years old: physical abuse, sexual abuse, physical neglect, emotional neglect, domestic violence, parental separation and parental death. The most common ACE was parental separation (42%), followed by emotional neglect (19.7%) and domestic violence (10.3%). Approximately 85% of the adolescents experienced at least one ACE, and females reported a higher number of adversities. Several socioeconomic, demographic and family-related characteristics were associated with the occurrence of ACEs, e.g. non-white skin color, low family income, low maternal schooling, absence of mother's partner, maternal smoking, and poor maternal mental health. A strong interrelationship was observed among the ACEs, indicating clustering of risk. These aspects should be considered by health and social care professionals in the prevention and identification of childhood adversities.

摘要

童年不良经历(ACEs)不仅会在经历ACEs时影响人们的健康和幸福,还会在其日后的生活中产生影响。大多数关于ACEs的研究是在高收入国家进行的,而对于其在低收入和中等收入国家的流行情况知之甚少。因此,本研究的目的是评估巴西一个出生队列中青少年ACEs的流行情况、ACEs与社会人口学因素之间的关联,以及不同类型ACEs之间的相互关系。对来自1993年佩洛塔斯队列的3951名青少年(占原始队列的78.4%)的数据进行了分析。对18岁及以下的青少年评估了七种类型的ACEs:身体虐待、性虐待、身体忽视、情感忽视、家庭暴力、父母分居和父母死亡。最常见的ACEs是父母分居(42%),其次是情感忽视(19.7%)和家庭暴力(10.3%)。约85%的青少年至少经历过一次ACEs,女性报告的不良经历数量更多。一些社会经济、人口统计学和家庭相关特征与ACEs的发生有关,例如非白人肤色、家庭收入低、母亲受教育程度低、母亲的伴侣不在身边、母亲吸烟以及母亲心理健康状况差。在ACEs之间观察到了很强的相互关系,表明存在风险聚集。健康和社会护理专业人员在预防和识别儿童期逆境时应考虑这些方面。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/58c9/4710615/8b8befda5961/gr1.jpg

相似文献

1
Adverse childhood experiences: Prevalence and related factors in adolescents of a Brazilian birth cohort.
Child Abuse Negl. 2016 Jan;51:21-30. doi: 10.1016/j.chiabu.2015.11.017. Epub 2015 Dec 19.
3
Adverse childhood experiences and early life inflammation in the Avon longitudinal study of parents and children.
Psychoneuroendocrinology. 2020 Dec;122:104914. doi: 10.1016/j.psyneuen.2020.104914. Epub 2020 Oct 13.
4
The interrelatedness of multiple forms of childhood abuse, neglect, and household dysfunction.
Child Abuse Negl. 2004 Jul;28(7):771-84. doi: 10.1016/j.chiabu.2004.01.008.
5
Adverse childhood experiences and adult inflammation: Single adversity, cumulative risk and latent class approaches.
Brain Behav Immun. 2020 Jul;87:820-830. doi: 10.1016/j.bbi.2020.03.017. Epub 2020 Mar 19.
6
Prevalence and early-life predictors of adverse childhood experiences: Longitudinal insights from a low-income country.
Child Abuse Negl. 2024 Aug;154:106895. doi: 10.1016/j.chiabu.2024.106895. Epub 2024 Jun 12.
7
Adverse childhood experiences and the risk of premature mortality.
Am J Prev Med. 2009 Nov;37(5):389-96. doi: 10.1016/j.amepre.2009.06.021.
9
Adverse Childhood Experiences and Health in Adulthood in a Rural Population-Based Sample.
Clin Med Res. 2016 Dec;14(3-4):126-137. doi: 10.3121/cmr.2016.1306. Epub 2016 Aug 8.
10
Examining the Prevalence of Adverse Childhood Experiences and Associated Cardiovascular Disease Risk Factors Among Low-Income Uninsured Adults.
Circ Cardiovasc Qual Outcomes. 2019 Sep;12(9):e004391. doi: 10.1161/CIRCOUTCOMES.117.004391. Epub 2019 Aug 27.

引用本文的文献

3
Psychometric Properties of the Adverse Childhood Experiences Abuse Short Form (ACE-ASF) for Ecuadorian Youth.
Eur J Investig Health Psychol Educ. 2025 Apr 16;15(4):63. doi: 10.3390/ejihpe15040063.
5
6
Prevalence and Risk Factors of Gang Membership in a Brazilian Birth Cohort.
JAMA Netw Open. 2024 Oct 1;7(10):e2440393. doi: 10.1001/jamanetworkopen.2024.40393.
7
Relation between child maltreatment and human capital: results from a population-based birth cohort.
Cad Saude Publica. 2024 Aug 26;40(7):e00173623. doi: 10.1590/0102-311XEN173623. eCollection 2024.
8
Prevalence and early-life predictors of adverse childhood experiences: Longitudinal insights from a low-income country.
Child Abuse Negl. 2024 Aug;154:106895. doi: 10.1016/j.chiabu.2024.106895. Epub 2024 Jun 12.
10
The relationship between adverse childhood experiences and depressive symptoms in rural left-behind adolescents: A cross-sectional survey.
Heliyon. 2024 Feb 18;10(4):e26587. doi: 10.1016/j.heliyon.2024.e26587. eCollection 2024 Feb 29.

本文引用的文献

1
Adverse childhood experience and asthma onset: a systematic review.
Eur Respir Rev. 2015 Jun;24(136):299-305. doi: 10.1183/16000617.00004114.
2
Stress is a principal factor that promotes tobacco use in females.
Prog Neuropsychopharmacol Biol Psychiatry. 2016 Feb 4;65:260-8. doi: 10.1016/j.pnpbp.2015.04.005. Epub 2015 Apr 22.
3
Early parental loss and self-rated health of older women and men: a population-based, multi-country study.
PLoS One. 2015 Apr 1;10(4):e0120762. doi: 10.1371/journal.pone.0120762. eCollection 2015.
5
Sex-specific relationships between adverse childhood experiences and chronic obstructive pulmonary disease in five states.
Int J Chron Obstruct Pulmon Dis. 2014 Sep 26;9:1033-42. doi: 10.2147/COPD.S68226. eCollection 2014.
9
Cohort profile update: The 1993 Pelotas (Brazil) birth cohort follow-up visits in adolescence.
Int J Epidemiol. 2014 Aug;43(4):1082-8. doi: 10.1093/ije/dyu077. Epub 2014 Apr 11.
10
Childhood trauma and suicide risk in a sample of young individuals aged 14-35 years in southern Brazil.
Child Abuse Negl. 2014 Jul;38(7):1191-6. doi: 10.1016/j.chiabu.2014.02.008. Epub 2014 Mar 13.

文献AI研究员

20分钟写一篇综述,助力文献阅读效率提升50倍。

立即体验

用中文搜PubMed

大模型驱动的PubMed中文搜索引擎

马上搜索

文档翻译

学术文献翻译模型,支持多种主流文档格式。

立即体验