College of Social Work, Ohio State University, Columbus, OH.
J Dev Behav Pediatr. 2018 Jan;39(1):28-36. doi: 10.1097/DBP.0000000000000506.
The Adverse Childhood Experiences study suggests childhood adversity is a "root" origin for health and human development. Newer research is examining the more immediate impact of adverse childhood experiences (ACEs) on child development and the impact of neighborhood environment on the likelihood of and prevention ACEs. The extent to which all of these aspects of the child context fit together remains unclear. The current study seeks to fill this gap examining the precursors for ACEs and the multitude of ways in which a child's home life can impact his or her development.
Using data from 3001 mothers of children in the Fragile Families and Child Wellbeing Study, this study investigates the relationship between neighborhood disorder, ACEs, and child behavioral health. Using a path analysis, the direct and indirect relations between neighborhood disorder and child behavioral health are estimated, with ACEs as the key mediator.
The most common ACE in our study was intimate partner violence (IPV), followed by child emotional abuse. Neighborhood disorder is associated with higher levels of ACEs and is both directly and indirectly (through its relation with ACEs) negatively related to child behavioral health.
Screening for ACEs for children living in disordered neighborhoods may help reduce those experiences and their impacts in this high-risk population. Preventive interventions related to IPV and child emotional abuse may be especially helpful.
不良童年经历研究表明，童年逆境是健康和人类发展的“根源”。新的研究正在检验不良童年经历（ACEs）对儿童发展的更直接影响，以及邻里环境对 ACEs 发生和预防的影响。儿童环境的所有这些方面如何相互契合尚不清楚。本研究旨在通过考察 ACEs 的前兆以及儿童家庭生活影响其发展的多种方式来填补这一空白。
本研究使用来自脆弱家庭和儿童福利研究中 3001 名儿童母亲的数据，调查了邻里失序、ACEs 与儿童行为健康之间的关系。通过路径分析，估计了邻里失序与儿童行为健康之间的直接和间接关系，ACEs 是关键的中介变量。
在我们的研究中，最常见的 ACE 是亲密伴侣暴力（IPV），其次是儿童情绪虐待。邻里失序与更高水平的 ACEs 有关，与儿童行为健康呈负相关，既直接相关，也通过与 ACEs 的关系间接相关。
对居住在失序社区的儿童进行 ACEs 筛查可能有助于减少这些经历及其对这一高风险人群的影响。与 IPV 和儿童情绪虐待相关的预防干预可能特别有帮助。
