Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland.
Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland.
J Adolesc Health. 2019 Jul;65(1):86-93. doi: 10.1016/j.jadohealth.2019.01.020. Epub 2019 Mar 28.
The purpose of the study was to develop a measure of ACEs applicable for young adolescents in low- and middle-income countries (ACEs) and to analyze the relationships of ACEs against two outcomes: depressive symptoms and violence perpetration. There is a paucity of research on the consequences of adverse child experiences (ACEs) on adolescent health and behavior from low- and middle-income countries and virtually no multinational studies.
As part of the Global Early Adolescent Study, an 11-item measure of ACEs was developed and piloted with 1,284 adolescents aged 10-14 years in 14 urban communities in an equal number of countries. With one exception where interviewers were used, data were self-reported anonymously using tablets. Results compared a summative ACEs index score and latent class analysis.
Findings show high rates of ACEs exposure experienced by young adolescents in resource-poor neighborhoods in low- and middle-income countries; disproportionate exposures of boys and strong associations between ACEs and both depressive symptoms and violence perpetration. Latent class analysis provided modest refinement over a summed ACEs score.
While interventions tend to focus on behavioral outcomes, evidence suggests that ACEs exposure is a strong antecedent related to both depressive symptoms and violence perpetration.
本研究旨在开发一种适用于中低收入国家青少年的 ACE 量表，并分析 ACE 与两种结果的关系：抑郁症状和暴力行为。来自中低收入国家的青少年在经历不良儿童经历（ACE）对健康和行为的后果方面的研究很少，几乎没有跨国研究。
作为全球早期青少年研究的一部分，我们开发了一种 11 项 ACE 量表，并在 14 个国家的 14 个城市社区中对 1284 名 10-14 岁的青少年进行了试点研究。除了使用访谈者的一个例外，数据都是匿名使用平板电脑自我报告的。结果比较了综合 ACE 指数评分和潜在类别分析。
研究结果表明，资源匮乏的中低收入国家的贫困社区青少年经历了高比率的 ACE 暴露；男孩的暴露比例不成比例，ACE 与抑郁症状和暴力行为之间存在强烈关联。潜在类别分析为综合 ACE 评分提供了适度的改进。
虽然干预措施往往侧重于行为结果，但有证据表明，ACE 暴露是与抑郁症状和暴力行为都相关的一个重要的先行因素。
