Department of Health Psychology, Medical Faculty, Pavol Jozef Safarik University, Trieda SNP 1, 040 11 Kosice, Slovakia.
Graduate School Kosice Institute for Society and Health, Pavol Jozef Safarik University, Trieda SNP 1, 040 11 Kosice, Slovakia.
Int J Environ Res Public Health. 2019 Jul 9;16(13):2446. doi: 10.3390/ijerph16132446.
This study aims to examine the association of adverse childhood experiences (ACE) with emotional and behavioral problems (EBP) among adolescents and the degree to which this association is stronger for more ACE. In addition, we assessed whether socioeconomic position (SEP) modifies the association of ACE with EBP. We obtained data from 341 adolescents aged 10-16 (mean age = 13.14 years; 44.0% boys), the baseline of a cohort study. We measured EBP with the strengths and difficulties questionnaire and socioeconomic position (SEP) with self-reported financial status. We used generalized linear models to analyze the association between ACE (0 vs. 1-2 vs. 3 and more) and EBP, and the modifying effect of SEP. Adolescents with 1-2 ACE (regression coefficient: 0.19; 95%-confidence interval (CI): 0.06-0.32) and with 3 ACE and over (0.35; 0.17-0.54) reported more overall problems compared with adolescents without ACE. Moreover, adolescents with 1-2 ACE (0.16; -0.01-0.32, and 0.16; 0.03-0.29) and with 3 and over ACE (0.33; 0.10-0.56, and 0.28; 0.09-0.47) reported more emotional problems and behavioral problems, respectively. The interactions of SEP with ACE were not significant. ACE are related to EBP among adolescents, with a clear dose-response association, and this association similarly holds for all SEP categories.
本研究旨在探讨青少年不良童年经历（ACE）与情绪和行为问题（EBP）之间的关联，以及这种关联在 ACE 更多的情况下更为强烈的程度。此外，我们评估了社会经济地位（SEP）是否会改变 ACE 与 EBP 的关联。我们从一个队列研究的 341 名 10-16 岁的青少年（平均年龄=13.14 岁；44.0%为男性）中获得了数据。我们使用《长处与困难问卷》（SDQ）来测量 EBP，使用自我报告的财务状况来测量 SEP。我们使用广义线性模型来分析 ACE（0 与 1-2 与 3 及以上）与 EBP 之间的关联，以及 SEP 的调节作用。与没有 ACE 的青少年相比，有 1-2 项 ACE（回归系数：0.19；95%置信区间（CI）：0.06-0.32）和有 3 项及以上 ACE 的青少年报告的总体问题更多。此外，有 1-2 项 ACE（0.16；-0.01-0.32，和 0.16；0.03-0.29）和有 3 项及以上 ACE（0.33；0.10-0.56，和 0.28；0.09-0.47）的青少年分别报告了更多的情绪问题和行为问题。SEP 与 ACE 的交互作用不显著。ACE 与青少年的 EBP 相关，存在明显的剂量-反应关联，且这种关联在所有 SEP 类别中都适用。
