Duke Center for Child and Family Policy, Erwin Square Mill Building, 202 West Main Street, Bay C, Durham, NC, United States.
UNICEF Office of Research-Innocenti, Florence, Italy.
Child Abuse Negl. 2020 Jan;99:104256. doi: 10.1016/j.chiabu.2019.104256. Epub 2019 Dec 11.
Adverse childhood experiences (ACEs), including abuse and neglect, are consistently found to be predictors of perpetration of intimate partner violence (IPV) and peer violence (PV) in adulthood. Children are often exposed to patterns of ongoing and/or multiple-type polyvictimization throughout the life course.
To identify and characterize patterns of ACEs among men in Dar es Salaam, Tanzania and to examine the relationship between these patterns and perpetration of intimate partner violence (IPV) and peer violence (PV) in adulthood.
We used latent class analysis to identify respondents with similar patterns of ACEs. The analysis was conducted with a sample of 987 men.
We uncovered five distinct classes of men with specific patterns of ACEs. One consisted of nonvictims and four included various forms of polyvictimization. Men in the polyvictimization classes that included non-violent family dysfunction had significantly higher odds of perpetrating psychological IPV compared to the other three classes (AORs 2.33 and 3.04 compared to nonvictims). Men in the polyvictimization classes that included any sexual violence and/or non-violent family dysfunction had significantly higher odds of perpetrating PV compared to the other two classes (AORs 3.54, 6.10, and 7.42 compared to nonvictims).
These findings suggest that distinct patterns of exposure to ACEs among this population are differentially related to perpetration of IPV and PV in adulthood. These findings highlight the importance of child development interventions in low-and middle-income countries, both for the primary prevention of child adversity and for mitigation of the cognitive and emotional effects of ACEs.
不良的童年经历（ACEs），包括虐待和忽视，一直被发现是成年后实施亲密伴侣暴力（IPV）和同伴暴力（PV）的预测因素。儿童在整个生命过程中经常面临持续和/或多种类型的多受害者情况。
在坦桑尼亚达累斯萨拉姆确定和描述男性中 ACEs 的模式，并研究这些模式与成年后实施 IPV 和 PV 之间的关系。
我们使用潜在类别分析来识别具有相似 ACEs 模式的受访者。该分析是在 987 名男性样本上进行的。
我们发现了具有特定 ACEs 模式的五个不同类别的男性。一类是非受害者，四类包括各种形式的多受害者。与其他三个类别相比，包括非暴力家庭功能障碍在内的多受害者类别中的男性实施心理 IPV 的可能性显著更高（与非受害者相比，ORs 为 2.33 和 3.04）。在包括任何性暴力和/或非暴力家庭功能障碍的多受害者类别中的男性与其他两个类别相比，实施 PV 的可能性显著更高（与非受害者相比，ORs 为 3.54、6.10 和 7.42）。
这些发现表明，该人群中 ACEs 暴露的不同模式与成年后实施 IPV 和 PV 存在差异相关。这些发现强调了在中低收入国家开展儿童发展干预的重要性，既要预防儿童逆境，又要减轻 ACEs 的认知和情感影响。
