Department of Pediatrics, Denver Health Medical Center, 501 E. 28th Street, Denver, CO, 80205, USA; Department of Pediatrics, The University of Colorado, Denver School of Medicine, Aurora, CO, 80045, USA.
Adult and Child Consortium for Health Outcomes Research and Delivery Science (ACCORDS), Aurora, CO, 80045, USA.
Child Abuse Negl. 2020 Oct;108:104662. doi: 10.1016/j.chiabu.2020.104662. Epub 2020 Aug 26.
Evidence suggests that families transmit child maltreatment and parenting attitudes. Natural mentorship may mediate intergenerational parenting attitudes' risk for maltreatment but has not been studied.
To compare parenting attitudes between adolescents exposed to or at risk for maltreatment and their caregivers and to determine if natural mentorship mediates differences in parenting attitudes' maltreatment risk.
The study included 779 children and their caregivers from the Longitudinal Studies of Child Abuse and Neglect (LONGSCAN) study, METHODS: Standardized measures assessed parenting attitudes, natural mentorship and demographic characteristics. Repeated measures, multivariable logistic regressions were used to predict low risk parenting attitudes for maltreatment among adolescents with and without natural mentors.
In adjusted analysis, natural mentorship did not predict an adolescent having low risk parenting attitudes when their caregivers had moderate or high risk attitudes: appropriate empathy adjusted odds ratio [aOR] = 1.26; 95% confidence interval [CI] 0.52 -3.01; appropriate expectations aOR = 1.35; CI 0.62-2.93; physical punishment rejection aOR = 1.74; CI 0.78-3.88; and appropriate roles aOR = 1.11; CI 0.57-2.18. Low risk caregiver parenting attitudes for appropriate empathy related to adolescents having low risk empathy attitudes (aOR = 2.89; CI 1.31-6.37). Male gender, African American race and Hispanic ethnicity were negatively associated with an adolescent having low risk parenting attitudes for maltreatment.
Natural mentorship did not mediate adolescent parenting attitudes. While prevention and intervention strategies should include natural mentoring given positive health impacts, services must be cognizant of and designed for gender, racial and ethnic diversity.
有证据表明，家庭会传递儿童虐待和育儿态度。自然导师制可能会调解代际育儿态度对虐待的风险，但尚未对此进行研究。
比较遭受或面临虐待风险的青少年与其照顾者的育儿态度，并确定自然导师制是否调解了育儿态度虐待风险的差异。
该研究纳入了纵向儿童虐待和忽视研究（LONGSCAN）中的 779 名儿童及其照顾者。
使用标准化量表评估了育儿态度、自然导师制以及人口统计学特征。采用重复测量、多变量逻辑回归来预测有无自然导师的青少年中具有低风险虐待育儿态度的情况。
在调整分析中，当照顾者具有中高风险态度时，自然导师制并不能预测青少年具有低风险的育儿态度：适当同理心的调整后优势比（aOR）=1.26；95%置信区间（CI）为 0.52-3.01；适当期望 aOR=1.35；CI 为 0.62-2.93；拒绝体罚 aOR=1.74；CI 为 0.78-3.88；适当角色 aOR=1.11；CI 为 0.57-2.18。适当同理心的低风险照顾者育儿态度与青少年具有低风险同理心态度相关（aOR=2.89；CI 为 1.31-6.37）。男性性别、非裔美国人和西班牙裔与青少年具有低风险虐待育儿态度呈负相关。
自然导师制并未调解青少年的育儿态度。虽然鉴于其自然的积极健康影响，预防和干预策略应该包括自然导师制，但服务必须认识到并针对性别、种族和族裔多样性进行设计。
