Department of Health Behavior and Health Education, University of Michigan School of Public Health, Ann Arbor, Michigan.
Department of Health Behavior and Health Education, University of Michigan School of Public Health, Ann Arbor, Michigan.
Am J Prev Med. 2021 Jan;60(1):80-86. doi: 10.1016/j.amepre.2020.06.030. Epub 2020 Nov 20.
Exposure to adverse experiences during adolescence may have significant implications for intimate partner violence during adulthood because it is during this developmental stage that many youth begin to have romantic relationships. Yet, few prospective longitudinal analyses on this topic exist. This study aims to fill a gap in the literature by examining the adverse childhood experiences during adolescence and intimate partner violence 15 years later during adulthood.
Multilevel negative-binomial regression was used to examine the relationship between adolescent adverse childhood experiences (age 13-19 years) and adult intimate partner violence (age 28-34 years) in 499 participants over 5 waves of data from a 24-year longitudinal study (Wave 1: 1994) based in Flint, Michigan. Adolescent adverse childhood experiences included being a victim of violence, observed family conflict, parental intoxication, parental divorce, and observed community violence. Data analysis was conducted between 2019 and 2020.
First, investigators modeled the adverse childhood experience variables as a summary score to predict intimate partner violence during adulthood while controlling for known risk factors and individual random effects. Secondly, this study examined individual adverse childhood experiences iteratively to understand which adverse experiences predicted intimate partner violence in adulthood and found that observed community violence remained significant when accounting for all other adverse childhood experiences (β=0.276, p<0.05).
These findings support the negative effects of community violence in adolescence on later risk of intimate partner violence. Prevention interventions that focus on community health and violence prevention with a focus on healthy adolescent development may be pertinent in lowering intimate partner violence victimization in adulthood.
青少年时期经历不良事件可能对成年期亲密伴侣暴力行为产生重大影响，因为正是在这个发展阶段，许多年轻人开始建立浪漫关系。然而，关于这个主题的前瞻性纵向分析很少。本研究旨在通过检查青春期的不良童年经历和成年期 15 年后的亲密伴侣暴力行为来填补文献中的空白。
使用多层次负二项回归分析，在密西根州弗林特市进行的一项 24 年纵向研究（第 1 波：1994 年）的 499 名参与者的 5 个数据波中，检查青少年时期的不良童年经历（13-19 岁）与成年期亲密伴侣暴力行为（28-34 岁）之间的关系。青少年时期的不良童年经历包括成为暴力受害者、观察到的家庭冲突、父母醉酒、父母离婚和观察到的社区暴力。数据分析于 2019 年至 2020 年进行。
首先，研究人员将不良童年经历变量建模为一个综合得分，以预测成年期的亲密伴侣暴力行为，同时控制已知的风险因素和个体随机效应。其次，本研究逐次检查个别不良童年经历，以了解哪些不良经历预测成年期的亲密伴侣暴力行为，并发现当考虑到所有其他不良童年经历时，观察到的社区暴力仍然具有显著意义（β=0.276，p<0.05）。
这些发现支持了青春期社区暴力对后来亲密伴侣暴力风险的负面影响。以社区健康和暴力预防为重点、关注青少年健康发展的预防干预措施，可能对降低成年期亲密伴侣暴力受害率具有重要意义。
