Rosado Javier I, Ramirez Andrea, Montgomery Jordan, Reyes Elena, Wang Yuxia
Florida State University College of Medicine - Immokalee Health Education Site, 1441 Heritage Blvd, Immokalee, FL, 34142, United States.
Florida State University College of Medicine, 1115 West Call St., Tallahassee, FL, 32306, United States.
Child Abuse Negl. 2021 Feb;112:104887. doi: 10.1016/j.chiabu.2020.104887. Epub 2021 Jan 2.
Research has long shown that Adverse Childhood Experiences (ACEs) are correlated with major risk factors for several of the leading causes of death in adults. However, only recently have studies begun to measure the impact of ACEs during childhood and on underserved populations.
This study assessed the prevalence of 8 ACEs, including physical, emotional, and sexual abuse, among rural U.S. Latino children of immigrant parents. We examined the association of those adversities with several factors including emotional and behavioral difficulties, health problems and healthcare utilization.
A total of 100 Latino subjects (ages 8-17) were recruited from a community health center in Southwest Florida.
Parents and children were asked to complete the Child Trust Events Survey to measure child ACEs; Parents were asked to complete the Strengths and Difficulties Questionnaire to measure child emotional and behavioral problems.
Child ACEs ranged from 1.38 (parent-report) to 1.56 (child self-report) with emotional abuse, incarceration, and loss/separation from a caregiver being the most common. ACEs were correlated with emotional symptoms (p = .038 for child-report; p = .043 for parent-report), hyperactivity/inattention problems (p = .011 for parent-report), and with total behavioral difficulties (p = .021 for parent-report). There was a negative correlation between ACES and child chronic health diagnosis (p = .038 for parent-report; p = .010 for child-report) and total health problems (p = .021). There was no significant relationship between ACEs and healthcare utilization.
ACEs appear to be more prevalent among rural Latino youth in immigrant families and may be associated with emotional and behavioral problems during childhood.
长期以来的研究表明，童年不良经历（ACEs）与成年人几种主要死因的主要风险因素相关。然而，直到最近，研究才开始衡量童年时期ACEs的影响以及对服务不足人群的影响。
本研究评估了美国农村有移民父母的拉丁裔儿童中8种ACEs的流行情况，包括身体虐待、情感虐待和性虐待。我们研究了这些逆境与包括情绪和行为困难、健康问题以及医疗保健利用等几个因素之间的关联。
从佛罗里达州西南部的一个社区健康中心招募了总共100名拉丁裔受试者（年龄在8至17岁之间）。
要求父母和孩子完成儿童信任事件调查以衡量儿童的ACEs；要求父母完成优势与困难问卷以衡量儿童的情绪和行为问题。
儿童ACEs的发生率在1.38（父母报告）至1.56（儿童自我报告）之间，情感虐待、监禁以及与照顾者的丧失/分离最为常见。ACEs与情绪症状（儿童报告p = 0.038；父母报告p = 0.043）、多动/注意力不集中问题（父母报告p = 0.011）以及总的行为困难（父母报告p = 0.021）相关。ACEs与儿童慢性健康诊断（父母报告p = 0.038；儿童报告p = 0.010）和总的健康问题（p = 0.021）之间存在负相关。ACEs与医疗保健利用之间没有显著关系。
ACEs在移民家庭的农村拉丁裔青年中似乎更为普遍，并且可能与童年时期的情绪和行为问题有关。
