School of Social Work, Western Michigan University, College of Health and Human Services, Kalamazoo, MI, USA.
Department of Occupational Therapy, Indiana University Purdue University Indianapolis, School of Health and Human Sciences, Indianapolis, IN, USA.
Ethn Health. 2022 Jul;27(5):1088-1102. doi: 10.1080/13557858.2020.1869187. Epub 2021 Jan 21.
The objective of this study was to verify the factor structure of the household dysfunction type of ACE using data from the National Survey of Children's Health (NSCH), and then examine whether household dysfunction (measured as a latent construct) was associated with mental health conditions among multiracial adolescents.
We used cross-sectional data collected in 2016 from caregivers who completed the NSCH and analyzed data from a subpopulation of adolescents (12-17) who reported more than one race (n = 1,231). Mplus 8.4 was used to conduct confirmatory factor analysis and probit models from a structural equation modeling framework.
Results from this study indicated that the household dysfunction type of ACE, as a latent construct, had good model fit and was significantly associated with depression [standardized coefficient [] = .50, 95% confidence interval [CI] .36, .65], anxiety [ = .61, 95% CI .48, .73], behavior problems [ = .58, 95% CI .44, .72], and ADHD [ = .54, 95% CI .38, .69] for multiracial adolescents.
Household dysfunction may result in adolescents being separated (physically or emotionally) from their caregivers, which may hinder adolescents' ability to establish or maintain one of the most important relationships needed to promote racial/ethnic identity development and mental health. Implications for advancements in theory and NSCH are presented.
本研究旨在利用全国儿童健康调查（NSCH）的数据验证 ACE 家庭功能障碍类型的因子结构，然后检验家庭功能障碍（作为潜在构念来衡量）是否与多种族青少年的心理健康状况相关。
我们使用了 2016 年 caregiver完成 NSCH 时收集的横断面数据，并对报告有多种族背景（n=1231）的青少年亚群的数据进行了分析。Mplus 8.4 用于进行验证性因子分析和结构方程建模框架中的概率模型。
本研究结果表明，ACE 的家庭功能障碍类型作为潜在构念，具有良好的模型拟合度，且与抑郁[标准化系数[]=0.50，95%置信区间（CI）0.36，0.65]、焦虑[ = 0.61，95% CI 0.48，0.73]、行为问题[ = 0.58，95% CI 0.44，0.72]和 ADHD [ = 0.54，95% CI 0.38，0.69]显著相关。
家庭功能障碍可能导致青少年与照顾者分离（身体上或情感上），这可能会阻碍青少年建立或维持促进种族/族裔认同发展和心理健康的最重要关系之一的能力。提出了对理论和 NSCH 发展的影响。
