Department of Radiology, Wake Forest School of Medicine, Winston-Salem, NC, USA.
Department of Psychiatry and Behavioral Medicine, Wake Forest School of Medicine, Winston-Salem, NC, USA.
J Immigr Minor Health. 2022 Aug;24(4):977-986. doi: 10.1007/s10903-021-01274-9. Epub 2021 Sep 27.
Adverse childhood experiences (ACEs) are stressors that can have lifelong detrimental health effects. ACEs are a concern for children of immigrant parents. The low-income mothers of 75 rural farmworker and 63 urban non-farmworker 8-year old Latinx children in immigrant families completed a standardized ACEs inventory. 47.1% of mothers reported no ACEs, 33.3% reported 1, 8.7% reported 2, and 10.9% reported 3 or more. A logistic regression model indicated that urban versus rural children had a higher odds (OR = 2.35, 95% CI = 1.01, 5.48) of at least one ACE. Children living in families with 2 versus 1 adults (OR = 0.10, 95% CI = 0.02, 0.49) and 3 versus 1 adults (OR = 0.12, 95% CI = 0.02, 0.78) had a lower odds of at least one ACE. ACEs prevalence was similar to other children in immigrant families, with children living in urban communities having twice the likelihood of experiencing an ACE. Detailed research is needed on locality-based ACEs prevalence.
不良童年经历(ACEs)是会对终生健康产生不利影响的压力源。ACEs 是移民父母子女关注的问题。75 名农村农场工人和 63 名城市非农场工人的移民家庭中 8 岁拉丁裔儿童的低收入母亲完成了一份标准化 ACEs 清单。47.1%的母亲报告没有 ACEs,33.3%报告有 1 项,8.7%报告有 2 项,10.9%报告有 3 项或更多项。逻辑回归模型表明,与农村儿童相比,城市儿童至少有一项 ACE 的可能性更高(OR=2.35,95%CI=1.01,5.48)。与有 1 个成人的家庭相比,有 2 个成人的家庭(OR=0.10,95%CI=0.02,0.49)和有 3 个成人的家庭(OR=0.12,95%CI=0.02,0.78)的儿童发生至少一项 ACE 的可能性较低。ACEs 的患病率与移民家庭中的其他儿童相似,居住在城市社区的儿童经历 ACE 的可能性是前者的两倍。需要对基于地点的 ACEs 患病率进行详细研究。