Field Epidemiology and Prevention Branch, Division of Violence Prevention, National Center for Injury Prevention and Control, Centers for Disease Control and Prevention, United States.
Field Epidemiology and Prevention Branch, Division of Violence Prevention, National Center for Injury Prevention and Control, Centers for Disease Control and Prevention, United States.
Child Abuse Negl. 2023 Jul;141:106153. doi: 10.1016/j.chiabu.2023.106153. Epub 2023 Apr 28.
Adverse childhood experiences (ACEs) are a global public health concern. Many children experience multiple ACEs. Patterning of multiple ACEs may change over time.
To assess latent classes of ACEs among male and female youth in Kenya and evaluate whether ACEs latent classes changed between surveys conducted in 2010 and 2019.
We used data from Kenya Violence Against Children and Youth Survey, a repeated nationally representative survey of male and female youth aged 13-24: 2010 (n = 1227; n = 1456) and 2019 (n = 1344; n = 788).
Latent class analysis was used to estimate clustering of seven ACEs: orphanhood, experiencing physical intimate partner violence, physical violence by a parent/caregiver, physical violence by an adult community member, forced first sex, emotional (EV) and sexual violence (SV), stratified by sex and time.
For females in 2010, identified classes included (1) SV only, (2) household and community physical violence (PV), EV and SV, (3) household and community PV only, (4) low ACEs, and (5) EV only. In 2019, classes included (1) SV only, (2) household and community PV only, and (3) low ACEs. Among males in 2010, the four-class model included (1) household and community PV with EV, (2) low ACEs, (3) household and community PV with SV, and (4) household and community PV only. In 2019, identified classes included (1) orphanhood and SV, (2) orphanhood and PV, (3) low ACEs, and (4) household and community PV only. For both males and females, across the two survey years, some classes demonstrated continuity (low ACEs and caregiver and community PV for both males and females, and SV for females). Orphanhood emerged as relevant to the ACEs latent class structure in 2019 compared to 2010 among males.
Prevalence and changes in latent classes between 2010 and 2019 can point toward priority areas and subgroups for violence prevention and response in Kenya.
不良的儿童经历（ACEs）是一个全球性的公共卫生问题。许多儿童经历了多种 ACEs。多种 ACEs 的模式可能随时间而变化。
评估肯尼亚男女性青年的 ACEs 潜在类别，并评估 2010 年和 2019 年进行的调查中 ACEs 潜在类别是否发生变化。
我们使用了肯尼亚暴力侵害儿童和青年调查的数据，这是一项对 13-24 岁男女性青年进行的全国代表性重复调查：2010 年（n=1227；n=1456）和 2019 年（n=1344；n=788）。
使用潜在类别分析估计七种 ACEs（孤儿、经历身体亲密伴侣暴力、父母/照顾者的身体暴力、成人社区成员的身体暴力、被迫初次性行为、情感（EV）和性暴力（SV））的聚类，按性别和时间分层。
对于 2010 年的女性，确定的类别包括（1）仅 SV，（2）家庭和社区身体暴力（PV）、EV 和 SV，（3）家庭和社区 PV 仅，（4）低 ACEs，和（5）仅 EV。2019 年，类别包括（1）仅 SV，（2）家庭和社区 PV 仅，和（3）低 ACEs。对于 2010 年的男性，四类别模型包括（1）家庭和社区 PV 与 EV，（2）低 ACEs，（3）家庭和社区 PV 与 SV，和（4）家庭和社区 PV 仅。2019 年，确定的类别包括（1）孤儿和 SV，（2）孤儿和 PV，（3）低 ACEs，和（4）家庭和社区 PV 仅。对于男性和女性，在这两个调查年份中，一些类别表现出连续性（低 ACEs 和照顾者和社区 PV 对男性和女性，以及 SV 对女性）。与 2010 年相比，2019 年孤儿在男性中的 ACEs 潜在类别结构中变得相关。
2010 年至 2019 年间潜在类别患病率和变化可以指出肯尼亚预防和应对暴力的优先领域和亚组。
