Liang Yiming, Wu Ruiyao, Huang Qi, Liu Zhengkui
Shanghai Key Laboratory of Mental Health and Psychological Crisis Intervention, Affiliated Mental Health Center (ECNU), School of Psychology and Cognitive Science, East China Normal University, Shanghai 200062, China.
CAS Key Laboratory of Mental Health, Institute of Psychology, Chinese Academy of Sciences, Beijing 100101, China.
Children (Basel). 2023 Apr 16;10(4):734. doi: 10.3390/children10040734.
Children and adolescents are likely to be exposed to various types of childhood traumatic experiences (CTEs) with gender-specific patterns. Rural-to-urban migrant children have been demonstrated a greater risk of CTE exposure than local children. However, no study has investigated sex differences in the patterns of CTEs and predictive factors among Chinese children.
A large-scale questionnaire survey of rural-to-urban migrant children (N = 16,140) was conducted among primary and junior high schools in Beijing. Childhood trauma history, including interpersonal violence, vicarious trauma, accidents and injuries was measured. Demographic variables and social support were also examined. Latent class analysis (LCA) was utilized to examine patterns of childhood trauma, and logistic regression was used to examine predictors.
Four classes of CTEs were found among both boys and girls, labeled low trauma exposure, vicarious trauma exposure, domestic violence exposure, and multiple trauma exposure. The possibility of various CTEs in the four CTE patterns was higher among boys than girls. Sex differences also manifested in predictors of childhood trauma patterns.
Our findings shed light on sex differences in CTE patterns and predictive factors in Chinese rural-to-urban migrant children, suggesting that trauma history should be considered along with sex, and sex-specific prevention and treatment programs should be developed.
儿童和青少年可能会经历各种类型的童年创伤经历(CTE),且存在性别差异模式。事实证明,农村进城务工人员随迁子女比本地儿童遭受CTE的风险更高。然而,尚无研究调查中国儿童CTE模式和预测因素中的性别差异。
在北京的中小学对16140名农村进城务工人员随迁子女进行了大规模问卷调查。对童年创伤史进行了测量,包括人际暴力、替代性创伤、事故和伤害。还调查了人口统计学变量和社会支持情况。采用潜在类别分析(LCA)来研究童年创伤模式,并使用逻辑回归分析来研究预测因素。
在男孩和女孩中均发现了四类CTE,分别标记为低创伤暴露、替代性创伤暴露、家庭暴力暴露和多重创伤暴露。在这四种CTE模式中,男孩遭受各种CTE的可能性高于女孩。童年创伤模式的预测因素中也存在性别差异。
我们的研究结果揭示了中国农村进城务工人员随迁子女CTE模式和预测因素中的性别差异,表明应将创伤史与性别因素一并考虑,并制定针对性别的预防和治疗方案。