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原住民文化认同可保护原住民照顾者及其子女免受 ACE 代际传递的影响。

Indigenous Cultural Identity Protects Against Intergenerational Transmission of ACEs Among Indigenous Caregivers and Their Children.

机构信息

University of Nebraska-Lincoln, Lincoln, USA.

Bennington College, Bennington, USA.

出版信息

J Racial Ethn Health Disparities. 2024 Dec;11(6):3416-3426. doi: 10.1007/s40615-023-01795-z. Epub 2023 Sep 11.

Abstract

A large body of empirical research has demonstrated that caregiver adverse childhood experiences (ACEs) predict ACEs in one's child, a phenomenon known as the intergenerational transmission of ACEs. Little of this empirical research, however, has focused specifically on Indigenous peoples despite a growing body of theoretical literature and the wisdom of Elders and Traditional Knowledge Keepers that speaks to the presence of this phenomenon within Indigenous communities as well as the protective role of Indigenous cultural identity in preventing the intergenerational transmission of ACEs. The purpose of the current study was to conduct an empirical evaluation of this hypothesis, specifically that Indigenous cultural identity and social support protects against the intergenerational transmission of ACEs among Indigenous peoples and their children in the USA. Participants were 106 Indigenous women caregivers of children ages 10 to 14 in South Dakota who completed surveys. Results showed that Indigenous cultural identity moderated the association between caregiver ACEs and child ACEs. At high levels of cultural identity, there was no association between caregiver ACEs and child ACEs. At low levels of Indigenous cultural identity, however, there was a strong and positive relationship between caregiver ACEs and child ACEs. Social support did not moderate the association between caregiver ACEs and child ACEs. These findings underscore the need for initiatives that enhance Indigenous cultural identity and social support among Indigenous caregivers to prevent the intergenerational transmission of ACEs.

摘要

大量的实证研究表明,照顾者的不良童年经历 (ACEs) 会预测其子女的 ACEs,这种现象被称为 ACEs 的代际传递。然而,尽管有越来越多的理论文献以及长者和传统知识守护者的智慧表明这种现象存在于原住民社区,并且原住民文化认同在防止 ACEs 的代际传递方面具有保护作用,但很少有实证研究专门关注原住民。本研究的目的是对这一假设进行实证评估,即原住民文化认同和社会支持是否可以保护美国原住民及其子女 ACEs 的代际传递。参与者是南达科他州 106 名年龄在 10 至 14 岁之间的儿童的原住民照顾者,他们完成了调查。结果表明,原住民文化认同调节了照顾者 ACEs 与儿童 ACEs 之间的关联。在高文化认同水平下,照顾者 ACEs 与儿童 ACEs 之间没有关联。然而,在低水平的原住民文化认同下,照顾者 ACEs 与儿童 ACEs 之间存在强烈的正相关关系。社会支持并没有调节照顾者 ACEs 与儿童 ACEs 之间的关联。这些发现强调了需要采取措施增强原住民照顾者的原住民文化认同和社会支持,以防止 ACEs 的代际传递。

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