母亲不良童年经历与青年拉丁裔儿童心理健康
Maternal Adverse Childhood Experiences and Young Adult Latino Children's Mental Health.
机构信息
Community Health Sciences Division, School of Public Health, University of California at Berkeley, Berkeley, California; Center for Environmental Research and Community Health (CERCH), School of Public Health, University of California, Berkeley, Berkeley, California.
Philip R. Lee Institute for Health Policy Studies, School of Medicine, University of California at San Francisco, San Francisco, California.
出版信息
Am J Prev Med. 2024 Jan;66(1):119-127. doi: 10.1016/j.amepre.2023.09.012. Epub 2023 Sep 18.
INTRODUCTION
Maternal adverse childhood experiences have been linked to a variety of negative health outcomes in young children; however, young adults and, specifically, young adult Latinos have been vastly understudied. This study investigates the intergenerational pathway between maternal adverse childhood experiences and behavioral health outcomes of their young adult children, as mediated through young adults' own adverse childhood experiences and maternal depression.
METHODS
Structural equation modeling was used to analyze data (in 2023) from mothers and their young adult children (n=398 dyads) enrolled in the Center for the Health Assessment of Mothers and Children of Salinas cohort, a primarily Latino agricultural sample. Maternal and young adult adverse childhood experiences were self-reported retrospectively during a visit at the age of 18 years (2018-2020). Young adult- and maternal-reported internalizing and maternal-reported externalizing behaviors were assessed at the age of 18 years with the Behavior Assessment for Children, second edition. Maternal depression was assessed during a visit at the age of 9 years (2010-2012) using the Center for Epidemiologic Studies Depression Scale.
RESULTS
Maternal and young adult adverse childhood experiences were weakly but statistically significantly correlated (r=0.22). Maternal adverse childhood experiences were statistically significantly associated with maternal-reported youth internalizing symptoms (β=0.29; 95% CI=0.19, 0.38; p<0.001) and externalizing symptoms (β=0.24; 95% CI=0.14, 0.33; p<0.001) and marginally associated with youth-reported internalizing symptoms (β=0.08; 95% CI= -0.02, 0.18; p=0.13). Youth adverse childhood experiences and maternal depressive symptomatology mediated the associations between maternal adverse childhood experiences and young adult outcomes.
CONCLUSIONS
Findings demonstrate the potential impacts of adversity across generations in Latino immigrant families, an understudied population. Understanding the mechanisms and factors associated with these pathways may lead to strategies that prevent poor mental health outcomes in young adults.
简介
母亲在儿童时期经历的不良事件与幼儿期的各种负面健康结果有关；然而，年轻成年人，尤其是年轻的拉丁裔成年人，在很大程度上被研究不足。本研究通过结构方程模型，调查了母亲在儿童时期经历的不良事件与他们成年子女的行为健康结果之间的代际途径，该途径通过年轻成年人自己在儿童时期经历的不良事件和母亲的抑郁来介导。
方法
本研究使用结构方程模型分析了 2023 年参加萨利纳斯母亲和儿童健康评估中心队列的母亲及其成年子女（n=398 对）的数据。母亲和成年子女的不良童年经历是在 18 岁（2018-2020 年）的一次就诊中通过回顾性自我报告的。在 18 岁时，使用《儿童行为评估》第二版评估了年轻成年人和母亲报告的内化行为以及母亲报告的外化行为。在 9 岁（2010-2012 年）的一次就诊中，使用《流行病学研究中心抑郁量表》评估了母亲的抑郁情况。
结果
母亲和成年子女的不良童年经历之间存在微弱但具有统计学意义的相关性（r=0.22）。母亲在儿童时期经历的不良事件与母亲报告的青年内化症状（β=0.29；95%CI=0.19，0.38；p<0.001）和外化症状（β=0.24；95%CI=0.14，0.33；p<0.001）存在统计学显著关联，与青年报告的内化症状也存在边缘关联（β=0.08；95%CI=-0.02，0.18；p=0.13）。青年在儿童时期经历的不良事件和母亲的抑郁症状学中介了母亲在儿童时期经历的不良事件与年轻成年人结局之间的关联。
结论
研究结果表明，在拉丁裔移民家庭中，代际间的不良事件可能会产生潜在影响，这是一个研究不足的群体。了解与这些途径相关的机制和因素，可能会导致预防年轻成年人心理健康不良结局的策略的出现。
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