Jaegoo Lee, PhD, MSW, is associate professor, School of Social Work, College of Health Sciences, Jackson State University, 3825 Ridgewood Road, Universities Center 3-20, Jackson, MS 39211, USA.
Trenia L. Allen, EdD, LCSW, are associate professors, School of Social Work, College of Health Sciences, Jackson State University, Jackson, MS, USA.
Health Soc Work. 2024 Aug 1;49(3):157-165. doi: 10.1093/hsw/hlae013.
Based on stress sensitization theory and stress proliferation theory, this study was designed to identify adverse childhood experience (ACE) classes and their relationships with perceived stress and self-care behaviors. Hypotheses were that (a) there would be diverse ACE classes among African American social work students; (b) the identified classes embedded in high/multiple ACEs would have greater levels of perceived stress than those in low ACEs; and (c) the identified classes embedded in high/multiple ACEs would have lower levels of self-care behaviors than those in low ACEs. Recruited from one of the South's historically Black colleges and universities, 186 African American social work students completed an online survey. Latent class analysis found three classes fit the data best: low ACEs, high divorce/abuse/neglect, and high/multiple ACEs. Students in the high divorce/abuse/neglect class had the greatest levels of perceived stress and significantly greater perceived stress levels than the low ACEs class. The low ACEs class had greater self-care behaviors than students in the other two ACEs classes. The study revealed diverse ACE classes and the effect of more ACEs on greater perceived stress and lower self-care behaviors, supporting the importance of using a range of approaches to support African American social work students with different ACEs.
基于压力敏感理论和压力增殖理论，本研究旨在确定不良童年经历 (ACE) 类别及其与感知压力和自我护理行为的关系。假设是：(a) 在非裔美国社会工作学生中会存在不同的 ACE 类别；(b) 嵌入高/多种 ACE 类别的类别会比嵌入低 ACE 类别的类别具有更高的感知压力水平；(c) 嵌入高/多种 ACE 类别的类别会比嵌入低 ACE 类别的类别具有更低的自我护理行为水平。本研究从南方一所历史悠久的黑人学院和大学招募了 186 名非裔美国社会工作学生，他们完成了一项在线调查。潜在类别分析发现，有三个类别最适合数据：低 ACEs、高离婚/虐待/忽视和高/多种 ACEs。处于高离婚/虐待/忽视类别的学生感知到的压力最大，且显著高于低 ACEs 类别的学生。低 ACEs 类别的自我护理行为大于其他两个 ACEs 类别的学生。该研究揭示了不同的 ACE 类别以及更多 ACE 对更大的感知压力和更低的自我护理行为的影响，支持了使用一系列方法来支持具有不同 ACE 的非裔美国社会工作学生的重要性。
