Wang Xiafei, Liu Qingyang, Xu Ying, Xi Wenna, Gump Brooks B, Vasilenko Sara A
School of Social Work, David B. Falk College of Sport and Human Dynamics, Syracuse University, Syracuse, New York.
Department of Human Development and Family Science, David B. Falk College of Sport and Human Dynamics, Syracuse University, Syracuse, New York.
Am J Prev Med. 2025 May;68(5):923-931. doi: 10.1016/j.amepre.2025.01.021. Epub 2025 Jan 31.
Traditional research on adverse childhood experiences (ACEs) often retrospectively assesses ACEs and treats ACEs as a composite score, potentially overlooking the distinct effects of specific ACE patterns and their critical timing, which may influence health outcomes differently. It is crucial to explore variations in the patterns and timing of ACE exposure across racial/ethnic groups to improve ACE screening and intervention strategies.
In 2023, this study analyzed data of the Future of Families and Child Wellbeing Study (FFCWS) initially conducted in 1998. FFCWS sampled children from three racial/ethnic groups (N=2,587; N=1,577; N=770). ACEs were assessed through 7 indicators from ages 3 to 15 years, including physical and psychological abuse, neglect, witnessing maternal intimate partner violence, parental depression, separation, and material hardship. Using Longitudinal Latent Class Analysis, this research aimed to identify distinctive patterns and timing of ACEs among White, Black, and Latine youth.
The analysis revealed a 9-class model applicable to these 3 racial/ethnic youth groups. Classes combining material hardship with other ACEs and those featuring adolescent abuse were more prevalent among Black and Latine youth. This study also identified a class displaying a temporal pattern, such as early maternal intimate partner violence followed by late parental separation.
This study highlights the necessity of analyzing diverse class structures and the timing of ACEs across different racial/ethnic groups. Understanding these nuances is vital for developing culturally tailored interventions to reduce health disparities.
传统的童年不良经历（ACEs）研究通常是回顾性地评估ACEs，并将其视为一个综合分数，这可能会忽略特定ACE模式的独特影响及其关键时机，而这些因素可能对健康结果产生不同的影响。探索不同种族/族裔群体中ACE暴露模式和时机的差异，对于改进ACE筛查和干预策略至关重要。
2023年，本研究分析了1998年首次开展的家庭与儿童福祉未来研究（FFCWS）的数据。FFCWS从三个种族/族裔群体中抽取了儿童样本（N = 2587；N = 1577；N = 770）。通过7项指标对3至15岁儿童的ACEs进行评估，这些指标包括身体和心理虐待、忽视、目睹母亲遭受亲密伴侣暴力、父母抑郁、分居以及物质困难。本研究采用纵向潜在类别分析，旨在识别白人、黑人和拉丁裔青少年中ACEs的独特模式和时机。
分析得出一个适用于这三个种族/族裔青少年群体的九类别模型。将物质困难与其他ACEs相结合的类别以及以青少年期虐待为特征的类别在黑人和拉丁裔青少年中更为普遍。本研究还识别出一个呈现时间模式的类别，例如早期母亲遭受亲密伴侣暴力，随后是晚期父母分居。
本研究强调了分析不同种族/族裔群体中ACEs的不同类别结构和时机的必要性。了解这些细微差别对于制定针对不同文化背景的干预措施以减少健康差距至关重要。
