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Adverse experiences in early childhood and their longitudinal impact on later behavioral problems of children living in poverty.
Choi, Jeong-Kyun; Wang, Dan; Jackson, Aurora P.
Afiliação
  • Choi JK; Department of Child, Youth, & Family Studies, University of Nebraska-Lincoln, Lincoln, NE, United States. Electronic address: jchoi@unl.edu.
  • Wang D; Department of Child, Youth, & Family Studies, University of Nebraska-Lincoln, Lincoln, NE, United States.
  • Jackson AP; Department of Social Welfare, University of California Los Angeles, Los Angeles, CA, United States.
Child Abuse Negl ; 98: 104181, 2019 12.
Article em En | MEDLINE | ID: mdl-31521904
ABSTRACT

BACKGROUND:

Adverse childhood experiences (ACEs) are an identified risk factor for the social and emotional development of children. What is less known is the long-term effects of ACEs when poverty and ACEs coincide.

OBJECTIVE:

Using longitudinal cohort-panel data, we examined whether exposure to ACEs by the age of three among poor children would longitudinally result in behavioral problems at ages three, five, nine, and 15, after controlling for mothers' socioeconomic status and their children's characteristics. PARTICIPANTS AND

SETTING:

We used a subsample of 2750 children and their parents living in urban poverty from the Fragile Families and Child Wellbeing study.

METHODS:

Logistic regression modeling was used to obtain adjusted odds ratios of ACE categories predicting behavioral problems after accounting for family socioeconomic position.

RESULTS:

Our findings indicate that experiencing ACEs in early childhood was significantly associated with later behavioral outcomes from childhood to adolescence. Exposure to multiple ACEs before the age of three was significantly associated with the top-risk behavior group at age five; the odd ratios were 2.0 (CI = 1.3-3.1) and 2.9 (CI = 1.8-4.6) for two ACEs and three or more ACEs, respectively. At both ages nine and 15, children experiencing two or more ACEs had 1.9 to 3.2 times higher odds to demonstrate more the top 10th percentile of behavioral problems. Among covariates, mothers' race and education, and children's gender and temperament were identified as significant factors to determine behavior problems.

CONCLUSIONS:

The findings support policies and programs for families with children who have experienced economic disadvantages and early childhood adversity.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Pobreza / Transtornos do Comportamento Infantil / Filho de Pais com Deficiência / Experiências Adversas da Infância Tipo de estudo: Diagnostic_studies / Etiology_studies / Incidence_studies / Observational_studies / Prognostic_studies / Risk_factors_studies Aspecto: Determinantes_sociais_saude Limite: Adolescent / Child / Child, preschool / Female / Humans / Infant / Male Idioma: En Revista: Child Abuse Negl Ano de publicação: 2019 Tipo de documento: Article

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Pobreza / Transtornos do Comportamento Infantil / Filho de Pais com Deficiência / Experiências Adversas da Infância Tipo de estudo: Diagnostic_studies / Etiology_studies / Incidence_studies / Observational_studies / Prognostic_studies / Risk_factors_studies Aspecto: Determinantes_sociais_saude Limite: Adolescent / Child / Child, preschool / Female / Humans / Infant / Male Idioma: En Revista: Child Abuse Negl Ano de publicação: 2019 Tipo de documento: Article