Parenting-related positive childhood experiences, adverse childhood experiences, and mental health-Four sub-Saharan African countries.

Autor: Seya MS; Division of Violence Prevention, Centers for Disease Control and Prevention, GA, USA. Electronic address: mwo6@cdc.gov., Matthews S; Division of Violence Prevention, Centers for Disease Control and Prevention, GA, USA., Zhu L; Division of Violence Prevention, Centers for Disease Control and Prevention, GA, USA., Brown C; Division of Violence Prevention, Centers for Disease Control and Prevention, GA, USA., Lefevre A; Division of Violence Prevention, Centers for Disease Control and Prevention, GA, USA., Agathis N; Division of Global HIV and Tuberculosis, Center for Global Health Centers for Disease Control and Prevention, GA, USA., Chiang LF; Division of Violence Prevention, Centers for Disease Control and Prevention, GA, USA., Annor FB; Division of Violence Prevention, Centers for Disease Control and Prevention, GA, USA., McOwen J; Division of Global Health HIV and TB, Centers for Disease Control and Prevention, Mozambique., Augusto A; Instituto Nacional de Saude (INS), Mozambique., Manuel P; Division of Global Health HIV and TB, Centers for Disease Control and Prevention, Mozambique., Kamagate MF; Division of Global Health HIV and TB, Centers for Disease Control and Prevention, Cote d'Ivoire., Nobah MT; Division of Global Health HIV and TB, Centers for Disease Control and Prevention, Cote d'Ivoire., Coomer R; Division of Global Health HIV and TB, Centers for Disease Control and Prevention, Namibia., Kambona C; Division of Global Health HIV and TB, Centers for Disease Control and Prevention, Kenya., Low A; ICAP at Columbia University, USA.
Jazyk: angličtina
Zdroj: Child abuse & neglect [Child Abuse Negl] 2024 Apr; Vol. 150, pp. 106493. Date of Electronic Publication: 2023 Oct 14.
DOI: 10.1016/j.chiabu.2023.106493
Abstrakt: Background: Adverse Childhood Experiences (ACEs) are associated with poor mental health outcomes and risk-taking behaviors. Positive childhood experiences (PCEs) may mitigate these negative impacts.
Objective: This study 1) assessed the associations between ACEs and negative health outcomes and risk-taking behaviors among young adults, and 2) evaluated whether - and which - PCEs moderate the association between ACEs and these outcomes in sub-Saharan Africa.
Methods: This multi-country analysis combined cross-sectional representative survey data from young adults, ages 18-24 years, from the 2019 Kenya, 2018 Lesotho, 2019 Mozambique, and 2019 Namibia Violence Against Children and Youth Surveys. The association between experiencing any ACEs and each health outcome was assessed using Wald's chi-square tests. Multivariable logistic regression analyses assessed the association between each PCE and each outcome of interest.
Results: Females who experienced any ACEs had higher odds of experiencing moderate to severe mental distress (aOR = 2.7, 95%CI: 1.9, 3.9). Males who experienced any ACEs had higher odds of experiencing suicidal/self-harm behaviors (aOR = 6.7, 95%CI: 2.8, 16.0) and substance use (aOR = 2.5, 95%CI: 1.4, 4.2). In females, strong mother-child relationship was protective against moderate to severe mental distress (aOR = 0.7, 95%CI: 0.6, 0.9), suicidal/self-harm behaviors (aOR = 0.6, 95%CI: 0.4, 0.9), and substance use (aOR = 0.6, 95%CI: 0.4, 0.9). For males, a strong mother-child relationship was protective against suicidal/self-harm behaviors (aOR = 0.5, 95%CI: 0.2, 0.9), and a strong father-child relationship was protective against suicidal/self-harm behaviors (aOR = 0.4, 95%CI: 0.2, 0.7) and substance use (aOR = 0.6, 95%CI: 0.4, 0.8).
Conclusions: Strong parenting programs may likely play an important role in improving the psychosocial health of young adults.
Competing Interests: Declaration of competing interest There are no conflicts of interest to disclose, and no funding was received for this work.
(Copyright © 2023. Published by Elsevier Ltd.)
Databáze: MEDLINE
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