Parental Adverse Childhood Experiences and Offspring Development at 2 Years of Age
| Autor: | Robert A. Shapiro, Maggie E. Brownrigg, Robert J. Gillespie, Emily A. Eismann, Nicole B. Stephenson, Maurizio Macaluso, Alonzo T. Folger |
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| Rok vydání: | 2018 |
| Předmět: |
Adult
Male Patient Transfer Population Poison control Cohort Studies 03 medical and health sciences 0302 clinical medicine Child Development Adverse Childhood Experiences 030225 pediatrics Surveys and Questionnaires Adaptation Psychological Medicine Humans 0501 psychology and cognitive sciences Prospective Studies Parent-Child Relations education education.field_of_study business.industry 05 social sciences Retrospective cohort study Child development Confidence interval Patient Discharge Adult Survivors of Child Adverse Events Relative risk Child Preschool Pediatrics Perinatology and Child Health Female business Psychosocial 050104 developmental & child psychology Cohort study Demography |
| Zdroj: | Pediatrics. 141(4) |
| ISSN: | 1098-4275 |
| Popis: | OBJECTIVES: The study objective was to determine if maternal and paternal exposure to adverse childhood experiences (ACEs) have a significant association with negative offspring development at 24 months of age in a suburban pediatric primary care population. METHODS: A retrospective cohort study was conducted of 311 mother-child and 122 father-child dyads who attended a large pediatric primary care practice. Children were born from October 2012 to June 2014, and data were collected at the 2-, 4-, and 24-month well-child visits. Multivariable Poisson regression with robust error variance was used to model the relationship between self-reported parental ACEs and the outcomes of suspected developmental delay at 24 months and eligibility for early intervention services. RESULTS: For each additional maternal ACE, there was an 18% increase in the risk for a suspected developmental delay (relative risk: 1.18, 95% confidence interval: 1.08–1.29). A similar trend was observed for paternal ACEs (relative risk: 1.34, 95% confidence interval: 1.07–1.67). Three or more maternal ACEs (versus CONCLUSIONS: Parental ACE exposures can negatively impact child development in multiple domains, including problem solving, communication, personal-social, and motor skills. Research is needed to elucidate the psychosocial and biological mechanisms of intergenerational risk. This research has implications for the value of parental ACE screening in the context of pediatric primary care. |
| Databáze: | OpenAIRE |
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