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Published on: November 30, 2015
Disparities in Adverse and Positive Childhood Experiences Among Asian American Emerging Adults Ethnic Groups
Wenyi Chen1, Chakra Budhathoki2, Maichou Lor3
1Center for Pediatric Nursing Research & Evidence-Based Practice, Children's Hospital of Philadelphia, 734 Schuylkill Avenue, Philadelphia, PA, 19146, USA. chenw5@chop.edu.
Background:
Research on adverse childhood experiences (ACEs) often reports lower prevalence among Asian Americans compared to other racial and ethnic groups. However, most studies fail to account for the socioeconomic inequality and cultural heterogeneity in Asian American populations, which may influence the prevalence of ACEs and positive childhood experiences (PCEs).
Objective:
This study compared exposures to ACEs and PCEs among Asian American emerging adults (18-25 years) from three ethnic groups: Asian Indian, Chinese, and Hmong and examined factors associated with disparities in ACEs and PCEs.
Participants And Setting:
A total of 814 Asian American emerging adults self-identified as Asian Indian, Chinese, or Hmong Americans were recruited online.
Methods:
Participants completed online surveys measuring ACEs (Philadelphia ACE Survey), PCEs (Benevolent Childhood Experience scale), and childhood socioeconomic position (CSEP).
Results:
Overall, 58.9% of participants reported exposures to four or more ACEs. Hmong participants reported significantly more ACEs and fewer PCEs than Asian Indian participants (ACE score, p < .001; PCE score, p = .005) and Chinese participants (ACE score, p < .001; PCE score, p < .001). CSEP factors accounted for some of the variations in the disparities of ACEs and PCEs among the three ethnic groups.
Conclusions:
ACEs and PCEs were prevalent in this diverse sample of Asian American emerging adults. Significant disparities in ACE and PCE exposures across the three ethnic groups highlight the importance of accounting for Asian ethnicity and CSEP in future studies.
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