关于巴基斯坦农村儿童成长和发展的母亲的不良童年经历:观察性队列研究
Esther O Chung1,2, Elissa Scherer1, Katherine LeMasters1,2
1Department of Epidemiology, Gillings School of Global Public Health, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, United States of America.
PLOS global public health
|October 25, 2023
概括
母亲的不良童年经历 (ACE) 与儿童认知发展的改善有关,但在巴基斯坦农村地区的社会情感结果恶化. 该研究强调了逆境对儿童发育的复杂代际影响.
科学领域:
- 儿童发展 儿童发展
- 公共卫生 公共卫生
- 心理学 心理学 心理学
背景情况:
- 母亲的不良童年经历 (ACE) 显著影响儿童发育,影响出生结果,认知和社会情感健康.
- 了解逆境的代际传播需要在不同的文化背景下进行研究.
- 并非所有ACE都具有统一的效果,因此需要对特定类型和逆境水平进行细致的调查.
研究的目的:
- 检查母亲ACE和儿童生长,认知发展和36个月产后社会情感发展之间的关联,在巴基斯坦农村.
- 调查不同母体ACE的不同领域与儿童发育结果的关系.
- 为了解代际逆境的复杂路径做出贡献.
主要方法:
- 在巴基斯坦农村地区的Bachpan队列研究中利用了877个母子双的数据.
- 使用适应的ACE-国际问卷来评估母亲的ACE.
- 在产后36个月,使用标准化工具 (世卫组织生长z-scores,贝利尺度,ASQ,SDQ) 测量了儿童的结果 (生长,精细运动,接受性语言,社会情感,行为).
- 多变量通用线性模型与反向概率权重被用于分析关联.
主要成果:
- 58%的母亲报告至少有一次ACE,最常见的是情绪虐待,身体虐待和情绪疏忽.
- 没有发现母亲ACE数量与儿童生长之间存在显著的关联.
- 母亲的ACE与增强的精细运动和感受性语言发展有关.
- 相反,母亲的ACE与儿童的社会情绪和行为结果较差有关.
- 不同的ACE域与儿童的结果有不同的关系.
结论:
- 母亲的ACE与儿童发育有复杂而多样化的关联,不同影响认知和社会情感领域.
- 这些发现强调了需要进行文化特定的研究,以了解逆境的代际影响.
- 对缓和因素的进一步调查对于制定减轻负面代际影响的干预措施至关重要.
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