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首页> 外文期刊>Journal of women’s health >Exploring the Association of Maternal Adverse Childhood Experiences with Maternal Health and Child Behavior Following Intimate Partner Violence
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Exploring the Association of Maternal Adverse Childhood Experiences with Maternal Health and Child Behavior Following Intimate Partner Violence

机译：在亲密合作伙伴暴力之后，探索孕产妇不良童年经验与孕产妇健康和儿童行为

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Background: Adverse childhood experiences (ACEs) have been empirically linked to a host of negative health outcomes, both physical and psychosocial. Exposures to ACEs make individuals more susceptible to conditions such as cardiovascular disease, diabetes, cancers, and depression. Many of these conditions do not appear until sometime in adolescence or adulthood and have been linked to premature death. Objective: This study explores the association between the number and type of exposure to ACEs in women (mothers) who experienced intimate partner violence and health outcomes. Specifically, it explores the association between maternal ACEs and maternal perceived health and maternal mental and behavioral health. This study also explores the association between ACEs and child behavior. Methods: This analysis is part of a 7-year prospective study. A cohort of 300 mother-child pairs was assessed at baseline and every 4 months after reaching out for shelter or justice services for the very first time after being in an abusive intimate relationship. Results: Data document individual mothers' ACE scores and show a trend at 12 months, 24 months, and is most significant at 36 months. Additionally, at 36 months, higher ACE scores were significantly associated with all child behavioral subscales (anxiety, depression, aggressive behavior, attention problems, internalizing, externalizing). Conclusion: The women in this study reported ACE scores consistently higher than national rates. Our data highlight the added benefit of using ACE criteria as a global prevention strategy to identify those most at risk for delayed mental and behavioral health issues and to intervene with supportive strategies and guided referrals as indicated.
机译：背景：不利的童年体验（ACE）经验与一系列负面健康结果相关，既有身体和心理社会。曝光对ACES使个人更容易受到心血管疾病，糖尿病，癌症和抑郁症等病症的影响。这些条件中的许多情况不会出现在青春期或成年期的某个时间，并且与过早死亡有关。目的：本研究探讨了经历了贴合伴侣暴力和健康成果的女性（母亲）的接触的数量和类型之间的关系。具体而言，它探讨了母体ACE和母亲感知健康和产妇的关联和行为健康。本研究还探讨了ACES与儿童行为之间的关联。方法：该分析是为期7年的前瞻性研究的一部分。在滥用亲密关系之后，在基线和每4个月内评估300个母婴对的群组，每4个月在伸出困境后第一次伸出困境。结果：数据文件单独母亲的ACE评分并在12个月，24个月内显示出趋势，最重要的是36个月。此外，在36个月，较高的ACE分数与所有儿童行为分量显着相关（焦虑，抑郁，侵略性行为，注意问题，内部化，外化）。结论：本研究中的妇女报告了ACE分数一直高于国家税率。我们的数据突出了使用ACE标准作为全球预防策略的额外好处，以确定最危险的精神和行为健康问题的风险，并按照所示进行支持策略和指导推荐。

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