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

Copyright © 2023. Published by Elsevier Ltd..

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.

Medienart:

E-Artikel

Erscheinungsjahr:

2024

Erschienen:

2024

Enthalten in:

Zur Gesamtaufnahme - volume:150

Enthalten in:

Child abuse & neglect - 150(2024) vom: 09. März, Seite 106493

Sprache:

Englisch

Beteiligte Personen:

Seya, Marie-Kaye Soletchi [VerfasserIn]
Matthews, Sarah [VerfasserIn]
Zhu, Liping [VerfasserIn]
Brown, Colvette [VerfasserIn]
Lefevre, Adrienne [VerfasserIn]
Agathis, Nickolas [VerfasserIn]
Chiang, Laura F [VerfasserIn]
Annor, Francis B [VerfasserIn]
McOwen, Jordan [VerfasserIn]
Augusto, Angelo [VerfasserIn]
Manuel, Pedro [VerfasserIn]
Kamagate, Maman Fathim [VerfasserIn]
Nobah, Marie-Therese [VerfasserIn]
Coomer, Rachel [VerfasserIn]
Kambona, Caroline [VerfasserIn]
Low, Andrea [VerfasserIn]

Links:

Volltext

Themen:

ACEs
Journal Article
Mental health
PCEs
Sub-Saharan Africa
Substance use
Violence against children

Anmerkungen:

Date Completed 26.03.2024

Date Revised 27.03.2024

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1016/j.chiabu.2023.106493

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM363328432