Objective To explore the relationship and gender difference between maternal adverse childhood experiences (ACEs) with emotional and behavioral problems (EBPs) in preschool children, and to provide a reference to promote emotional and behavioral problems among preschool children.
Methods Using the method of stratified cluster sampling, 9 647 children from kindergartens in three cities of Anhui Province were selected in June 2021. Maternal adverse childhood experiences were investigated with the WHO Adverse Childhood Experiences International Questionnaire (ACEs–IQ), preschool children’s emotional and behavioral problems were investigated with Strengths and Difficulties Questionnaire.
Results The detection rate of abnormal emotional behavior was 17.4%, emotional symptoms 16.3%, conduct problems 18.3%, hyperactivity 22.7%, peer problems 34.2%, pro social behaviors 18.5%. Multivariate Logistic regression analysis showed that maternal adverse childhood experiences were positively associated with the risk of emotional and behavioral problems ( OR = 1.51−2.97, P<0.01). Maternal cumulative adverse childhood experiences were also positively associated with the risk of emotional and behavioral problems( OR = 3.13−9.61, P<0.01). The association of maternal emotional abuse, physical abuse and community violence with peer problems were stronger in boys than that of girls ( ROR = 1.25, 1.26, 1.41, P<0.05).
Conclusion The findings suggest maternal adverse childhood experiences were associated with emotional behavior problems among preschool children. Focusing on the maternal adverse childhood experiences is crucial for the prevention and control of childhood emotional and behavioral problems.
【摘要】 目的 探讨母亲童年期不良经历 (adverse childhood experiences, ACEs)与学龄前儿童情绪行为问题(emotional and behavioral problems, EBPs)的关联及性别差异, 为促进学龄前儿童身心健康提供参考。 方法 米用分层整群抽样方法, 于2021年6月选取安徽省阜阳、芜湖、六安3个地区城乡幼儿园9 647名学龄前儿童为研究对象, 采用世界卫生组织童年 期不良经历问卷(ACEs–IQ)及长处和困难问卷(SDQ)分别调査母亲ACEs及学龄前儿童EBPs。 结果 学龄前儿童困难问 题、情绪症状、品行问题、多动障碍、同伴交往问题、亲社会行为检出率分别为17.4%, 16.3%, 18.3%, 22.7%, 34.2%, 18.5%。 多因素Logistic回归分析结果显示, 母亲不同类型ACEs均与学龄前儿童EBPs的发生风险升髙有关( OR =1.51~2.97, P 值 均<0.01);随着母亲ACEs种类数增加, 儿童EBPs发生风险也随之上升( OR = 3.13~9.61, P 值均<0.01)。母亲情感虐待、 躯体虐待和社区暴力与学龄前儿童同伴交往问题的关联, 男童髙于女童( ROR 值分别为1.25, 1.26, 1.41, P 值均<0.05)。 结论 母亲ACEs与学龄前儿童EBPs发生风险的升髙相关, 关注母亲ACEs有益于学龄前儿童EBPs防控。