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Association of childhood adversities with psychosocial difficulties among Chinese children and adolescents

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dc.contributor.author Li, Yuchen
dc.contributor.author Shang, Yanan
dc.contributor.author Yang, Yao
dc.contributor.author Hou, Can
dc.contributor.author Yang, Huazhen
dc.contributor.author Hu, Yao
dc.contributor.author Zhang, Jian
dc.contributor.author Song, Huan
dc.contributor.author Zhang, Wei
dc.date.accessioned 2024-12-07T01:03:24Z
dc.date.available 2024-12-07T01:03:24Z
dc.date.issued 2023-12-25
dc.identifier.citation Li , Y , Shang , Y , Yang , Y , Hou , C , Yang , H , Hu , Y , Zhang , J , Song , H & Zhang , W 2023 , ' Association of childhood adversities with psychosocial difficulties among Chinese children and adolescents ' , International Journal of Epidemiology , vol. 52 , no. 6 , pp. 1887-1897 . https://doi.org/10.1093/ije/dyad117
dc.identifier.issn 0300-5771
dc.identifier.other 215157867
dc.identifier.other ae7a7b22-79ba-40a9-b58b-48824907b2a4
dc.identifier.other 85181177715
dc.identifier.other 37659106
dc.identifier.uri https://hdl.handle.net/20.500.11815/5154
dc.description Publisher Copyright: © The Author(s) 2023. Published by Oxford University Press on behalf of the International Epidemiological Association.
dc.description.abstract BACKGROUND: Adverse childhood experiences (ACEs) have been well recognized as risk factors for various adverse outcomes. However, the impacts of ACEs on psychological wellbeing among Chinese children and adolescents are unknown. METHODS: In total, 27 414 participants (6592 Grade 4-6 and 20 822 Grade 7-12 students) were included and information on ACEs and various psychosocial outcomes was collected. We identified subgroups with distinct psychosocial statuses using cluster analysis and logistic regression was applied to measure the associations of ACEs [individual, cumulative numbers by categories or co-occurring patterns identified by using multiple correspondence analysis (MCA)] with item- and cluster-specific psychosocial difficulties. RESULTS: Three and four cluster-based psychosocial statuses were identified for Grade 4-6 and Grade 7-12 students, respectively, indicating that psychosocial difficulties among younger students were mainly presented as changes in relationships/behaviours, whereas older students were more likely featured by deviations in multiple domains including psychiatric symptoms and suicidality. Strongest associations were found for threat-related ACEs (e.g. bullying experiences) with item- or cluster-based psychosocial difficulties (e.g. for cluster-based difficulties, the highest odds ratios = 1.72-2.08 for verbal bullying in Grade 4-6 students and 6.30-12.81 for cyberbullying in Grade 7-12 students). Analyses on cumulative numbers of ACEs and MCA-based ACE patterns revealed similar risk patterns. Additionally, exposure patterns predominated by poor external environment showed significant associations with psychosocial difficulties among Grade 7-12 students but not Grade 4-6 students. CONCLUSIONS: Chinese adolescents faced different psychosocial difficulties that varied by age, all of which were associated with ACEs, particularly threat-related ACEs. Such findings prompt the development of early interventions for those key ACEs to prevent psychosocial adversities among children and adolescents.
dc.format.extent 11
dc.format.extent 642470
dc.format.extent 1887-1897
dc.language.iso en
dc.relation.ispartofseries International Journal of Epidemiology; 52(6)
dc.rights info:eu-repo/semantics/openAccess
dc.subject adolescents
dc.subject Adverse childhood experiences
dc.subject Chinese
dc.subject cluster analysis
dc.subject psychosocial status
dc.subject Epidemiology
dc.title Association of childhood adversities with psychosocial difficulties among Chinese children and adolescents
dc.type /dk/atira/pure/researchoutput/researchoutputtypes/contributiontojournal/article
dc.description.version Peer reviewed
dc.identifier.doi 10.1093/ije/dyad117
dc.relation.url http://www.scopus.com/inward/record.url?scp=85181177715&partnerID=8YFLogxK


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