The relationship between parental adverse childhood experiences and the health, well-being and development outcomes of their children: a systematic review

被引：15
作者：
Arnold, R. [1 ]
Ahmed, F. [2 ]
Clarke, A. [3 ,4 ]
Quinn, N. [3 ]
Beenstock, J. [3 ]
Holland, P. [2 ]
机构：
[1] Cheshire & Wirral Partnership NHS Fdn Trust, Chester, England
[2] Univ Lancaster, Div Hlth Res, Lancaster, England
[3] Lancashire & South Cumbria NHS Fdn Trust, Preston, England
[4] Save Children UK, London, England
来源：
PUBLIC HEALTH | 2023年 / 219卷
关键词：
Parental adverse childhood experiences; Intergenerational; Child health; Child development; INTERGENERATIONAL TRANSMISSION; DEPRESSIVE SYMPTOMS; MATERNAL EXPOSURE; ABUSE; RISK; MALTREATMENT; ASSOCIATION; CONNECTIVITY; CONTINUITY; PATHWAYS;
D O I：
10.1016/j.puhe.2023.03.025
中图分类号：
R1 [预防医学、卫生学];
学科分类号：
1004 ; 120402 ;
摘要：
Objectives: A growing body of research is emerging regarding the relationship between parental adverse childhood experiences (ACEs) and negative health, well-being and developmental outcomes in their children. This systematic review seeks to understand the relationship between parental ACEs and the health, well-being and developmental outcomes of their children and whether the relationships differ according to the number and type of parental ACEs.Study design: Systematic review.Method: The review includes articles published between 2000 and 2021 from studies using quantitative longitudinal methods and multivariate analysis to investigate the relationship between parental ACEs and their offspring's outcomes. Relevant studies were identified through a systematic search of five databases and findings synthesised using a narrative synthesis. This review was registered on PROSPERO (CRD42021274068).Results: Nineteen studies met the inclusion criteria and were included in the review. This resulted in a combined population sample of 124,043 parents and 128,400 children. Diversity in measurement of parental ACE exposure and in the type of ACEs measured within the studies precluded a meta-analysis. Offspring of parents exposed to ACEs had a higher risk of a range of negative health, well-being and developmental outcomes. This relationship differs according to the number and type of parental ACEs, with a positive relationship observed between the number of parental ACEs and the risk of negative health, well-being and development outcomes in their children.Conclusions: These findings indicate that screening for parental ACEs by health visitors, midwives and other health or social care staff may identify an at-risk population of infants, children and adolescents and improve child outcomes.(c) 2023 The Royal Society for Public Health. Published by Elsevier Ltd. All rights reserved.
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收藏
页码：146 / 153
页数：8
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