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Latent Classes and Cumulative Impacts of Adverse Childhood Experiences

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dc.contributor.author Barboza, Gia Elise
dc.date.accessioned 2018-05-03T19:06:55Z
dc.date.available 2018-05-03T19:06:55Z
dc.date.issued 2017
dc.identifier.citation Barboza, Gia Elise. (2017). Latent Classes and Cumulative Impacts of Adverse Childhood Experiences. Child Maltreatment, 23(2), 111-125. en_US
dc.identifier.uri http://journals.sagepub.com/doi/pdf/10.1177/1077559517736628
dc.identifier.uri http://hdl.handle.net/11212/3815
dc.description.abstract Studies of adverse childhood experiences (ACEs) have gauged severity using a cumulative risk (CR) index. Few studies have focused on the nature of the context of adversity and their association with psychosocial outcomes. The objective of this study was to examine the patterning of ACEs and to explore the resultant patterns’ association with HIV risk-taking, problem drinking, and depressive symptoms in adulthood. Latent class analysis (LCA) was used to identify homogeneous, mutually exclusive “classes” of 11 of the most commonly used ACEs. The LCA resulted in four high-risk profiles and one low-risk profile, which were labeled: (1) highly abusive and dysfunctional (3.3%; n = 1,983), (2) emotionally abusive alcoholic with parental conflict (6%, n = 3,303), (3) sexual abuse only (4.3%, n = 2,260), (4) emotionally abusive and alcoholic (30.3%, n = 17,460), and (5) normative, low risk (56.3%, n = 32,950). Compared to the low-risk class, each high-risk profile was differentially associated with adult psychosocial outcomes even when the conditional CR within that class was similar. The results further our understanding about the pattern of ACEs and the unique pathways to poor health. Implications for child welfare systems when dealing with individuals who have experienced multiple forms of early childhood maltreatment and/or household dysfunction are discussed. (Author Abstract) en_US
dc.language.iso en en_US
dc.publisher Child Maltreatment en_US
dc.subject child abuse en_US
dc.subject poly-victimization en_US
dc.subject multi-type abuse en_US
dc.subject domestic violence en_US
dc.subject family violence en_US
dc.subject exposure to violence en_US
dc.subject long term effects en_US
dc.subject psychological effects en_US
dc.subject research en_US
dc.title Latent Classes and Cumulative Impacts of Adverse Childhood Experiences en_US
dc.type Article en_US


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