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Parental Adverse Childhood Experiences and Offspring Development at 2 Years of Age
- Source :
- Pediatrics. 141(4)
- Publication Year :
- 2018
-
Abstract
- OBJECTIVES: The study objective was to determine if maternal and paternal exposure to adverse childhood experiences (ACEs) have a significant association with negative offspring development at 24 months of age in a suburban pediatric primary care population. METHODS: A retrospective cohort study was conducted of 311 mother-child and 122 father-child dyads who attended a large pediatric primary care practice. Children were born from October 2012 to June 2014, and data were collected at the 2-, 4-, and 24-month well-child visits. Multivariable Poisson regression with robust error variance was used to model the relationship between self-reported parental ACEs and the outcomes of suspected developmental delay at 24 months and eligibility for early intervention services. RESULTS: For each additional maternal ACE, there was an 18% increase in the risk for a suspected developmental delay (relative risk: 1.18, 95% confidence interval: 1.08–1.29). A similar trend was observed for paternal ACEs (relative risk: 1.34, 95% confidence interval: 1.07–1.67). Three or more maternal ACEs (versus CONCLUSIONS: Parental ACE exposures can negatively impact child development in multiple domains, including problem solving, communication, personal-social, and motor skills. Research is needed to elucidate the psychosocial and biological mechanisms of intergenerational risk. This research has implications for the value of parental ACE screening in the context of pediatric primary care.
- Subjects :
- Adult
Male
Patient Transfer
Population
Poison control
Cohort Studies
03 medical and health sciences
0302 clinical medicine
Child Development
Adverse Childhood Experiences
030225 pediatrics
Surveys and Questionnaires
Adaptation, Psychological
Medicine
Humans
0501 psychology and cognitive sciences
Prospective Studies
Parent-Child Relations
education
education.field_of_study
business.industry
05 social sciences
Retrospective cohort study
Child development
Confidence interval
Patient Discharge
Adult Survivors of Child Adverse Events
Relative risk
Child, Preschool
Pediatrics, Perinatology and Child Health
Female
business
Psychosocial
050104 developmental & child psychology
Cohort study
Demography
Subjects
Details
- ISSN :
- 10984275
- Volume :
- 141
- Issue :
- 4
- Database :
- OpenAIRE
- Journal :
- Pediatrics
- Accession number :
- edsair.doi.dedup.....2b015bb76eedb65bb7fbacd558598d2c