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Adverse childhood experiences (ACEs), excessive alcohol use and intimate partner violence (IPV) perpetration among Black men: A latent class analysis.
Child Abuse Negl. 2021 11; 121:105273.CA

Abstract

BACKGROUND

Adverse childhood experiences (ACEs) have been linked to subsequent intimate partner violence (IPV) perpetration and alcohol use. Although higher rates of ACEs are found in racial/ethnic minority populations, there is a paucity of research examining ACEs patterns and risk for IPV perpetration and excessive alcohol use among Black men.

OBJECTIVE

To identify homogeneous subgroups based on ACEs among Black men using latent class analysis and assessing risk for later IPV perpetration and excessive alcohol consumption in adulthood.

METHODS

Using a sample of Black men (n = 2306) from Wave 2 of the National Epidemiologic Survey of Alcohol and Related Conditions (NESARC), we conducted latent class analysis (LCA) to examine their ACEs patterns based on 10 domains. ACE classes were used in logistic regression models to predict IPV perpetration and unhealthy alcohol use.

RESULTS

LCA revealed three classes: (1) High Household Dysfunction & Physical Neglect; (2) Physical/Emotional Abuse; and (3) Low ACEs. Men in the High Household Dysfunction & Physical Abuse (OR = 3.95, p < 0.001), and Physical/Emotional Abuse (OR = 2.37, p < 0.001) classes had increased risk for IPV perpetration (ref: Low ACEs class) controlling for sociodemographic factors. No significant association was found between class membership and unhealthy alcohol use.

CONCLUSIONS

Our findings highlight the need for interventions aimed at addressing ACEs among Black boys as they increase risk for negative outcomes in adulthood. Future research should explore heterogeneity in ACEs among youth and risk of IPV and explore possible causal mechanisms in the development of IPV among adults who have experienced ACEs.

Authors+Show Affiliations

Graduate School of Social Work & Social Research, Bryn Mawr College, 300 Airdale Road, Bryn Mawr, PA 19010, United States of America. Electronic address: kalee@brynmawr.edu.School of Social Work, University of Maryland, 525 W. Redwood Street, Baltimore, MD 21201, United States of America. Electronic address: psacco@ssw.umaryland.edu.School of Social Work, Colorado State University, 137 Education, 1586 Campus Delivery, Fort Collins, CO 80523-1586, United States of America. Electronic address: charlotte.bright@colostate.edu.

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

34419899

Citation

Lee, Kerry A., et al. "Adverse Childhood Experiences (ACEs), Excessive Alcohol Use and Intimate Partner Violence (IPV) Perpetration Among Black Men: a Latent Class Analysis." Child Abuse & Neglect, vol. 121, 2021, p. 105273.
Lee KA, Sacco P, Bright CL. Adverse childhood experiences (ACEs), excessive alcohol use and intimate partner violence (IPV) perpetration among Black men: A latent class analysis. Child Abuse Negl. 2021;121:105273.
Lee, K. A., Sacco, P., & Bright, C. L. (2021). Adverse childhood experiences (ACEs), excessive alcohol use and intimate partner violence (IPV) perpetration among Black men: A latent class analysis. Child Abuse & Neglect, 121, 105273. https://doi.org/10.1016/j.chiabu.2021.105273
Lee KA, Sacco P, Bright CL. Adverse Childhood Experiences (ACEs), Excessive Alcohol Use and Intimate Partner Violence (IPV) Perpetration Among Black Men: a Latent Class Analysis. Child Abuse Negl. 2021;121:105273. PubMed PMID: 34419899.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Adverse childhood experiences (ACEs), excessive alcohol use and intimate partner violence (IPV) perpetration among Black men: A latent class analysis. AU - Lee,Kerry A, AU - Sacco,Paul, AU - Bright,Charlotte Lyn, Y1 - 2021/08/19/ PY - 2021/03/17/received PY - 2021/07/20/revised PY - 2021/08/12/accepted PY - 2021/8/23/pubmed PY - 2022/3/19/medline PY - 2021/8/22/entrez KW - Adverse childhood experiences KW - Alcohol use KW - Black men KW - Intimate partner violence KW - Latent class analysis SP - 105273 EP - 105273 JF - Child abuse & neglect JO - Child Abuse Negl VL - 121 N2 - BACKGROUND: Adverse childhood experiences (ACEs) have been linked to subsequent intimate partner violence (IPV) perpetration and alcohol use. Although higher rates of ACEs are found in racial/ethnic minority populations, there is a paucity of research examining ACEs patterns and risk for IPV perpetration and excessive alcohol use among Black men. OBJECTIVE: To identify homogeneous subgroups based on ACEs among Black men using latent class analysis and assessing risk for later IPV perpetration and excessive alcohol consumption in adulthood. METHODS: Using a sample of Black men (n = 2306) from Wave 2 of the National Epidemiologic Survey of Alcohol and Related Conditions (NESARC), we conducted latent class analysis (LCA) to examine their ACEs patterns based on 10 domains. ACE classes were used in logistic regression models to predict IPV perpetration and unhealthy alcohol use. RESULTS: LCA revealed three classes: (1) High Household Dysfunction & Physical Neglect; (2) Physical/Emotional Abuse; and (3) Low ACEs. Men in the High Household Dysfunction & Physical Abuse (OR = 3.95, p < 0.001), and Physical/Emotional Abuse (OR = 2.37, p < 0.001) classes had increased risk for IPV perpetration (ref: Low ACEs class) controlling for sociodemographic factors. No significant association was found between class membership and unhealthy alcohol use. CONCLUSIONS: Our findings highlight the need for interventions aimed at addressing ACEs among Black boys as they increase risk for negative outcomes in adulthood. Future research should explore heterogeneity in ACEs among youth and risk of IPV and explore possible causal mechanisms in the development of IPV among adults who have experienced ACEs. SN - 1873-7757 UR - https://www.unboundmedicine.com/medline/citation/34419899/Adverse_childhood_experiences__ACEs__excessive_alcohol_use_and_intimate_partner_violence__IPV__perpetration_among_Black_men:_A_latent_class_analysis_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0145-2134(21)00346-X DB - PRIME DP - Unbound Medicine ER -