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Adverse Childhood Experiences and Intimate Partner Violence Among Youth in Cambodia: A Latent Class Analysis.
J Interpers Violence. 2022 Apr 26 [Online ahead of print]JI

Abstract

Adverse childhood experiences (ACEs) are a global public health problem, including in low- and middle-income country settings, and are associated with increased risk of intimate partner violence (IPV) during young adulthood. However, current measurement of ACEs may underestimate sequelae of different combinations, or classes, of ACEs and mask class-specific associations with adult exposure to IPV. We used data among ever-partnered young women and men aged 18-24 years from the Cambodia Violence Against Children Survey (Nw = 369; Nm = 298). Participants retrospectively reported on seven ACEs and lifetime physical and/or sexual IPV victimization and perpetration. Latent classes comprised of ACEs were used as predictors of physical and/or sexual IPV perpetration and victimization, controlling for household wealth. Identified latent classes for women were "Low ACEs" (60%), "Community Violence and Physical Abuse" (23%), and "Physical, Sexual and Emotional Abuse" (17%). Latent classes for men were "Low ACEs" (48%) and "Household and Community Violence" (52%). Among women, those in the Physical, Sexual and Emotional Abuse class were more likely to experience and perpetrate physical and/or sexual IPV in their romantic relationships compared to the reference group (Low ACEs). Women in the Community Violence and Physical Abuse class were more likely to perpetrate physical and/or sexual IPV, but not experience IPV, compared to women in the Low ACEs class. Among men, those in the Household and Community Violence class were more likely to perpetrate physical and/or sexual IPV against a partner, compared to men in the Low ACEs class. Overall, patterns of ACEs were differently associated with IPV outcomes among young women and men in Cambodia. National violence prevention efforts might consider how different combinations of childhood experiences shape risk of young adulthood IPV and tailor interventions accordingly to work with youth disproportionately affected by varied combinations of ACEs.

Authors+Show Affiliations

Research and Evaluation Branch, Division of Violence Prevention, National Center for Injury Prevention and Control, 1242Centers for Disease Control and Prevention, Atlanta, GA, USA.Research and Evaluation Branch, Division of Violence Prevention, National Center for Injury Prevention and Control, 1242Centers for Disease Control and Prevention, Atlanta, GA, USA.Field Epidemiology and Prevention Branch, Division of Violence Prevention, National Center for Injury Prevention and Control, 1242Centers for Disease Control and Prevention, Atlanta, GA, USA.Gender and Development for Cambodia (GAD/C), Phnom Penh, Cambodia.Research and Evaluation Branch, Division of Violence Prevention, National Center for Injury Prevention and Control, 1242Centers for Disease Control and Prevention, Atlanta, GA, USA.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

35471130

Citation

Miedema, Stephanie S., et al. "Adverse Childhood Experiences and Intimate Partner Violence Among Youth in Cambodia: a Latent Class Analysis." Journal of Interpersonal Violence, 2022, p. 8862605221090573.
Miedema SS, Le VD, Chiang L, et al. Adverse Childhood Experiences and Intimate Partner Violence Among Youth in Cambodia: A Latent Class Analysis. J Interpers Violence. 2022.
Miedema, S. S., Le, V. D., Chiang, L., Ngann, T., & Wu Shortt, J. (2022). Adverse Childhood Experiences and Intimate Partner Violence Among Youth in Cambodia: A Latent Class Analysis. Journal of Interpersonal Violence, 8862605221090573. https://doi.org/10.1177/08862605221090573
Miedema SS, et al. Adverse Childhood Experiences and Intimate Partner Violence Among Youth in Cambodia: a Latent Class Analysis. J Interpers Violence. 2022 Apr 26;8862605221090573. PubMed PMID: 35471130.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Adverse Childhood Experiences and Intimate Partner Violence Among Youth in Cambodia: A Latent Class Analysis. AU - Miedema,Stephanie S, AU - Le,Vi Donna, AU - Chiang,Laura, AU - Ngann,Thanak, AU - Wu Shortt,Joann, Y1 - 2022/04/26/ PY - 2022/4/27/pubmed PY - 2022/4/27/medline PY - 2022/4/26/entrez KW - Cambodia KW - adverse childhood experiences KW - distal outcome KW - intimate partner violence KW - latent class analysis KW - violence against children SP - 8862605221090573 EP - 8862605221090573 JF - Journal of interpersonal violence JO - J Interpers Violence N2 - Adverse childhood experiences (ACEs) are a global public health problem, including in low- and middle-income country settings, and are associated with increased risk of intimate partner violence (IPV) during young adulthood. However, current measurement of ACEs may underestimate sequelae of different combinations, or classes, of ACEs and mask class-specific associations with adult exposure to IPV. We used data among ever-partnered young women and men aged 18-24 years from the Cambodia Violence Against Children Survey (Nw = 369; Nm = 298). Participants retrospectively reported on seven ACEs and lifetime physical and/or sexual IPV victimization and perpetration. Latent classes comprised of ACEs were used as predictors of physical and/or sexual IPV perpetration and victimization, controlling for household wealth. Identified latent classes for women were "Low ACEs" (60%), "Community Violence and Physical Abuse" (23%), and "Physical, Sexual and Emotional Abuse" (17%). Latent classes for men were "Low ACEs" (48%) and "Household and Community Violence" (52%). Among women, those in the Physical, Sexual and Emotional Abuse class were more likely to experience and perpetrate physical and/or sexual IPV in their romantic relationships compared to the reference group (Low ACEs). Women in the Community Violence and Physical Abuse class were more likely to perpetrate physical and/or sexual IPV, but not experience IPV, compared to women in the Low ACEs class. Among men, those in the Household and Community Violence class were more likely to perpetrate physical and/or sexual IPV against a partner, compared to men in the Low ACEs class. Overall, patterns of ACEs were differently associated with IPV outcomes among young women and men in Cambodia. National violence prevention efforts might consider how different combinations of childhood experiences shape risk of young adulthood IPV and tailor interventions accordingly to work with youth disproportionately affected by varied combinations of ACEs. SN - 1552-6518 UR - https://www.unboundmedicine.com/medline/citation/35471130/Adverse_Childhood_Experiences_and_Intimate_Partner_Violence_Among_Youth_in_Cambodia:_A_Latent_Class_Analysis_ L2 - https://journals.sagepub.com/doi/10.1177/08862605221090573?url_ver=Z39.88-2003&rfr_id=ori:rid:crossref.org&rfr_dat=cr_pub=pubmed DB - PRIME DP - Unbound Medicine ER -
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