Teen Mothers' Adverse Childhood Experiences, Substance Abuse and Child Development

青少年母亲的不良童年经历、药物滥用和儿童发展

• 批准号: 9789683
• 负责人: Jungeun Olivia Lee
• 金额: $ 8.25万
• 依托单位: UNIVERSITY OF SOUTHERN CALIFORNIA
• 依托单位国家: 美国
• 财政年份: 2018
• 资助国家: 美国
• 起止时间: 2018-09-20 至 2021-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/9789683
• 关键词: 17 year old; 3 year old; 5 year old; 8 year old; Academy; Address; Adolescence; Adopted; Adverse effects; Affect; Age; Alcohol or Other Drugs use; American; Attenuated; Back; Birth; Child; Child Development; Childbirth; Childhood; Cohort Effect; Collection; Country; Data; Data Collection; Data Set; Development; Disadvantaged; Elements; Exposure to; Funding; Health; Health system; Healthcare; Heart; Income; Interruption; Intervention; Investigation; Language Development; Life; Life Cycle Stages; Link; Literature; Longitudinal Studies; Low income; Measures; Modeling; Mothers; Outcome; Pattern; Pediatrics; Perception; Postpartum Period; Pregnancy; Pregnancy Rate; Pregnancy in Adolescence; Pregnant Women; Prenatal care; Prevention; Preventive; Process; Public Health; Recommendation; Recording of previous events; Recurrence; Risk; Risk Factors; Role; Schedule; Shapes; Source; Substance abuse problem; Teenagers; Testing; Time; United States; United States National Institutes of Health; Validation; Variant; Woman; adverse childhood events; behavioral health; cohort; cost; early childhood; executive function; experience; externalizing behavior; infancy; intergenerational; knowledge base; motherhood; novel; pediatric trauma; postnatal; prenatal; prenatal influence; prospective; routine screening; screening; social; teenage mother; young woman

PROJECT SUMMARY Despite substantially declining during the past 2 decades, teenage pregnancy rates remain the highest in the United States compared to other Western countries. Being born to a teenage mother has been noted in the literature and public perceptions for many decades as a permanent source of developmental disadvantages for children. Although a strong body of literature has compared children of teen mothers to children of older mothers, less known are factors contributing to variations in developmental outcomes among children of teen mothers. As such, the relevant knowledge base is limited in informing prevention programming for healthy development among children of teen mothers. Capitalizing on unique longitudinal studies of teen mothers and their children, the proposed study aims to remedy these gaps with an explicit focus on and in-depth investigation of maternal history of substance use and exposure to adverse childhood experiences (ACEs) as two key factors promoting within-group variability in children of teen mothers. Specifically, first, we will investigate whether the timing and longitudinal trajectories of teen mothers’ substance use beyond the prenatal period affect child developmental outcomes. Second, we will examine whether maternal ACEs, which are intergenerational risk factors preceding the child’s birth, influence child development and intersect with a more proximal maternal risk factor, maternal substance use. The proposed study will leverage access to existing two-cohort Young Women and Child Development Study (YCDS) panels. Cohort 1 (C1, n = 240) spans 17 years of both the mothers’ and child’s life course. At the last wave of cohort 1data collection, children were 17 years old and mothers were 33.8 years old on average. Cohort 2 (C2, n = 255) encompasses 14 years of both mothers’ and child’s life course. At the last wave of cohort 2 data collection, children were 13.5 years old and mothers were 30.3 years old on average. This rich dataset has all the key elements to achieve the aims of the proposed study, including (a) prospective and repeated assessment of child development from infancy through adolescence in both cohorts using validated assessment packages spanning child executive functioning, language development, externalizing behaviors, and other developmental measures; (b) annual or semiannual assessments of maternal substance use from pregnancy to 17 years postpartum in C1 and 13.5 years postpartum in C2; and (c) assessment of maternal ACEs. The comprehensiveness of the datasets, with 14 to 17 waves of annual assessment, offers a novel opportunity to use longitudinal modeling strategies to identify the developmental timing and dynamic changes in maternal substance use among pregnant women, link them to child developmental outcomes, and then link those back to maternal ACEs exposure. The proposed study will maximize the use of data from both cohorts by adopting a cross-validation strategy and an integrated strategy of combining data with tests of cohort effect.

项目摘要 尽管在过去的20年中大幅下降，但青少年怀孕率仍然是最高的 与其他西方国家相比，美国。在十几岁的母亲中出生 文学和公众的看法已有数十年来，作为永久性发展灾难的根源 孩子。尽管有强大的文学作品将青少年母亲的孩子与年龄较大的孩子进行了比较 母亲，鲜为人知的是导致青少年儿童发展结果差异的因素 母亲。因此，相关的知识库在为预防计划提供信息方面受到限制 青少年母亲的孩子的发展。利用青少年母亲的独特纵向研究 他们的孩子，拟议的研究旨在以明确的重点和深入的重点记住这些差距 研究物质使用和暴露于不良儿童期经历（ACE）的孕产妇历史（AS） 促进青少年母亲儿童的组内变异性的两个关键因素。特别是，首先，我们将 调查青少年母亲物质使用的时间和纵向轨迹是否超出产前 时期影响儿童的发育成果。其次，我们将检查孕妇是否是 在孩子出生之前，影响儿童发育之前的代际风险因素，并与更多 近端母体危险因素，孕产妇使用。拟议的研究将利用对现有的访问 两位年轻妇女和儿童发展研究（YCDS）面板。队列1（C1，n = 240）跨越17 母亲和孩子的生活课程多年。在最后一波1Data系列中，儿童是17 年龄和母亲平均年龄33.8岁。队列2（C2，n = 255）涵盖两者的14年 母亲和孩子的生活课程。在COHORT 2数据收集的最后一波浪潮中，儿童已有13.5岁的年龄 母亲平均年龄30.3岁。这个丰富的数据集具有实现目标的所有关键要素 拟议的研究，包括（a）从婴儿期到儿童发育的前瞻性和重复评估 青少年在两个队列中使用经过验证的评估包，涵盖儿童执行功能， 语言发展，外在行为和其他发展措施； （b）年度或半年度 评估从怀孕到产后17年的母体物质使用的评估和13。5年 C2产后； （c）评估母体ac。数据集的全面性，14至 17年度评估浪潮提供了一个新的机会，可以使用纵向建模策略来识别 孕妇的孕产妇使用的时机和动态变化，将其联系起来 与儿童发育成果相关，然后将其链接到母体ace的暴露。拟议的研究 通过采用交叉验证策略和集成 将数据与队列效应测试结合在一起的策略。