The Protective Effect of Family Strengths in Childhood against Adolescent Pregnancy and Its Long-Term Psychosocial Consequences

Hillis, Susan D.; Anda, Robert F.; Dube, Shanta R.; Felitti, Vincent J.; Marchbanks, Polly A.; Macaluso, Maurizio; Marks, James S.

doi:10.7812/tpp/10-028

Cited by 72 publications

(55 citation statements)

References 40 publications

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“…À la question de savoir quels sont les facteurs qui sont les plus prégnants dans la poursuite ou non d'une grossesse, il a été très intéressant de constater que les caractéristiques individuelles (psychologiques et biologiques) auraient moins d'impact que les caractéristiques environnementales. Selon Susan Hillis et al [6,7], un cadre familial soutenant et structurant durant l'enfance protège de l'activité sexuelle précoce, d'une grossesse et de ses conséquences psychosociales négatives à long terme. Ces auteurs ont également mis en avant que les expériences néga-tives vécues dans l'enfance augmentent le risque d'avoir des comportements sexuels à risque et de connaître une grossesse à l'adolescence.…”

Section: Discussionunclassified

“…De nombreuses études ont mis en évidence que des vécus d'adversité sur le plan socio-économique, émotionnel et psychoaffectif se retrouvent dans les histoires des jeunes filles qui « tombent enceintes » : parcours de vie difficiles, carences affectives précoces, problèmes socio-économiques, décrochages scolaires, et isolement social [5][6][7][8][9][10]. Certaines études soulignent les répercussions psychosociales et économiques pour la mère mais également pour l'enfant à venir telles qu'un risque plus élevé de mort foetale, un plus faible poids de naissance, un taux plus élevé de prématuré, des problèmes de développement cognitif et un risque accru d'abus, de négligence ou d'abandon [6,7].…”

Section: Introductionunclassified

“…Certaines études soulignent les répercussions psychosociales et économiques pour la mère mais également pour l'enfant à venir telles qu'un risque plus élevé de mort foetale, un plus faible poids de naissance, un taux plus élevé de prématuré, des problèmes de développement cognitif et un risque accru d'abus, de négligence ou d'abandon [6,7].…”

Section: Introductionunclassified

“…La survenue d'une grossesse dans des conditions socio-économiques défavorables peut alors être vue comme une stratégie d'adaptation pour échapper à un avenir socialement peu valorisant au niveau scolaire et professionnel, la grossesse permettrait ainsi d'accéder à un statut social et donnerait le leurre à la jeune fille de surmonter des carences et traumatismes affectifs antérieurs. Selon Susan Hillis et al [6], les ressources familiales durant l'enfance protègent fortement des grossesses à l'adolescence, d'une activité sexuelle précoce et des conséquences psychosociales négatives à long terme. Par ressources familiales, on entend proximité familiale, assistance, loyauté, protection, amour et réactivité aux besoins de santé.…”

Section: Introductionunclassified

“…Par ailleurs, un enfant d'une mère adolescente aurait plus de risques d'avoir des problèmes comportementaux et d'avoir plus d'activités criminelles. Il est bien sûr évident que ces risques ne sont pas liés à la grossesse mais sont surtout associés à plusieurs facteurs qui ont amené la grossesse tels que le manque de supervision et de soutien parental, des abus, de la négligence dans l'enfance et des soins inadéquats [6,7]. Selon Faucher, le statut socio-économique, plus qu'à l'âge de la mère, contribue aux conséquences négatives.…”

Section: Introductionunclassified

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Interrompre ou poursuivre la grossesse à l’adolescence : facteurs de risque psychosociaux

Greco

Reggers

Glowacz

2015

Neuropsychiatrie de l'Enfance et de l'Adolescence

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Section: Discussionunclassified

Section: Introductionunclassified

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Interrompre ou poursuivre la grossesse à l’adolescence : facteurs de risque psychosociaux

Greco

Reggers

Glowacz

2015

Neuropsychiatrie de l'Enfance et de l'Adolescence

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Effect of a Virtual Home-Based Behavioral Intervention on Family Health and Resilience During the COVID-19 Pandemic

et al. 2022

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ImportanceVirtual home-based interventions may bolster protective factors, such as family health and resilience, during stressors such as the COVID-19 pandemic; however, their effectiveness is unknown.ObjectiveTo examine the effectiveness of a virtual health coaching intervention on family health and resilience during the pandemic.Design, Setting, and ParticipantsIn this parallel-group, single-site randomized clinical trial, 123 parents and their 2- to 8-year-old children were enrolled at a pediatric clinic or community partner site in Tennessee from March 10 to August 11, 2021. Follow-up surveys were completed between June 29 and November 11, 2021.InterventionsAll participants received 11 weekly cooking videos and associated home-delivered groceries. The intervention group also received 12 weekly, 30-minute virtual health coach sessions.Main Outcomes and MeasuresThe primary outcome was the validated 6-item (range, 6-30) Family Healthy Lifestyle Subscale (FHLS) scores. The secondary outcome was the validated 6-item (range, 0-6) Family Resilience and Connection Index (FRCI) scores. Outcomes were determined a priori and evaluated at baseline and 12-week follow-up. A priori independent t tests and multivariable tobit regression models assessed intervention effects, and post hoc, secondary interaction models assessed whether effects differed over baseline outcomes.ResultsAmong the 123 enrolled families, 110 (89%) were included in the primary analyses (parent mean [SD] age, 35.1 [8.2] years; 104 [95%] female; 55 [50%] non-Hispanic Black; child mean [SD] age, 5.2 [1.7] years; 62 [56%] male). Intervention-control group mean differences were nonsignificant for follow-up FHLS scores (0.7; 95% CI, −0.6 to 2.0; P = .17) and FRCI scores (0.1; 95% CI, −0.5 to 0.6; P = .74). Tobit regression model intervention effects were nonsignificant for FHLS scores (0.9; 95% CI, −0.3 to 2.2; P = .15) and FRCI scores (0.4; 95% CI, −0.2 to 1.1; P = .17). Post hoc, secondary models found no significant interaction for FHLS scores (1.3 increase per 5-point decrease; 95% CI, −0.2 to 2.7; P = .09), with significant intervention associations for baseline scores of 6 to 23. The interaction was significant for FRCI scores (0.4 increase per 1-point decrease; 95% CI, 0.01 to 0.8; P = .047), with significant intervention associations for baseline scores of 0 to 3.Conclusions and RelevanceIn this randomized clinical trial of families with young children, weekly virtual health coaching did not detectably improve family health and resilience. Post hoc, secondary results provided preliminary evidence of potential effectiveness among families with low baseline scores.Trial RegistrationClinicalTrials.gov Identifier: NCT05328193

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Positive Childhood Experiences and Adult Mental and Relational Health in a Statewide Sample

Jones²,

et al. 2019

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IMPORTANCE Associations between adverse childhood experiences (ACEs) and risks for adult depression, poor mental health, and insufficient social and emotional support have been documented. Less is known about how positive childhood experiences (PCEs) co-occur with and may modulate the effect of ACEs on adult mental and relational health. OBJECTIVE To evaluate associations between adult-reported PCEs and (1) adult depression and/or poor mental health (D/PMH) and (2) adult-reported social and emotional support (ARSES) across ACEs exposure levels. DESIGN, SETTING, AND PARTICIPANTS Data were from the cross-sectional 2015 Wisconsin Behavioral Risk Factor Survey, a random digit-dial telephone survey of noninstitutionalized Wisconsin adults 18 years and older (n = 6188). Data were weighted to be representative of the entire population of Wisconsin adults in 2015. Data were analyzed between September 2016 and January 2019. MAIN OUTCOMES AND MEASURES The definition of D/PMH includes adults with a depression diagnosis (ever) and/or 14 or more poor mental health days in the past month. The definition of PCEs includes 7 positive interpersonal experiences with family, friends, and in school/the community. Standard Behavioral Risk Factor Survey ACEs and ARSES variables were used. RESULTS In the 2015 Wisconsin Behavioral Risk Factor Survey sample of adults (50.7% women; 84.9% white), the adjusted odds of D/PMH were 72% lower (OR, 0.28; 95% CI, 0.21-0.39) for adults reporting 6 to 7 vs 0 to 2 PCEs (12.6% vs 48.2%). Odds were 50% lower (OR, 0.50; 95% CI, 0.36-0.69) for those reporting 3 to 5 vs 0 to 2 PCEs (25.1% vs 48.2%). Associations were similar in magnitude for adults reporting 1, 2 to 3, or 4 to 8 ACEs. The adjusted odds that adults reported "always" on the ARSES variable were 3.53 times (95% CI, 2.60-4.80) greater for adults with 6 to 7 vs 0 to 2 PCEs. Associations for 3 to 5 PCEs were not significant. The PCE associations with D/PMH remained stable across each ACEs exposure level when controlling for ARSES. CONCLUSIONS AND RELEVANCE Positive childhood experiences show dose-response associations with D/PMH and ARSES after accounting for exposure to ACEs. The proactive promotion of PCEs for children may reduce risk for adult D/PMH and promote adult relational health. Joint assessment of PCEs and ACEs may better target needs and interventions and enable a focus on building strengths to promote well-being. Findings support prioritizing possibilities to foster safe, stable nurturing relationships for children that consider the health outcomes of positive experiences.

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The Protective Effect of Family Strengths in Childhood against Adolescent Pregnancy and Its Long-Term Psychosocial Consequences

Cited by 72 publications

References 40 publications

Interrompre ou poursuivre la grossesse à l’adolescence : facteurs de risque psychosociaux

Interrompre ou poursuivre la grossesse à l’adolescence : facteurs de risque psychosociaux

Effect of a Virtual Home-Based Behavioral Intervention on Family Health and Resilience During the COVID-19 Pandemic

Positive Childhood Experiences and Adult Mental and Relational Health in a Statewide Sample

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