Parental absence as an adverse childhood experience among young adults in sub-Saharan Africa

Abstract

BackgroundParental absence in childhood has been associated with multiple negative consequences, such as depression and anxiety in young adulthood. ObjectiveTo assess whether parental absence for six months or more in childhood is associated with poor mental health and substance use in young adulthood and whether parental absence accounts for additional variance beyond those explained by other adverse childhood experiences (ACEs) among youth in sub-Saharan Africa. Participants and settingsWe used combined Violence Against Children and Youth Survey (VACS) data from Cote d'Ivoire (2018), Lesotho (2018), Kenya (2019), Namibia (2019), and Mozambique (2019). Analyses were restricted to 18–24-year-olds (nf = 7699; nm = 2482). MethodsWe used logistic regression to examine sex-stratified relationships between parental absence in childhood (defined as biological mother or father being away for six months or more before age 18) and mental health problems and substance use and whether parental absence explained additional variance beyond those explained by other ACEs. ResultsIn sub-Saharan Africa, parental absence in childhood was common (30.5 % in females and 25.1 % in males), significantly associated with poor mental health and substance use among females and males and accounted for additional variance beyond those explained by conventional ACEs. For example, after controlling for study covariates and other ACEs, females who experienced any parental absence had 1.52 (95 % CI = 1.02–2.26) higher odds of experiencing moderate/serious psychological distress compared with those who did not. ConclusionThe observed association between parental absence and poor mental health suggests that this experience has significant adverse consequences and merits consideration as an ACE.