Family Economic Hardship Research Articles

Parental incarceration and health risks in a population-based study of U.S. early adolescents: Results among racialized groups

Parental incarceration is an adverse childhood experience that inequitably burdens families of color and affects millions of U.S. children and adolescents. Although racialized disparities in exposure to parental incarceration are often acknowledged, researchers have yet to examine whether manifestations of racism may affect the link between parental incarceration and youth outcomes. This study provides a first look at how parental incarceration relates to health vulnerabilities in the Adolescent Brain Cognitive Development (ABCD) study, an ongoing, population-based study of U.S. children born between 2006 and 2008. We start by describing exposure to parental incarceration and then examine how parental incarceration, state-level racial prejudice, and discrimination relate to health risks among 9191 White (66%), Black (19%), or Hispanic (15%) youth. Consistent with what we know about pervasive racialized disparities in the U.S. criminal legal system, we find that 19.3% of Black children in our sample have experienced parental incarceration, followed by 7.8% of Hispanic children, and 4.8% of White children. Results of multilevel mixed models further indicate that parental incarceration was associated with increased health risks among White children whereas family economic hardship and discrimination experiences were more robustly associated with health vulnerabilities among Black and Hispanic children. Additional analyses explored whether parental incarceration was associated with other outcomes among Black and Hispanic children, revealing increased risk for behavior problems contingent upon parental incarceration and discrimination for Black children and Hispanic boys. Among Hispanic girls, parental incarceration was associated with increased risk of behavior problems in states with higher levels of racism. Results suggest that parental incarceration contributes to risk among early adolescents across racialized groups, but that the specific toll it takes depends on outcomes assessed and the context in which it occurs.

Change in screen time and overuse, and their association with psychological well-being among US-wide school-age children during the COVID-19 pandemic: analysis of the National Survey of Children’s Health (NSCH) years 2018–21

BackgroundPrevious studies on screen use and children’s mental health during the Coronavirus Disease 2019 (COVID-19) pandemic focused only on the timeframe during the pandemic, on children between narrow age ranges, only among a subset of children who have previously reported COVID-related severe family economic hardship or worries, or did not distinguish between instructive versus recreational device usage. Thus, in this study, we analyzed trends, specifically related to recreational screen use, and associations with psychological well-being (PWB) in the years before versus during the COVID-19 pandemic, among a wide range of school-aged children, widely across the nation.MethodsUsing the National Survey of Children’s Health (NSCH) years 2018–21, we analyzed a large random sample of school-aged children (6–17 years old) across the US (n = 88,823). We developed PWB issue scores (PWBIS) using self-reported measures relevant to this age group, and constructed regression models to assess the magnitude of the contribution of the pandemic on recreational screen use and PWB.ResultsThe prevalence of recreational screen overuse and PWBIS increased significantly during the pandemic, compared to prior years. We also detected a notable effect of the pandemic on increased PWBIS, as well as its interaction term finding that it strengthened the association between screen time and PWBIS (p < 0.01 across all regression models).ConclusionsAccordingly, our results demonstrate the importance of the pandemic itself as an independent adverse factor and effect measure modifier for screen overuse and PWB more generally among all school-age children widely across the US. Our study used the most current data available, and future studies to evaluate whether these effects are persistent in the years after the pandemic are important.

Sufficient sleep and its contributing factors among high school students during the COVID-19 pandemic: results from adolescent behaviors and experiences survey.

The COVID-19 pandemic has caused profound changes in adolescent lives, including school closures, social isolation, family economic hardship, and sleep schedule. We aimed to assess the risk and protective factors of sufficient sleep among adolescents during COVID-19. We conducted secondary analysis based on the cross-sectional school-based Adolescent Behaviors and Experiences Survey in 2021 (n = 7,705). The ABES collected information on health-related experiences and behaviors during COVID-19. The outcome was sufficient sleep (eight and more hours of sleep on the average school night). The contributing factors included demographic, mental health, and adverse experiences indicators. We estimated the prevalence of sufficient sleep within each factor, and examined their associations using Chi-square test. We further investigated the contributing factors of sufficient sleep using multivariate logistic regression and reported the adjusted odds ratios (AORs) and 95% confidence intervals (CIs). During January-June 2021, 23.5% of the U.S. high school students reported getting sufficient sleep. The multivariate logistic regression indicated that younger age (AOR, 2.04; 95%CI, 1.59-2.62), heterosexual identity (AOR, 1.61; 95%CI, 1.19-2.18), no poor mental health during the past 30 days (AOR, 1.37; 95%CI, 1.03-1.82), no persistent feelings of sadness or hopelessness (AOR, 1.34; 95%CI, 1.09-1.66), no food and nutrition insecurity (AOR, 1.47; 95%CI, 1.17-1.85), never been abused by a parent emotionally (AOR, 1.38; 95%CI, 1.16-1.64), and no schoolwork difficulty (AOR, 1.24; 95%CI, 1.01-1.51) were associated with sufficient sleep. We estimated the national prevalence of adolescent sufficient sleep during the COVID-19 pandemic and found that younger students, sexual heterosexual students, and students without certain mental health conditions or adverse experiences are at higher likelihood of sufficient sleep. These findings can help develop effective interventions on sleep duration in the response to a possible future pandemic caused by Disease X.

Economic Hardship at the End of Life for Families of Children With Complex Chronic Conditions

ContextMany children with complex chronic medical conditions (CCC), though living longer, die prematurely. Little is known about family economic hardship during end of life (EOL), nor associated differences in patterns of care. ObjectivesTo describe the prevalence, experience, and characteristics of families of patients with CCC who report great economic hardship (GEH), and associations with end-of-life care patterns and suffering. MethodsWe conducted a 183-item cross-sectional survey of bereaved parents of patients cared for at Boston Children's Hospital and chart reviews for each patient. Fifteen survey items on economic hardship related to financial and material hardships including food, housing, and utility insecurity. ResultsA total of 114 bereaved parents completed the survey (54% response rate) and economic hardship data was analyzed for 105. Nearly a fifth reported GEH. This group was characterized by fewer two parent households. Children from families with GEH had spent more time hospitalized than those without GEH. ConclusionEconomic burden on families of children with CCC correlates with higher health care utilization demonstrating the need for ameliorative resources and preventative measures.

Children's ethnic-racial identity and mothers' cultural socialization as protective in relations between sociocultural risk factors and children's internalizing behaviors.

The present study examined whether sociocultural risk factors (i.e., mothers' risky behaviors, mothers' and grandmothers' ethnic discrimination, and family economic hardship) predicted children's internalizing behaviors. We also tested whether sociocultural protective factors, including children's positive ethnic-racial identity (ERI) attitudes and mothers' cultural socialization, moderated relations. Participants were 182 5-year-old Mexican-origin children, their mothers, and grandmothers. Findings indicated that children's positive ERI attitudes were protective, such that grandmothers' discrimination predicted children's greater internalizing at low levels of children's positive ERI attitudes, but this relation was not significant at high levels of children's positive ERI attitudes. Mothers' cultural socialization was also protective, such that mothers' risky behaviors predicted children's greater internalizing at low levels of mothers' cultural socialization, but this relation was not significant at high levels of mothers' cultural socialization. Economic hardship predicted children's greater internalizing and no variables moderated this relation. Findings highlight that mothers' engagement in risky behaviors, grandmothers' ethnic discrimination experiences, and family economic hardship contribute to children's greater internalizing behaviors. However, in some of these relations, children's positive ERI attitudes and mothers' cultural socialization are protective. In future research and programming, a consideration of the role of individual, family, and cultural factors will be important for addressing and reducing children's internalizing behaviors. (PsycInfo Database Record (c) 2023 APA, all rights reserved).

Family economic hardship and adolescent mental health during the COVID-19 pandemic.

ObjectiveThis study examined whether pandemic related family economic hardships influenced adolescents' mental health during the COVID-19 pandemic in Korea.MethodsData were collected from 54,948 adolescents who participated in the 2020 Korea Youth Risk Behavior Web-Based Survey. We performed a multiple logistic regression analysis to examine the association between family economic hardship and mental health (anxiety, depressive symptoms, and suicidal ideation).ResultsAmong the adolescents, 39.7, 24.7, and 5.9% reported slight, moderate, and severe economic hardship, respectively. COVID-19 related family economic hardship was significantly associated with higher odds of adolescents reporting anxiety, depressive symptoms, and suicidal ideation. This association was stronger among adolescents with low to middle family economic status.ConclusionsThis study suggests that adolescents from more economically vulnerable families are likely to be at a higher risk for long-term mental health effects due to the financial consequences of the COVID-19 pandemic.

Adolescent Mental Health and Family Economic Hardships: The Roles of Adverse Childhood Experiences and Family Conflict.

Rising and economically disproportionate rates of adverse mental health outcomes among children and youth warrant research investigating the complex pathways stemming from socioeconomic status. While adverse childhood experiences (ACEs) have been considered a possible mechanism linking socioeconomic status (SES) and child and youth psychopathology in previous studies, less is understood about how family environments might condition these pathways. Using data from a longitudinal, multiple-wave study, the present study addresses this gap by examining the direct relationships between family economic status and youth internalizing and externalizing symptoms, if ACEs mediate these relationships, and if conflictual family environments moderate these direct and indirect relationships. The data were obtained from 5510 youth participants [mean age at baseline = 9.52 (SD = 0.50), 47.7% female, 2.1% Asian, 10.3% Black, 17.6% Hispanic, 9.8% Multiracial/Multiethnic, 60.2% White] and their caretakers from the baseline, 1-year, and 2-year follow up waves. Conditional process analysis assessed the direct, indirect, and moderated relationships in separate, equivalent models based on youth- versus caregiver-raters of ACEs and youth psychopathology to capture potential differences based on the rater. The results of both the youth- and caregiver-rated models indicated that lower family economic status directly predicted higher levels of externalizing symptoms, and ACEs indirectly accounted for higher levels of internalizing and externalizing symptoms. Additionally, family conflict moderated some, but not all, of these relationships. The study's findings highlight that lower family economic status and ACEs, directly and indirectly, contribute to early adolescent psychopathology, and conflictual family environments can further intensify these relationships. Implementing empirically supported policies and interventions that target ACEs and family environments may disrupt deleterious pathways between SES and youth psychopathology.

Legal Protection and Family Resilience of Women Victims of Post-Peace Conflict in Aceh: A Study of Gender Approach

This study seeks to examine the legal protection and resiliency of the families of Aceh's female victims of post-peace conflict. From the outbreak of war to the end of hostilities, women have been the most affected group. This study is qualitative research employing an ethnographic methodology and analyzing the data from a gender perspective. The ethnography was conducted in three different locations: Nagan Raya, Pidie, and North Aceh. Utilized data collection methods include interviews, observation, and literature review. According to the findings of the study, the government has given legal protection to female victims of armed conflict in a variety of ways, including the establishment of a legal umbrella, the creation of special institutions, the provision of support, and thorough rehabilitation. Even though this is not evenly divided, it is vital for institutions, particularly those that care for orphans, to engage in gender-sensitive, sustainable management, and collaboration. The struggle has a significant impact on the psychological, physical, economic, social, and cultural demands of women, as well as the future of their children. Despite the fact that the conflict impacts family resilience owing to the death of family members and economic hardship, from a gender perspective, families can survive and even thrive in the face of life's difficulties. The majority of them come to accept the catastrophe, and their psychological pain is exacerbated by their religious beliefs. Although others have not been able to accept and find it difficult to forget the trauma of the conflict that has occurred.

Trajectories of perceived economic hardship: Relations with mother's and child's mental health and the role of self-esteem.

Trajectories of poverty influence the mental health of mothers and children. Previous studies utilize objective measures despite the importance of subjective measures of poverty. Furthermore, chronic economic hardship may erode personal resources such as self-esteem which increases vulnerability to mental health issues. Trajectories of perceived family economic hardship and their relationship with common mental health disorders, as mediated by self-esteem, were investigated in 511 mother–child dyads from Singapore. Three distinct groups of economic hardship trajectories were delineated, namely the low stable, high stable and moderate decreasing group. The high stable group was found to be associated with a greater likelihood of mother’s depression, mother’s anxiety and child’s anxiety when compared to the low stable group. The moderate decreasing group was found to be associated with a greater likelihood of mother’s anxiety when compared to the low stable group. Mother’s self-esteem was found to mediate all the significant relations found. These findings indicate the existence of distinct trajectories of perceived economic hardship within low-income families and their relation with mental health outcomes in mothers and children. The mediation of these relations by mother’s self-esteem suggests the importance of enhancing self-esteem in mothers from low-income backgrounds.

COVID-19 Experiences and Health-Related Implications: Results From a Mixed-Method Longitudinal Study of Urban Poor Adolescents in Shanghai

PurposeThis analysis aimed to investigate gender differences in adolescents’ concerns and the health implications of COVID-19. MethodsWe used two rounds of the Global Early Adolescent Study (GEAS) collected in Shanghai in 2018 and 2020. We analyzed data from 621 adolescents, comparing boys’ and girls’ concerns about COVID-19 and examining trends in general health and mental health by sex between the pre-COVID-19 and COVID-19 periods. Changes in health indicators over time were assessed using generalized estimating equation (GEE) models. ResultsAdolescent girls reported more health concerns (52.0% vs. 42.7%) and educational concerns (61.0% vs. 46.3%) than boys, whereas boys expressed more worries about the economic consequences of COVID-19 (32.9% vs. 25.4%). Changes in health-related outcomes during the pandemic compared to the prepandemic era differed by sex and varied by COVID-related experiences. Boys reported improved overall health (OR: 1.54, 95% CI: 1.00, 2.35) in the COVID-19 period relative to the pre-COVID-19 period. Such improvements were only observed among boys who reported no family economic hardships (OR: 2.10, 95% CI: 1.24, 3.58). We found no significant change for girls (OR: 1.14, 95% CI: 0.83, 1.55), regardless of COVID-19 economic impacts. In contrast, girls reported increased anxiety (OR: 1.63, 95% CI: 1.09, 2.45), especially among those who were concerned about their academic performance (OR: 1.85, 95% CI: 1.16, 2.97). Boys experienced no such increase (OR: 0.92, 95% CI: 0.55, 1.54), regardless of their education concerns. DiscussionAdolescents’ COVID-19 experiences are highly gendered and result in increased health inequalities, with greater mental health implications for girls.

Family economic hardship and children’s behavioral and socio-emotional outcomes in middle childhood: Direct and indirect pathways

ObjectiveThe current study aimed to examine whether and how family economic hardship would directly or indirectly affect primary school-aged children’s behavioral and socio-emotional outcomes, focusing on the mechanisms of family stress processes. MethodsThis study used four waves of data (kindergarten, first, third, and fourth grade) from the Early Childhood Longitudinal Study, Kindergarten Class of 2010-11 (ECLS-K: 2011). The study sample comprised 13,611 American children whose caregivers responded to questions about the household-level poverty status, the indicator of family economic hardship. Structural equation modeling (SEM) was used to test associations among family economic hardship, family stress processes, and child outcomes in the proposed pathway models. ResultsFamily poverty status was significantly and positively associated with economic pressure, which in turn negatively influenced caregiver psychological health and parenting behaviors, sequentially. Harsh, negative parenting significantly and positively predicts poor child behavioral and socio-emotional outcomes, such as greater levels of externalizing and internalizing behaviors and lower levels of self-control and interpersonal skills. In addition, the relationships between family economic hardship and child outcomes were partially or fully mediated through family stress processes, including parental stress and negative parenting practices. ConclusionFamily poverty is indirectly and significantly associated with primary school-aged children’s poor behavioral and socio-emotional outcomes through caregiver functioning. Given that the middle childhood years are a critical developmental stage in developing increased socioemotional skills, family-based interventions supporting family interactions and/or parental mental health support may help reduce the negative impact of disrupted caregiver functioning on child outcomes along with intervention efforts to alleviate economic hardship.

Mental Health, Suicidality, and Connectedness Among High School Students During the COVID-19 Pandemic - Adolescent Behaviors and Experiences Survey, United States, January-June 2021.

Disruptions and consequences related to the COVID-19 pandemic, including school closures, social isolation, family economic hardship, family loss or illness, and reduced access to health care, raise concerns about their effects on the mental health and well-being of youths. This report uses data from the 2021 Adolescent Behaviors and Experiences Survey, an online survey of a probability-based, nationally representative sample of U.S. public- and private-school students in grades 9–12 (N = 7,705), to assess U.S. high school students’ mental health and suicidality during the COVID-19 pandemic. The study also examines whether mental health and suicidality are associated with feeling close to persons at school and being virtually connected to others during the pandemic. Overall, 37.1% of students experienced poor mental health during the pandemic, and 31.1% experienced poor mental health during the preceding 30 days. In addition, during the 12 months before the survey, 44.2% experienced persistent feelings of sadness or hopelessness, 19.9% had seriously considered attempting suicide, and 9.0% had attempted suicide. Compared with those who did not feel close to persons at school, students who felt close to persons at school had a significantly lower prevalence of poor mental health during the pandemic (28.4% versus 45.2%) and during the past 30 days (23.5% versus 37.8%), persistent feelings of sadness or hopelessness (35.4% versus 52.9%), having seriously considered attempting suicide (14.0% versus 25.6%), and having attempted suicide (5.8% versus 11.9%). The same pattern was observed among students who were virtually connected to others during the pandemic (i.e., with family, friends, or other groups by using a computer, telephone, or other device) versus those who were not. Comprehensive strategies that improve feelings of connectedness with others in the family, in the community, and at school might foster improved mental health among youths during and after the COVID-19 pandemic.

Family Economic Hardship and Elementary School-Aged Children’s Behavior Problems: The Mediating Effects of Maternal Parenting Efficacy and Parenting Behavior and the Moderating Role of Maternal Social Support

Family Economic Hardship and Elementary School-Aged Children’s Behavior Problems: The Mediating Effects of Maternal Parenting Efficacy and Parenting Behavior and the Moderating Role of Maternal Social Support

Predictors of maternal distress among mothers in economic hardship: A classification and regression tree analysis (CART).

A recurrent observation in poverty research is the association between many attendant stress factors and the high incidence of maternal distress. In this study, we reason that such risk factors do not preclude mothers from possessing adaptive capacities, through perceived parenting efficacy and family hardiness, as buffers against two common distress sources in low socioeconomic status (SES) households-perceived children's emotional and behavioral problems, and family's economic hardship. Using classification and regression tree analysis, we examined the moderating roles of these maternal factors in emotional distress with 513 Singaporean mothers of elementary school-age children on government financial scheme. The study affirmed that this low-resource population is not homogeneous in their perceived levels of distress and adaptive resources. These factors moderated mothers' distress along different pathways. Parenting efficacy emerged as the most important predictor across different maternal distress levels. Perceived family hardiness behaved in a unique way, evident only with mothers who reported moderate-severe distress levels. Almost half the respondents reported normal-mild distress levels. Economic hardship did not emerge as a significant predictor. The findings reiterate the usefulness of attending to both situation-specific personal efficacy beliefs and trait-like family hardiness in their potential values to buffer mothers living under economic strain. Research and practice implications were identified. (PsycInfo Database Record (c) 2022 APA, all rights reserved).

Family socio-economic status and Chinese Preschoolers’ anxious symptoms during the COVID-19 pandemic: the roles of parental investment, parenting style, home quarantine length, and regional pandemic risk

Using data from 16,161 families with target child of 3–6 years old in Hubei, China during COVID-19 pandemic, this study examined the association between family socio-economic status (SES) and preschoolers’ anxious symptoms (PAS). Parental investment and parenting style were tested as mediators for this association. Home quarantine length was tested as a moderator for this direct association and for the associations between family SES and parenting processes, whereas regional pandemic risk was tested as a moderator for the entire model. Results support the utility of Family Stress and Family Investment Models in a Chinese context by identifying unique roles of parental investment and parenting style in mediating the link between family SES and PAS. Quarantine length moderated the link between family SES and authoritarian parenting: Strength of this negative association was stronger for families with longer quarantine than for those with shorter quarantine. Further, family SES was negatively associated with PAS through its negative association with authoritarian parenting, regardless of the quarantine length. Model comparison analyses between high-risk region versus low/medium-risk region groups indicated that the pandemic risk for living regions did not alter any pathway in the model. Such findings inform the designs of targeted interventions to help families cope with pandemic-related challenges. Promoting parental investment and adaptive patenting style represents an avenue to diminish consequences of family economic hardship for young children's mental health, regardless of macrolevel pandemic risk. Interventions should attend to home quarantine duration, as it contextualizes the links among family SES, parenting, and child well-being.

The Relationship between Adverse Family Experiences during Childhood and Self-rated Health Outcome in Adulthood

ABSTRACT Although there is increasing evidence of a link between adverse family experiences (AFEs) and long-term health outcomes, few studies have investigated the role of educational attainment in the relationship between AFEs and adult health. The data of this study comes from the China Health and Retirement Longitudinal Study (CHARLS). Here, 15,359 samples were analyzed. Ordered logistic regression with interaction terms was used to explore the moderating effect of education on the relationship between AFEs in childhood and adult self-rated health. The self-rated health scores of people with childhood AFEs were significantly lower than of those without them, particularly in the categories of “parents divorced,” “parent died,” “physical abuse,” “domestic conflict,” “parental bias,” “physical and emotional neglect,” “parental physical illness,” ‘parental mental illness,” “family economic hardship,” “experience of starvation,” “lived in an insecure neighborhood,” and “lived in an unhygienic community.” Increases in education level reduced the adverse effects of parental bias and neglect in childhood, but this did not eliminate the negative effect of community’s environment on adult health. This study highlighted the role of the level of education in eliminating health disparities, which can reduce the adverse effects of AFEs on health in adulthood.

Racial/ethnic differences in clusters of adverse childhood experiences and associations with adolescent mental health

Childhood adversity is a well-established risk factor for mental health problems during adolescence. Using data from the Fragile Families and Child Wellbeing Study and latent class analysis (LCA), we examined patterns of exposure to ten adverse childhood experiences (ACEs), including socioeconomic adversity, among non-Hispanic (NH) White, NH Black, and Hispanic 9 year olds and determined associations between membership in ACE exposure “classes” and depression and anxiety scores at age 15 (N = 2849). Parental separation/divorce, economic hardship, and paternal incarceration were the most common ACEs. ACE prevalence was significantly higher among Blacks and Hispanics. ACEs clustered into four classes for Whites and Hispanics and three classes for Blacks. Over half of Whites were classified in the ‘Low Adversity’ class. Conversely, most Black and Hispanic adolescents were classified in the ‘High Socioeconomic Adversity and Paternal Incarceration’ class, characterized by above average probabilities of experiencing family economic hardship, parental separation/divorce, low maternal education, and paternal incarceration. A small share of adolescents in all three racial/ethnic groups were in the ‘High Global Adversity’ class, characterized by high probability of exposure to most ACEs, including physical and psychological abuse. Finally, ACE class membership was differentially associated with anxiety and depression across the three racial/ethnic groups, with generally larger differences in mental health scores across ACE groups for Whites than for Blacks and Hispanics. Our findings suggest that studies on the associations between ACEs and health outcomes that do not include childhood economic adversity risk underestimating the role of ACEs on mental health among racial/ethnic minorities. Moreover, different patterns of ACE exposure are differentially linked to anxiety and depression, and ACE group membership differences in anxiety and depression vary by racial/ethnic group. Findings suggest the need for racially tailored prevention and intervention strategies.

Perceived Health Concerns During COVID 19 Crisis Amongst Jamaicans

Aim: The COVID-19 pandemic is an unprecedented global crisis affecting several countries, including Jamaica. The risk perception of a crisis is shaped by both real hazards and perceived threats. Therefore, a cross-sectional research survey was conducted in August 2020 to evaluate Jamaicans' perceived health concerns during COVID-19. Methods: A cross-sectional randomized online questionnaire survey was sent to a total of 268 participants. As a result, 92 people (34%) responded to the online questionnaire survey in August 2020, and SPSS analyzed the data. Results and Discussion: Out of 92 respondents, 78% were females, 22% were males, and more than 70% of participants were over 35 yrs. old. 52% of participants perceived the country was not prepared for a crisis such as COVID-19. The biggest concerns during this crisis were family health (39%), economic hardship (28%), societal health (20%), and personal health (13%). In personal health, the majority of Jamaicans were concerned about physical and mental health during this crisis. Conclusion: The responding and understanding of the ongoing COVID-19 pandemic are functions of both natural threats and perceived risks. The interaction of physical health and risk perception is complex and dependent on understanding the crisis, uncertainty, and destructive potential. The results suggest a crisis burden on mental health in addition to physical health; therefore, an effective campaign should be planned to prevent a deepening mental health crisis. This research study suggests a potential burden on societal health in healthcare delivery systems and other public health services. The awareness program should be promoted to motivate and help the Jamaicans to handle the crisis. The policymakers should consider working with government, science, and faith-based institutions to develop a multidisciplinary framework to control the COVID-19 pandemic's negative impact on Jamaican society.

Effect of family-related adverse childhood experiences on self-rated health in childhood and adulthood——childhood friendships as moderator

Although many existing studies have shown that family-related adverse childhood experiences (ACEs) have a negative effect on individual health, few studies have examined the role of childhood friendships in the relationship between ACEs and health outcomes. The present study used ordered logistic regression analyze the data from the China Health and Retirement Longitudinal Study (CHARLS) conducted in 2014, which is a national representative survey, to investigate the impact of family-related ACEs on self-rated health in childhood and adulthood and the moderating effects of childhood friendships. We found that respondents whose ACEs included physical and emotional neglect, parental physical illness, parental mental illness, family economic hardship, experience of starvation, lived in insecure neighborhood, and lived in unclean community, had a lower self-rated health in childhood and adulthood than those without ACEs. Peer relationship moderates the impact of family-related ACEs—namely, family economic hardship and parental physical illness—on health outcomes, and the increase of peer relationship can reduce adverse effects. Our findings suggest that family-related ACEs are not only related to health in the early life, but also to health outcomes in adulthood. Childhood friendships can reduce the adverse effects of ACEs on health outcomes throughout an individual's life course. Therefore, it is necessary to actively cultivate children's peer relationship networks and improve the quality of childhood friendship.

Family economic hardship and child outcomes: Test of family stress model in the Chinese context.

Using data from the 2014 wave of the China Family Panel Studies (CFPS), a nationally representative survey, we examined the direct and indirect effects of family economic hardship on children's outcomes using the family stress model (FSM). Multitrait-multimethod data were from a sample of 777 two-parent families. Data from both parents and one of their school-age children (M = 11.36) were used to test the proposed conceptual model using structural equation modeling conducted in Mplus 8. The results indicate partial support for the FSM in the Chinese context and show variations in the pathways for rural and urban families. The mediating role of economic pressure and parental distress in the association between family economic hardship and child emotional distress was supported. The findings have implications for the development of intervention programs and for future studies on the association between family economic hardship and child emotional distress and child self-concept in the Chinese context. The study findings suggest that clinical and policy endeavors should be directed at alleviating the effects of economic pressure and targeting efforts toward reducing parental emotional distress. These attempts could be valuable in advancing child outcomes in the face of family economic hardship. (PsycInfo Database Record (c) 2020 APA, all rights reserved).