21. Adverse Childhood Experience among Adolescents in the Ethnic Minorities of Lang Son Province
Main Article Content
Abstract
The objective of this paper was to investigate the prevalence of adverse childhood experiences (ACEs) and associated factors among adolescents of the ethnic minorities of Lang Son province. This cross-sectional research was carried out in Lang Son province. A total of 845 students in boarding schools participated in the study. Adverse Childhood Experiences Questionnaire (ACE-Q) was used to measure ACEs. Multivariate Logistic Regression was performed to identify associated factors with ACEs. Emotional abuse is the most common ACE, experienced by 21.9% of the participants, followed by emotional neglect at 14.4% and parental divorce at 11%. Overall, 48.7% experienced ACEs in their lifetime. The frequency of parental visits every two months significantly increases the likelihood of adverse experiences (OR = 2.41, 95% CI: 1.43-4.05, p-value = 0.0009), and living in households with fewer than ten people versus ten or more significantly decreases the risk (OR = 0.48, 95% CI: 0.33-0.70, p-value < 0.0001). Additionally, internet use for 4 hours/day (OR = 0.24, 95% CI: 0.15-0.38, p-value < 0.01), 5 hours/day (OR = 0.26, 95% CI: 0.13-0.51, p-value < 0.01), and six or more hours/day (OR = 0.21, 95% CI: 0.11-0.43, p-value < 0.01) are also significantly associated with lower odds of adverse experiences, suggesting protective effects of extended daily internet use against adverse childhood experiences. This study underscores a significant prevalence of ACEs among adolescents in ethnic minority communities in Lang Son province, pointing to an urgent need for comprehensive strategies to address these challenges.
Article Details
Keywords
Adverse childhood experience, adolescent, ethnic minority
References
2. Felitti VJ, Anda RF, Nordenberg D, et al. Relationship of childhood abuse and household dysfunction to many of the leading causes of death in adults. The Adverse Childhood Experiences (ACE) Study. American journal of preventive medicine. 1998; 14(4): 245-258.
3. Bellis MA, Hughes K, Leckenby N, et al. Adverse childhood experiences and associations with health-harming behaviours in young adults: surveys in eight eastern European countries. Bulletin of the World Health Organization. 2014; 92(9): 641-655.
4. Flaherty EG, Thompson R, Dubowitz H, et al. Adverse childhood experiences and child health in early adolescence. JAMA Pediatr. 2013; 167(7): 622-629.
5. Le T, Dang H-M, Weiss B. Prevalence of adverse childhood experiences among Vietnamese high school students. Child abuse & neglect. 2022; 128: 105628.
6. Thai TT, Cao PLT, Kim LX, et al. The effect of adverse childhood experiences on depression, psychological distress and suicidal thought in Vietnamese adolescents: Findings from multiple cross-sectional studies. Asian Journal of Psychiatry. 2020; 53: 102134.
7. Blum RW, Li M, Naranjo-Rivera G. Measuring Adverse Child Experiences Among Young Adolescents Globally: Relationships With Depressive Symptoms and Violence Perpetration. J Adolesc Health. 2019; 65(1): 86-93.
8. Hughes K, Bellis MA, Sethi D, et al. Adverse childhood experiences, childhood relationships and associated substance use and mental health in young Europeans. Eur J Public Health. 2019; 29(4): 741-747.
9. Nguyen MH, Pollack A, Ho TH. Correlations between ACE and emotional and behavioral problems among high school students. The 1st Regional Conference on Psychology; 2017; Hanoi, Vietnam.
10. Quyen L. Exploring the Ethnic Identity of Youth from Ethnic Minority and Majority Groups in Viet Nam. Asian Social Science. 2014; 11: 74-83.
11. Dunne MP, Chen JQ, Wan Yuen C. The evolving evidence base for child protection in Chinese societies. Asia-Pacific journal of public health / Asia-Pacific Academic Consortium for Public Health. 2008; 20(4): 267-276.
12. Lange BCL, Callinan LS, Smith MV. Adverse Childhood Experiences and Their Relation to Parenting Stress and Parenting Practices. Community mental health journal. 2019; 55(4): 651-662.
13. Chaudhary V, Walia GK, Devi NK, et al. Association between adverse childhood experiences and Internet addiction. Journal of Medicine, Surgery, and Public Health. 2024; 2:100060.