The Latent Class Analysis of Adverse Childhood Experiences among Chinese Children and Early Adolescents in Rural Areas and Their Association with Depression and Suicidal Ideation

Chun Chen (), Yu Sun, Boyuan Liu, Xiao Zhang and Yingquan Song ()
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Chun Chen: School of Humanities and Social Sciences, Chinese University of Hong Kong-Shenzhen, Shenzhen 518172, China
Yu Sun: Department of Education Policy Studies, Pennsylvania State University, State College, PA 16801, USA
Boyuan Liu: Department of Sociology, Tsinghua University, Beijing 100184, China
Xiao Zhang: China Institute for Educational Finance Research, Peking University, Beijing 100871, China
Yingquan Song: China Institute for Educational Finance Research, Peking University, Beijing 100871, China

IJERPH, 2022, vol. 19, issue 23, 1-13

Abstract: Exposure to adverse childhood experiences (ACEs) is a global public health concern that is detrimental to the psychological outcomes of Chinese children in rural areas due to the lack of public awareness of ACEs and mental health resources. The objective of this study was to identify the patterns of ACEs and the impact of ACE patterns on depression and suicidal ideation among 4683 students (mean age = 10.08 years, SD = 0.99; 48.17% female students) from 63 elementary schools in rural areas in Guizhou Province, China. Latent class analysis was conducted to identify the best class pattern. A three-step approach was undertaken to explore the association between the class patterns and demographic covariates and depression and suicidal thoughts. An overall three-class pattern of ACEs was identified, which was: (1) high ACEs, (2) high verbal abuse and emotional neglect and low household dysfunction, and (3) low ACEs. The results also showed that children in the high ACEs class tended to show higher depression rates and more frequent suicidal ideation across the three groups. Being female and younger and having a lower socioeconomic status were risk factors. Our study identified a class pattern that was not found in previous research, which is high verbal abuse and emotional neglect and low household dysfunction.

Keywords: adverse childhood experiences; latent class analysis; depression; suicidal ideation; Chinese rural areas (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2022
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