ArticleChild: care, health and development2022
Adverse childhood experiences (ACEs) and child behaviour problems in KwaZulu-Natal, South Africa.
Article in Child: care, health and development, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.
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Who cites it
10 citing papers in PubMed.
- Identifying biomarkers of neurodevelopmental and mental health outcomes in a prospective longitudinal cohort of South African children: design and feasibility of the Safe Passage BONO study.Pilot and feasibility studies · 2026Article
- The impact of grit on adolescent resilience in examining longitudinal mental health outcomes in peri-rural South Africa.Research square · 2025Article
- Association of maternal and paternal adverse childhood experiences with emotional and behavioral problems among preschool children.European child & adolescent psychiatry · 2025Article
- Early transition markers, opportunities, and limitations that define pathways into the labour market from adolescence to adulthood in South Africa.Development policy review : the journal of the Overseas Development Institute · 2025Article
- The push and pull factors: Adverse childhood experiences and their association with homelessness.Health SA = SA Gesondheid · 2025Review
- Does perceived caregiver HIV stigma and depression increase adolescent neuro-behavioral difficulties? A mediation analysis in the Asenze Cohort.Research square · 2024Article
- Parenting-related positive childhood experiences, adverse childhood experiences, and mental health-Four sub-Saharan African countries.Child abuse & neglect · 2024Article
- Adverse childhood experiences in children with fetal alcohol spectrum disorders and their effects on behavior.Alcohol, clinical & experimental research · 2023Article
- Article
- The Asenze Cohort Study in KwaZulu-Natal, South Africa: protocol and cohort profile.Epidemiology and health · 2022Article
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Authors and funding
6 authors.
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Abstract
backgroundAdverse childhood events (ACEs) are associated with negative health effects in adulthood. Despite knowledge of these later impacts, little is known about the earlier effect of ACEs on later child behaviour in low- and middle-income countries (LMIC).
methodsThe population-based Asenze cohort study was implemented in a peri-rural area of KwaZulu-Natal, South Africa, comprising five Zulu tribal areas. Two waves of data were examined: family information and ACEs exposure when children were on average 5 years old and child behaviour problems (Strengths and Difficulties Questionnaire [SDQ]) approximately 2 years later (average age 7 years). Logistic regression analysis was used to examine unadjusted and adjusted relationships between cumulative ACEs experienced and the SDQ total scores (dichotomized as top 10% vs. the rest) as well as selected SDQ subscales.
resultsA significant relationship between increased ACE exposure and SDQ total score was observed. The same relationship was also seen for the SDQ emotional symptoms and conduct problem subscales, but not for hyperactivity. The results of a sensitivity analysis excluding intimate partner violence from the ACEs measure demonstrated similar results.
conclusionsThere is an association between exposure to ACEs and later child behaviour problems within this LMIC population demonstrating an early negative impact for ACEs. While previous research has focused on the effects of ACEs on adult health, this study provided evidence for an earlier relationship between ACEs and child behaviour problems that may be a part of the mechanism through which later health effects arise.
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