The role of adverse childhood experiences in predicting child abuse perpetration among married mothers in Alexandria, Egypt: a cross-sectional study

Abstract Background Adverse childhood experiences (ACEs) are receiving increased amounts of attention as a critical public health issue. ACEs have a massive impact on future violence victimization and perpetration. They are also associated with lifelong mental and physical health consequences as wel...

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Main Authors: Yasmine Yousry Mohammed, Mervat Wagdy Abu-Nazel, Reham Said Ibrahim Aly, Zeinab Nazeeh Shata
Format: Article
Language:English
Published: BMC 2024-01-01
Series:BMC Women's Health
Subjects:
Online Access:https://doi.org/10.1186/s12905-024-02903-9
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author Yasmine Yousry Mohammed
Mervat Wagdy Abu-Nazel
Reham Said Ibrahim Aly
Zeinab Nazeeh Shata
author_facet Yasmine Yousry Mohammed
Mervat Wagdy Abu-Nazel
Reham Said Ibrahim Aly
Zeinab Nazeeh Shata
author_sort Yasmine Yousry Mohammed
collection DOAJ
description Abstract Background Adverse childhood experiences (ACEs) are receiving increased amounts of attention as a critical public health issue. ACEs have a massive impact on future violence victimization and perpetration. They are also associated with lifelong mental and physical health consequences as well as premature mortality. The present study aimed to investigate the role of different ACEs among married mothers in predicting the risk of child abuse perpetration in offspring. Methods A cross-sectional study was conducted on 350 mothers of children aged 2–12 years attending family health centres in Alexandria. The mothers completed a predesigned interview questionnaire on sociodemographic data and data related to ACEs, spousal violence, and child abuse perpetration. Suitable bivariate and multivariate statistical tests were used to analyse the collected data using version 20.0 of the Statistical Package for Social Sciences (SPSS). Results Two-thirds of mothers (66.3%) reported ever having been exposed to any ACE, and 18.6% of them had experienced 3 or more ACEs. Psychological abuse (46%) and witnessing domestic violence (17%) were the most common. Psychological aggression (95.4%), minor physical assault (79%), and neglect (52%) were the most common forms of child abuse perpetrated by the mothers. The number of ACEs experienced by mothers showed a moderate positive significant correlation with the 5 forms of child abuse examined. Different ACEs, mother’s age, socioeconomic status, and current exposure to spousal violence were found to be independent predictors of different forms of child abuse (psychological aggression, neglect, minor physical assault, and severe physical assault). Conclusion Different practices of family violence are strongly connected throughout different stages of an individual’s life and across generations. Further understanding of the interconnections among forms of violence and addressing them should be prioritized. Additionally, concerted national strategies across all levels and sectors are needed to address this complex problem.
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spelling doaj.art-7b49b9b8d1d14ec28a501f30428d62212024-03-05T16:41:22ZengBMCBMC Women's Health1472-68742024-01-0124111010.1186/s12905-024-02903-9The role of adverse childhood experiences in predicting child abuse perpetration among married mothers in Alexandria, Egypt: a cross-sectional studyYasmine Yousry Mohammed0Mervat Wagdy Abu-Nazel1Reham Said Ibrahim Aly2Zeinab Nazeeh Shata3Family Health Department, High Institute of Public Health, Alexandria UniversityFamily Health Department, High Institute of Public Health, Alexandria UniversityMinistry of Health and PopulationFamily Health Department, High Institute of Public Health, Alexandria UniversityAbstract Background Adverse childhood experiences (ACEs) are receiving increased amounts of attention as a critical public health issue. ACEs have a massive impact on future violence victimization and perpetration. They are also associated with lifelong mental and physical health consequences as well as premature mortality. The present study aimed to investigate the role of different ACEs among married mothers in predicting the risk of child abuse perpetration in offspring. Methods A cross-sectional study was conducted on 350 mothers of children aged 2–12 years attending family health centres in Alexandria. The mothers completed a predesigned interview questionnaire on sociodemographic data and data related to ACEs, spousal violence, and child abuse perpetration. Suitable bivariate and multivariate statistical tests were used to analyse the collected data using version 20.0 of the Statistical Package for Social Sciences (SPSS). Results Two-thirds of mothers (66.3%) reported ever having been exposed to any ACE, and 18.6% of them had experienced 3 or more ACEs. Psychological abuse (46%) and witnessing domestic violence (17%) were the most common. Psychological aggression (95.4%), minor physical assault (79%), and neglect (52%) were the most common forms of child abuse perpetrated by the mothers. The number of ACEs experienced by mothers showed a moderate positive significant correlation with the 5 forms of child abuse examined. Different ACEs, mother’s age, socioeconomic status, and current exposure to spousal violence were found to be independent predictors of different forms of child abuse (psychological aggression, neglect, minor physical assault, and severe physical assault). Conclusion Different practices of family violence are strongly connected throughout different stages of an individual’s life and across generations. Further understanding of the interconnections among forms of violence and addressing them should be prioritized. Additionally, concerted national strategies across all levels and sectors are needed to address this complex problem.https://doi.org/10.1186/s12905-024-02903-9Adverse childhood experiences (ACEs)Child abuseChild maltreatmentDomestic violenceSpousal violenceMarried mothers
spellingShingle Yasmine Yousry Mohammed
Mervat Wagdy Abu-Nazel
Reham Said Ibrahim Aly
Zeinab Nazeeh Shata
The role of adverse childhood experiences in predicting child abuse perpetration among married mothers in Alexandria, Egypt: a cross-sectional study
BMC Women's Health
Adverse childhood experiences (ACEs)
Child abuse
Child maltreatment
Domestic violence
Spousal violence
Married mothers
title The role of adverse childhood experiences in predicting child abuse perpetration among married mothers in Alexandria, Egypt: a cross-sectional study
title_full The role of adverse childhood experiences in predicting child abuse perpetration among married mothers in Alexandria, Egypt: a cross-sectional study
title_fullStr The role of adverse childhood experiences in predicting child abuse perpetration among married mothers in Alexandria, Egypt: a cross-sectional study
title_full_unstemmed The role of adverse childhood experiences in predicting child abuse perpetration among married mothers in Alexandria, Egypt: a cross-sectional study
title_short The role of adverse childhood experiences in predicting child abuse perpetration among married mothers in Alexandria, Egypt: a cross-sectional study
title_sort role of adverse childhood experiences in predicting child abuse perpetration among married mothers in alexandria egypt a cross sectional study
topic Adverse childhood experiences (ACEs)
Child abuse
Child maltreatment
Domestic violence
Spousal violence
Married mothers
url https://doi.org/10.1186/s12905-024-02903-9
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