Racial Differences in the Relationship between Neighborhood Disorder, Adverse Childhood Experiences, and Child Behavioral Health.

Publisher: Springer Country of Publication: United States NLM ID: 0364547 Publication Model: Print Cited Medium: Internet ISSN: 1573-2835 (Electronic) Linking ISSN: 00910627 NLM ISO Abbreviation: J Abnorm Child Psychol Subsets: MEDLINE

Publication: New York, NY : Springer
Original Publication: Washington, Winston.

Child Behavior*; Adverse Childhood Experiences/*statistics & numerical data ; Residence Characteristics/*statistics & numerical data; Adolescent ; Adult ; Black People/statistics & numerical data ; Child, Preschool ; Female ; Hispanic or Latino/statistics & numerical data ; Humans ; Male ; Mothers ; Race Factors ; United States ; White People/statistics & numerical data ; Young Adult ; Black or African American

The neighborhood and family context in which children grow profoundly influences their development. Informed by ecological systems theory and social disorganization theory, we hypothesized that adverse childhood experiences (ACEs) mediate the relationship between neighborhood disorder and child externalizing and internalizing behaviors, and that these pathways vary by race/ethnicity. We conducted secondary data analysis using Fragile Families and Child Well-being study data. To test hypothesized pathways, we performed a mediation path analysis on a sample of 3001 mothers of children (ages 3 and 5) living in 20 U.S. cities. A moderated mediation path analysis was used to test racial/ethnic differences in hypothesized pathways. We found that living in disordered neighborhoods increased children's likelihood of exhibiting externalizing and internalizing behaviors through childhood ACEs. Compared to Black and Hispanic children, White children's ACEs were more susceptible to negative neighborhood environment effects, suggesting that White children's behavioral health may be more indirectly affected by neighborhood disorder. The finding that ACEs mediated the pathway from neighborhood disorder to child behavior problems provides opportunity for child psychiatrists and pediatricians to interrupt negative pathways by providing interventions for children and families. Our findings on racial/ethnic differences highlight the need for culturally sensitive programming to address children's behavior problems.

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Keywords: Adverse childhood experiences; Child behavioral health; Neighborhood disorder; Racial/ethnic differences

Date Created: 20191208 Date Completed: 20210706 Latest Revision: 20240712

20240712

10.1007/s10802-019-00597-4

31811546