Skip to main content

Main menu

  • Home
  • Current Issue
  • Content
    • Current Issue
    • Early Access
    • Multimedia
    • Podcast
    • Collections
    • Past Issues
    • Articles by Subject
    • Articles by Type
    • Supplements
    • Plain Language Summaries
    • Calls for Papers
  • Info for
    • Authors
    • Reviewers
    • Job Seekers
    • Media
  • About
    • Annals of Family Medicine
    • Editorial Staff & Boards
    • Sponsoring Organizations
    • Copyrights & Permissions
    • Announcements
  • Engage
    • Engage
    • e-Letters (Comments)
    • Subscribe
    • Podcast
    • E-mail Alerts
    • Journal Club
    • RSS
    • Annals Forum (Archive)
  • Contact
    • Contact Us
  • Careers

User menu

  • My alerts

Search

  • Advanced search
Annals of Family Medicine
  • My alerts
Annals of Family Medicine

Advanced Search

  • Home
  • Current Issue
  • Content
    • Current Issue
    • Early Access
    • Multimedia
    • Podcast
    • Collections
    • Past Issues
    • Articles by Subject
    • Articles by Type
    • Supplements
    • Plain Language Summaries
    • Calls for Papers
  • Info for
    • Authors
    • Reviewers
    • Job Seekers
    • Media
  • About
    • Annals of Family Medicine
    • Editorial Staff & Boards
    • Sponsoring Organizations
    • Copyrights & Permissions
    • Announcements
  • Engage
    • Engage
    • e-Letters (Comments)
    • Subscribe
    • Podcast
    • E-mail Alerts
    • Journal Club
    • RSS
    • Annals Forum (Archive)
  • Contact
    • Contact Us
  • Careers
  • Follow annalsfm on Twitter
  • Visit annalsfm on Facebook
Research ArticlePopulation health and epidemiology

Disrupting the intergenerational flow of childhood adversities: The power of supportive adults

Christine M. Forke, Peter Cronholm and Joel Fein
The Annals of Family Medicine November 2024, 22 (Supplement 1) 6484; DOI: https://doi.org/10.1370/afm.22.s1.6484
Christine M. Forke
PhD, APRN, MSN
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Peter Cronholm
MD, MSc, CAQHPM
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Joel Fein
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
  • Article
  • eLetters
  • Info & Metrics
  • PDF
Loading

Abstract

Background: The level of exposure to adverse childhood experiences (ACEs) for parents and their children is correlated. Few studies examine differences in the intergenerational transmission of childhood adversity in relation to fathers or with children through adolescence, and it is unclear if social supports can mitigate risk of transmission.

Objective: We conducted parent-stratified analyses to compare whether intergenerational transmission of adversity between mother/father and their child is modified by the child’s connections with supportive adults.

Methods: A large representative sample of households (N=7,501) participated in the 2018 Southeastern Pennsylvania Household Health Survey. From the 1,296 homes with children <18 years of age, 1,059 provided data on both parent and child adversities. Child adversity was classified as low (<2, median) vs high (>=2); child connections with supportive adults were classified as low (<5, median) or high (>=5). Using weighted logistic regression models stratified by mother/father, we used parent ACE burden to predict child adversity and identified how the presence of supportive adults for the child modified this relationship. Odds ratios (OR) and 95% confidence intervals (CI) are reported. Confounders included: child county, race/ethnicity, age; and parent’s marital status and employment.

Results: Children with fewer adult supports had significantly higher odds of adversity when the parent had four or more ACEs, although the magnitude of the association differed for mothers (OR=4.8; 95%CI: 1.4,16.7, p=0.01) and fathers (OR=8.5; 95%CI: 1.4,16.7, p=0.01). For mothers and fathers, children with high adult supports did not have increased odds of adversity, even when parents had high ACE exposure. Notably, when fathers had only one ACE, children with high social supports had lower odds of adversity (OR=0.10; 95%CI: 0.02, 0.64, p=0.02).

Conclusions: Increasing supportive adult relationships during childhood may protect children by disrupting the intergenerational transmission of childhood adversity from both mothers and fathers. Further, we found a strong protective effect from having increased social supports when fathers had only one ACE.

  • © 2024 Annals of Family Medicine, Inc. For the private, noncommercial use of one individual user of the Web site. All other rights reserved.
Previous
Back to top

In this issue

The Annals of Family Medicine: 22 (Supplement 1)
The Annals of Family Medicine: 22 (Supplement 1)
Vol. 22, Issue Supplement 1
20 Nov 2024
  • Table of Contents
  • Index by author
Download PDF
Article Alerts
Sign In to Email Alerts with your Email Address
Email Article

Thank you for your interest in spreading the word on Annals of Family Medicine.

NOTE: We only request your email address so that the person you are recommending the page to knows that you wanted them to see it, and that it is not junk mail. We do not capture any email address.

Enter multiple addresses on separate lines or separate them with commas.
Disrupting the intergenerational flow of childhood adversities: The power of supportive adults
(Your Name) has sent you a message from Annals of Family Medicine
(Your Name) thought you would like to see the Annals of Family Medicine web site.
CAPTCHA
This question is for testing whether or not you are a human visitor and to prevent automated spam submissions.
1 + 0 =
Solve this simple math problem and enter the result. E.g. for 1+3, enter 4.
Citation Tools
Disrupting the intergenerational flow of childhood adversities: The power of supportive adults
Christine M. Forke, Peter Cronholm, Joel Fein
The Annals of Family Medicine Nov 2024, 22 (Supplement 1) 6484; DOI: 10.1370/afm.22.s1.6484

Citation Manager Formats

  • BibTeX
  • Bookends
  • EasyBib
  • EndNote (tagged)
  • EndNote 8 (xml)
  • Medlars
  • Mendeley
  • Papers
  • RefWorks Tagged
  • Ref Manager
  • RIS
  • Zotero
Get Permissions
Share
Disrupting the intergenerational flow of childhood adversities: The power of supportive adults
Christine M. Forke, Peter Cronholm, Joel Fein
The Annals of Family Medicine Nov 2024, 22 (Supplement 1) 6484; DOI: 10.1370/afm.22.s1.6484
Twitter logo Facebook logo Mendeley logo
  • Tweet Widget
  • Facebook Like
  • Google Plus One

Jump to section

  • Article
  • eLetters
  • Info & Metrics
  • PDF

Related Articles

  • No related articles found.
  • Google Scholar

Cited By...

  • No citing articles found.
  • Google Scholar

More in this TOC Section

  • Comparing impact of a holistic patient centered navigation model to an online navigation service on health care utilization
  • Factors Associated with Annual Vision Screening in Diabetic Adults: Analysis of the 2019 National Health Interview Survey
Show more Population health and epidemiology

Similar Articles

Content

  • Current Issue
  • Past Issues
  • Early Access
  • Plain-Language Summaries
  • Multimedia
  • Podcast
  • Articles by Type
  • Articles by Subject
  • Supplements
  • Calls for Papers

Info for

  • Authors
  • Reviewers
  • Job Seekers
  • Media

Engage

  • E-mail Alerts
  • e-Letters (Comments)
  • RSS
  • Journal Club
  • Submit a Manuscript
  • Subscribe
  • Family Medicine Careers

About

  • About Us
  • Editorial Board & Staff
  • Sponsoring Organizations
  • Copyrights & Permissions
  • Contact Us
  • eLetter/Comments Policy

© 2025 Annals of Family Medicine