B4687 - Investigating the impacts of adverse and protective childhood contexts on violence and health outcomes later in life Analysis o - 05/09/2024
We propose to draw on high-quality longitudinal data about children's lives, including experiences of violence, in three independent cohort studies in Brazil (birth to late childhood), England (birth to adulthood) and Uganda (late childhood to adulthood). The first phase of this project will define and operationalise contextual measures: we theorise that adverse childhood contexts are homes, schools, and neighbourhoods with violence and deprivation, and protective childhood contexts high social connectedness and support. We will use data collected on contexts to operationalise contextual measures specific to each cohort and refine measures based on input from local stakeholders, young people, and researchers in each context. Findings from this phase will highlight new opportunities to apply advanced statistical methods to improve how contexts are measured and defined in violence research.
The second phase will test whether adverse childhood contexts increase the risk of violence later in life and health in early adulthood, and whether protective childhood contexts can mitigate this risk. We aim to conduct causal analyses of longitudinal data to uncover, for example, whether neighbourhood violence and deprivation in childhood could increase interpersonal physical or sexual violence years later - and whether a protective home environment at the same time, or later in life could prevent or interrupt these associations. We will also examine for example, whether adverse childhood contexts are associated with common mental disorders, and cancer and its risk factors. Findings from this phase provide evidence for developing and situating contextual interventions to prevent violence and ill health as children grow up.
The third and final phase of the project will explore how the effects of contexts differ for young people from historically marginalised groups. By applying statistical methods to test if the adverse and protective effects of contexts differ by gender, disability, ethnicity, sexuality, and socioeconomic position, findings will highlight which young people are disproportionately impacted by adverse contexts or less likely to benefit from protective contexts.