Various prevention strategies have proven effectiveness in preventing abusive head trauma (AHT). Most aim to influence parental knowledge and attitudes. At the same time, adverse childhood experiences (ACEs) are known to be important risk factors for child physical abuse. However, the pathways from ACEs to AHT are not fully understood. This study examines the relation between prior ACEs and attitudes towards parenting strategies and whether the relations are the same in men and women in a representative sample of the German population (N = 2531). The results demonstrate that ACEs are associated with a higher acceptance of potentially harmful parenting behaviours, including shaking. While in male subjects, ACEs were related to a higher acceptance of shaking as reasonable parenting (odds ratio (OR) 3.7–5.3, depending on the type of ACE), in women, a relation to accepting withholding food from an infant (OR 2.3–2.5) and scolding an infant (OR 1.9–2.7) was seen. The relation between ACEs and acceptance of potentially harmful parenting strategies was stronger with each additional ACE (OR = 1.16). As the presented results suggest that prior ACEs are a risk factor for potentially harmful parenting attitudes, screening programmes might consider including ACEs and parent counselling should be considered for those having experienced ACEs.

中文翻译：

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童年的逆境和对有害养育子女行为的后来态度，包括在德国人口样本中的晃动

各种预防策略已被证明可有效预防虐待性头部创伤（AHT）。大多数旨在影响父母的知识和态度。同时，不良的童年经历（ACE）是造成儿童身体虐待的重要危险因素。但是，从ACE到AHT的途径尚未完全了解。这项研究调查了以前的ACE与对育儿策略的态度之间的关系，以及在德国人口的代表性样本中，男女之间的关系是否相同（N = 2531）。结果表明，ACE与更高的潜在有害育儿行为（包括摇晃）的接受度有关。而在男性受试者中，ACE与合理的养育方式对晃动的接受程度更高（比值（OR）为3.7-5.3，取决于ACE的类型）有关，在女性中，与接受婴儿的代扣食物有关（OR 2.3）。 –2.5）并责骂婴儿（OR 1.9–2.7）。每增加一个ACE，ACE与接受潜在有害的育儿策略之间的关系就越强（OR = 1.16）。由于提出的结果表明以前的ACE是可能有害的育儿态度的危险因素，因此筛查计划可能会考虑包括ACE，对于有经验的ACE的父母应考虑家长咨询。