Prevalence of adverse childhood experiences (ACEs) among US children
Prevalence of adverse childhood experiences (ACEs) among US children
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DOI：
10.1016/j.chiabu.2019.04.010
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发表时间：
2019-06-01
影响因子：
4.8
通讯作者：
McKinney, Selina Hunt
中科院分区：
文献类型：
--
作者：
Crouch, Elizabeth;Probst, Janice C.;McKinney, Selina Hunt
目的：本研究的目的是估计儿童不良童年经历（ACE）在美国的患病率，并检查儿童和家庭特征之间的关系，并报告暴露于ACES.Methods的可能性：数据来自全国代表性的2016年全国儿童健康调查（NSCH）。父母报告的儿童ACE暴露量的测量使用那些报告零ACE，一到三个ACE，和四个或更多ACES.Results：研究样本包括45,287名儿童的计数。儿童经历的最常见的ACE暴露类型是经济困难（22.5%）和父母或监护人离婚或分居（21.9%）。年龄较大的儿童（34.7%），非西班牙裔非洲裔美国儿童（34.7%），有特殊医疗保健需求的儿童（SHCN; 36.3%），生活在贫困中的儿童（37.2%）和生活在农村地区的儿童（30.5%）比他们的同龄人更有可能面临父母离婚或分居。五个交叉因素出现了重要的跨结果：儿童的年龄，家庭结构，贫困，健康保险的类型，和SHCN的status.Conclusions：我们发现在全国范围内的经济困难的高患病率。我们的研究结果表明，农村儿童的患病率较高，进一步表明了地方和ACE的交叉点的重要性。因此，政策制定者必须考虑ACES的地理组成部分。确定与高ACE暴露相关的预测因素可以为国家一级的早期干预提供信息。
Objective: The purpose of this study was to estimate the prevalence of adverse childhood experiences (ACEs) among children in the United States and to examine the relationship between child and family characteristics and the likelihood of reported exposure to ACEs.Methods: Data were drawn from the nationally representative 2016 National Survey of Children's Health (NSCH). Parent-reported child ACE exposure was measured using counts of those reporting zero ACEs, one to three ACEs, and four or more ACEs.Results: The study sample included 45,287 children. The most prevalent types of ACE exposure experienced by children were economic hardship (22.5%) and parent or guardian divorce or separation (21.9%). Older children (34.7%), Non-Hispanic African American children (34.7%), children with special health care needs (SHCN; 36.3%), children living in poverty (37.2%), and children living in rural areas (30.5%) were more likely to be exposed to parental divorce or separation than their counterparts. Five cross-cutting factors emerged as important across outcomes: child's age, family structure, poverty, type of health insurance, and SHCN status.Conclusions: We found high prevalence rates of economic hardship on a national level. Our findings of higher prevalence among rural children further suggest the importance of the intersection of place and ACEs. Therefore, the geographic component of ACES must be considered by policymakers. The identification of predictive factors related to high ACE exposure can inform early interventions at the national level.