Adverse Childhood Experiences and Health Care Utilization in a Low-Income Population
Adverse Childhood Experiences and Health Care Utilization in a Low-Income Population
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DOI：
10.1353/hpu.2019.0054
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发表时间：
2019-05-01
影响因子：
1.4
通讯作者：
Blot, William J.
中科院分区：
文献类型：
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作者：
Hargreaves, Margaret K.;Mouton, Charles P.;Blot, William J.
目标。在服务不足的低收入人群中确定不良童年经历（ACE）与成人医疗保健利用的关系。方法。研究人员从美国东南部12个州的社区卫生中心（CHCs）招募了38200名成年人（平均年龄54岁），其中三分之二是非裔美国人，完成了ACE问卷调查。计算比值比（ORs）和相应的95%置信区间（ci）。结果。慢性病指数得分高的患者报告急诊室就诊和医生办公室就诊的百分比单调上升（p（趋势））。
Objective. To determine associations of adverse childhood experiences (ACE) with adult health care utilization in an underserved, low-income population. Methods. Questionnaires on ACE were completed by 38,200 adults (mean age 54), two-thirds African American, recruited from community health centers (CHCs) across 12 Southeastern states. Odds ratios (ORs) and accompanying 95% confidence intervals (CIs) were computed. Results. The percentages reporting emergency room visits and doctor's office visits, with high chronic disease index scores, rose monotonically (p(trend)