PREVALENCE AND RELATIONSHIP BETWEEN ADVERSE CHILDHOOD EXPERIENCES AND CHILD BEHAVIOR AMONG YOUNG CHILDREN
PREVALENCE AND RELATIONSHIP BETWEEN ADVERSE CHILDHOOD EXPERIENCES AND CHILD BEHAVIOR AMONG YOUNG CHILDREN
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DOI：
10.1002/imhj.21460
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发表时间：
2014-11-01
影响因子：
2.4
通讯作者：
Freeman, Pamela A. Clarkson
中科院分区：
文献类型：
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作者：
Freeman, Pamela A. Clarkson
暴露于不良的童年经历（ACE），如虐待和忽视儿童会影响儿童的社会情感发展。从不良童年经历（ACE; Felitti等人，1998年）研究，本研究利用全国儿童和青少年健康调查的数据，研究出生至6岁儿童中ACE的患病率，以及ACE与调查或评估结束后59至97个月的情绪和行为结果的关系。逻辑回归也被用来检查ACE对儿童行为结果的累积影响。到6岁时，大约70%的儿童经历了三次或三次以上的ACE，并且ACE之间存在很强的关系。许多ACE与长期行为问题有关，结果支持剂量反应效应。在调查后59至97个月，三个或更多ACE使经历内化问题的风险增加了四倍以上，并且使经历外化问题或总问题的风险增加了几乎四倍。基于这些发现，这对于早期筛查/评估以及加强儿童福利和早期干预计划之间的合作至关重要。
Exposure to adverse childhood experiences (ACEs) such as child abuse and neglect impact a child's socioemotional development. Drawing from the methods employed in the Adverse Childhood Experiences (ACE; Felitti et al., 1998) Study, the present study utilized data from the National Survey of Child and Adolescent Well-Being to examine the prevalence of ACEs among children birth to 6 years, and the relationship of ACEs to emotional and behavioral outcomes 59 to 97 months after the close of investigation or assessment. Logistic regression also was used to examine the cumulative impact of ACEs on child behavior outcomes. By the age of 6, approximately 70% of children experienced three or more ACEs, and there were strong relationships between ACEs. Numerous ACEs were associated with long-term behavioral problems, and results supported a dose-response effect. Three or greater ACEs more than quadrupled the risk of experiencing internalizing problems, and almost quadrupled the risk of experiencing either externalizing or total problems at 59 to 97 months' postinvestigation. Based on these findings, it is crucial for both early screening/assessment and increased collaboration between child welfare and early intervention programs.