Legislating to Prevent Adverse Childhood Experiences: Growth and Opportunities for Evidence-Based Policymaking and Prevention.

Legislating to Prevent Adverse Childhood Experiences: Growth and Opportunities for Evidence-Based Policymaking and Prevention.
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DOI:
10.1007/s11121-021-01292-x
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发表时间:
2022-03
期刊:
Prevention science : the official journal of the Society for Prevention Research
影响因子:
--
通讯作者:
Giray C
Giray C
中科院分区:
其他
文献类型:
--
作者:
Crowley DM;Connell CM;Noll J;Green L;Scott T;Giray C

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自从具有里程碑意义的儿童不良经历研究(ACE; Felitti等人,美国预防医学杂志,14(4):245-258,1998),解决ACE及其对个人健康和福祉的影响的努力有了显着增长。尽管这种认识不断提高,但很少有系统地审查国家立法行动的重点或范围的变化,或影响ACE相关政策努力的引入和颁布的更广泛的背景。通知心理学家和相关专业人士的作用,以促进这些立法工作,我们进行了全面的混合方法分析,所有国家的法案在过去二十年中推出,调查ACE研究的使用和影响,在引进和颁布的国家立法语言(51个国家,总法案= 1,212,048,NACE法案= 425)。此外,这些分析检查了国会办公室通信(N = 14,916,546公开声明)和投票记录(N = 1,163,463票),以了解立法成员对ACE的公开讨论与他们对这些法案的投票行为之间的关系。我们发现,立法者的公共话语显着相关的ACE相关的决策以上和超越政治派别或人口特征。此外,与家庭暴力,循证实践和预防有关的关键立法语言是ACE相关法案是否超越执政党成为法律的重要预测因素。这些分析突出了ACE相关研究为国家政策提供信息的方式。在此基础上,我们为研究人员和政策制定者提供了建议。
Since the landmark study of Adverse Childhood Experiences (ACEs; Felitti et al., American Journal of Preventive Medicine, 14(4):245–258, 1998), there has been a significant growth in efforts to address ACEs and their impact on individual health and well-being. Despite this growing awareness, there has been little systematic review of state legislative action regarding variation in focus or scope or of the broader context impacting the introduction and enactment of ACE-related policy efforts. To inform the role of psychologists and related professionals to contribute to these legislative efforts, we conduct a comprehensive mixed-method analysis of all state bills introduced over the past two decades to investigate the use and impact of ACE research in introduced and enacted state legislative language (51 states, NTotal Bills = 1,212,048, NACE Bills = 425). In addition, these analyses examine congressional office communications (N = 14,916,546 public statements) and voting records (N = 1,163,463 votes) to understand the relationship between legislative members’ public discussion of ACEs and their voting behavior on these bills. We find that legislators’ public discourse is significantly related to ACE-related policymaking above and beyond political affiliation or demographic characteristics. Furthermore, key legislative language related to domestic violence, evidence-based practice, and prevention were significant predictors of whether an ACE-related bill becomes law—above and beyond the political party in power. These analyses highlight the ways in which ACE-related research has informed state policy. Based upon this work, we offer recommendations for researchers and policymakers.
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