Family Resilience And Connection Promote Flourishing Among US Children, Even Amid Adversity
Family Resilience And Connection Promote Flourishing Among US Children, Even Amid Adversity
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DOI：
10.1377/hlthaff.2018.05425
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发表时间：
2019-05-01
期刊：
影响因子：
9.7
通讯作者：
Whitaker, Robert C.
中科院分区：
文献类型：
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作者：
Bethell, Christina D.;Gombojav, Narangerel;Whitaker, Robert C.
在美国儿童中，尤其是那些面临逆境的儿童中，繁荣的结果及其预测因素尚未得到充分记录。利用 2016 年和 2017 年全国儿童健康调查的数据，我们确定了美国 6-17 岁儿童的健康状况和预测因素。一项由三项指标组成的繁荣指标：儿童学习新事物的兴趣和好奇心、完成任务的毅力以及调节情绪的能力。全国繁荣率为 40.3%（各州为 29.9-45.0%）。在不良童年经历、家庭收入和特殊医疗保健需求的各个层面上，随着家庭复原力和联系水平的提高，繁荣的普遍程度呈分级方式增加。在医疗保健、教育和公共服务等领域，即使社会正在解决造成童年逆境的可补救的原因，旨在增强家庭复原力和联系的循证计划和政策也可能会促进美国儿童的繁荣。
The outcome of flourishing and its predictors have not been well documented among US children, especially those who face adversity. Using data for 2016 and 2017 from the National Survey of Children's Health, we determined the prevalence and predictors of flourishing among US children ages 6-17. A three-item index included indicators of flourishing: children's interest and curiosity in learning new things, persistence in completing tasks, and capacity to regulate emotions. The national prevalence of flourishing was 40.3 percent (29.9-45.0 percent across states). At each level of adverse childhood experiences, household income, and special health care needs, the prevalence of flourishing increased in a graded fashion with increasing levels of family resilience and connection. Across the sectors of health care, education, and human services, evidence-based programs and policies to increase family resilience and connection could increase flourishing in US children, even as society addresses remediable causes of childhood adversity.