Influence of race/ethnicity and income on the link between adverse childhood experiences and child flourishing.
Influence of race/ethnicity and income on the link between adverse childhood experiences and child flourishing.
复制标题
DOI：
10.1038/s41390-020-01188-6
复制
发表时间：
2021-05
影响因子：
3.6
通讯作者：
Brown RL
中科院分区：
文献类型：
--
作者：
Goldstein E;Topitzes J;Miller-Cribbs J;Brown RL
早期逆境的影响增加了整个生命过程中不良结果的风险。确定防止或有助于有害的生活结果的因素是在面临逆境的儿童中促进复原力的重要一步。根据弹性科学，我们假设家庭弹性介导了不良童年经历（ACE）和儿童繁荣之间的关系，这些途径因种族/民族和收入而异。我们使用父母/监护人报告的2016-17年全国儿童健康调查数据对44，686名6-17岁儿童进行了二次数据分析。中度中介模型估计直接，间接和总的影响，使用概率单位链接函数和堆叠组方法加权最小二乘参数估计。主要变量与预期方向相关。家庭弹性部分介导的ACE繁荣协会。虽然白色和社会经济上的家庭更有可能保持家庭的韧性，他们的孩子在高风险水平上的功能更差，相对于黑人和西班牙裔儿童和跨收入群体。儿童因种族/族裔和收入而遭受累积的逆境。部分调解的家庭弹性表明，需要额外的保护因素，以制定全面的战略，而种族/民族差异强调的重要性，预防和干预方案，是文化敏感。这篇文章的关键信息强化了这样一个概念：儿童遭受着不同种族/民族和收入的累积逆境，预防ACE应该是公共政策、项目和医疗保健的首要任务。这是第一项研究，以检查家庭的韧性在全国调查儿童健康（NSCH）的数据集调解ACE繁荣的种族/民族和家庭贫困水平。在风险和保护因素的背景下，使用基于人群的数据检查ACE剂量反应效应可以为公共卫生应对提供信息，从而对预防工作产生更大的影响。
The impact of early adversity increases the risk of poor outcomes across the life course. Identifying factors that protect against or contribute to deleterious life outcomes represents an important step in resilience promotion among children exposed to adversity. Informed by resilience science, we hypothesized that family resilience mediates the relationship between adverse childhood experiences (ACEs) and child flourishing, and these pathways vary by race/ethnicity and income. We conducted a secondary data analysis using the 2016–17 National Survey of Children’s Health data reported by parents/guardians for 44,686 children age 6–17 years. A moderated-mediation model estimated direct, indirect, and total effects using a probit link function and stacked group approach with weighted least square parameter estimates. The main variables were related in expected directions. Family resilience partially mediated the ACEs-flourishing association. Although White and socioeconomically advantaged families were more likely to maintain family resilience, their children functioned more poorly at high-risk levels relative to Black and Hispanic children and across income groups. Children suffer from cumulative adversity across race/ethnicity and income. Partial mediation of family resilience indicates that additional protective factors are needed to develop comprehensive strategies, while racial/ethnic differences underscore the importance of prevention and intervention programs that are culturally sensitive. The key message of the article reinforces the notion that children suffer from cumulative adversity across race/ethnicity and income, and prevention of ACEs should be the number one charge of public policy, programs, and healthcare. This is the first study to examine family resilience in the National Survey Children’s Health (NSCH) data set as mediating ACEs-flourishing by race/ethnicity and family poverty level. Examining an ACEs dose–response effect using population-based data within the context of risk and protective factors can inform a public health response resulting in a greater impact on prevention efforts.
登录
查看更多内容
影响因子：
2.4
作者：
Heard-Garris N;Davis MM;Szilagyi M;Kan K
通讯作者：
Kan K
影响因子：
5.5
作者：
Hood, Carlyn M.;Gennuso, Keith P.;Catlin, Bridget B.
通讯作者：
Catlin, Bridget B.
影响因子：
2.2
作者：
Bodendorfer, Victoria;Koball, Afton M.;Olson-Dorff, Denyse
通讯作者：
Olson-Dorff, Denyse
影响因子：
9.7
作者：
Bethell, Christina D.;Newacheck, Paul;Halfon, Neal
通讯作者：
Halfon, Neal
影响因子：
9.7
作者：
Bethell, Christina D.;Gombojav, Narangerel;Whitaker, Robert C.
通讯作者：
Whitaker, Robert C.