Childhood adversity and parent perceptions of child resilience.
Childhood adversity and parent perceptions of child resilience.
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DOI：
10.1186/s12887-018-1170-3
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发表时间：
2018-06-26
期刊：
影响因子：
2.4
通讯作者：
Kan K
中科院分区：
文献类型：
--
作者：
Heard-Garris N;Davis MM;Szilagyi M;Kan K
不良的童年经历（ace）对整个生命过程的健康产生负面影响。对于接触ace的儿童来说，适应力可能尤为重要。然而，关于弹性的文献，特别是弹性的自我调节方面，并不经常在ace儿童中描述。此外，家庭和社区因素可能有助于促进儿童复原力的进一步阐明。我们的目的是描述不良经历与儿童父母感知心理弹性之间的关系，并研究与儿童心理弹性相关的儿童、家庭和社区层面的因素。使用美国2011-2012年全国儿童健康调查，我们检查了不良童年经历（nsch - ace）作为主要暴露。对不良经历的肯定回答产生了家长报告的NSCH-ACE总分。在控制了儿童、家庭和邻里水平因素的基础上，构建了双变量和多变量logistic回归模型。在62,200名6-17岁的美国儿童中，47%有0次ACE， 26%有1次ACE， 19%有2-3次ACE， 8%有4次或更多ACE。儿童心理弹性与ace呈剂量依赖关系：随着ace的增加，心理弹性的可能性降低。在控制了孩子、家庭和社区因素后，这种关系仍然存在。具体的社区因素，如邻里安全(p <。0.001)、社区设施（如图书馆、公园）（p < 0.01）和指导（p < 0.01）。05)，与没有这些特定社区因素的同龄人相比，与更高的调整弹性概率相关。虽然ace很常见，而且可能很难预防，但卫生保健提供者、儿童福利专业人员和政策制定者可能有机会通过支持以社区为基础的活动、项目和政策来增强儿童和家庭的能力，这些活动、项目和政策可以促进弱势儿童及其所在社区的恢复能力。本文的在线版本（10.1186/s12887-018-1170-3）包含补充资料，仅供授权用户使用。
Adverse childhood experiences (ACEs) negatively impact health throughout the life course. For children exposed to ACEs, resilience may be particularly important. However, the literature regarding resilience, particularly the self-regulation aspect of resilience, is not often described in children with ACEs. Additionally, family and community factors that might help promote resilience in childhood may be further elucidated. We aimed to describe the relationship between ACEs and parent-perceived resilience in children and examine the child, family, and community-level factors associated with child resilience. Using the US-based, 2011–2012 National Survey of Children’s Health, we examined adverse childhood experiences (NSCH-ACEs) as the main exposure. Affirmative answers to adverse experiences generated a total parent-reported NSCH-ACE score. Bivariate and multivariable logistic regression models were constructed for parent-perceived child resilience and its association with ACEs, controlling for child, family, and neighborhood-level factors. Among 62,200 US children 6–17 years old, 47% had 0 ACEs, 26% had 1 ACE, 19% had 2–3 ACEs, and 8% had 4 or more ACEs. Child resilience was associated with ACEs in a dose-dependent relationship: as ACEs increased, the probability of resilience decreased. This relationship persisted after controlling for child, family, and community factors. Specific community factors, such as neighborhood safety (p < .001), neighborhood amenities (e.g., libraries, parks) (p < .01) and mentorship (p < .05), were associated with significantly higher adjusted probabilities of resilience, when compared to peers without these specific community factors. While ACEs are common and may be difficult to prevent, there may be opportunities for health care providers, child welfare professionals, and policymakers to strengthen children and families by supporting community-based activities, programs, and policies that promote resilience in vulnerable children and communities in which they live. The online version of this article (10.1186/s12887-018-1170-3) contains supplementary material, which is available to authorized users.
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