不良的童年经历和终身健康
Zulfiqar A Bhutta1,2, Supriya Bhavnani3, Theresa S Betancourt4
1Centre for Global Child Health, Hospital for Sick Children, Toronto, Ontario, Canada. zulfiqar.bhutta@sickkids.ca.
童年不良经历 (ACE) 显著影响儿童的健康和发育,带来长期后果. 早期识别和跨部门的综合干预对于全球减轻这些影响至关重要.
科学领域:
- 全球儿童健康 儿童健康
- 发育神经科学的发展神经科学.
- 公共卫生 公共卫生
背景情况:
- 全球儿童健康优先事项已经转向改善健康,营养和发展成果.
- 神经科学和发育生物学强调了不良童年经历 (ACE) 对健康的影响.
- 短,中,长期的ACE会对健康和发展产生负面影响,可能会被气候变化和冲突等全球威胁所放大.
研究的目的:
- 审查将ACE与健康结果联系在一起的机制.
- 探索预防和减轻ACEs影响的战略.
- 突出来自低收入和中等收入国家的证据.
主要方法:
- 对将ACE与健康联系起来的机制的文献综述.
- 对ACE进行干预策略的分析.
- 综合来自全球计划的证据.
主要成果:
- 通过各种生物和环境途径,ACE与有害的健康和发育结果有关.
- 跨越健康,教育和社会保护的干预措施显示出减轻ACEs影响的希望.
- 来自低收入和中等收入国家的证据证明了这种干预措施的可行性.
结论:
- 早期识别ACE对于有效干预至关重要.
- 多部门干预方案对于应对ACEs复杂影响至关重要.
- 解决ACE对于改善全球儿童健康和人力资本发展至关重要.
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