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Updated: Jul 23, 2025

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用俄克拉荷马州逆境监测指数系统 (OASIS) 量化俄克拉荷马州的不良童年经历:发展和跨部门研究
Jason Walter Beaman1, Cherie Josephine Miner2, Cadence Bolinger3
1School of Forensic Sciences, Center for Health Sciences, Oklahoma State University, Tulsa, OK, United States.
JMIR public health and surveillance
|July 19, 2023
概括
发育创伤或不良童年经历 (ACE) 构成重大公共卫生风险. 一个新的系统,OASIS,绘制了俄克拉荷马州各县的ACE,以指导对这些日益增长的问题进行干预.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 社会科学 社会科学 社会科学
背景情况:
- 发育创伤和不良童年经历 (ACE) 与成人健康风险有关.
- 俄克拉荷马州的ACE患病率很高,因此需要精细的研究方法进行干预.
- 农村人口特别容易受到ACE的长期影响.
研究的目的:
- 开发一个公共卫生工具,俄克拉何马州逆境监测指数系统 (OASIS),用于在县级绘制 ACE.
- 确定高风险县,并评估随着时间的推移ACE流行和严重程度的趋势.
- 为了告知针对ACE的针对性全州干预措施.
主要方法:
- 在俄克拉荷马州 (2010-2018) 收集了6个ACE (精神疾病,离婚,忽视,虐待儿童,家庭暴力,吸毒) 的县级数据.
- 通过对每个ACE标准化和汇总各县的比率,开发了一个潜在的ACE分数 (PAS).
- 创建了一个ACEs严重性指数 (ASI) 来测量和随着时间的推移对各县的ACE严重性进行排名.
主要成果:
- 精神疾病和物质使用是全州最常见的ACE.
- 县PAS从2010年到2018年 (P=.02) 显著增加.
- 俄克拉荷马州的四个县 (Adair,McCurtain,Muskogee,Pittsburg) 获得了最高的ASI分数6.
结论:
- OASIS有效地确定了"热点"县,以优先考虑ACE干预措施.
- 俄克拉荷马州各县的ACE在2010年至2018年之间呈现出日益增长的趋势.
- 未来的研究应该扩大ASI中包含的ACE,并将其与不良健康结果相关联.
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