美国儿童的不良童年经历. 成年人:国家和州估计根据逆境类型,2019-2020年
Maria V Aslam1, Elizabeth Swedo1, Phyllis H Niolon1
1National Center for Injury Prevention and Control, Centers for Disease Control and Prevention, Atlanta, Georgia.
American journal of preventive medicine
|February 18, 2024
概括
超过60%的美国成年人经历了不良童年经历 (ACE),与国家层面的显著差异. 这些童年逆境不成比例地影响某些人口,突出了针对性预防策略的需要.
科学领域:
- 公共卫生监督 公共卫生监督
- 流行病学 流行病学
- 健康的社会决定因素
背景情况:
- 童年不良经历 (ACE) 与长期健康问题有关.
- 现有的州级关于成人ACE暴露的数据往往不完整或无法获得.
- 准确的监测对于理解和解决童年逆境至关重要.
研究的目的:
- 提供当前的,完整的,美国成年人中ACE的州级估计.
- 为了确定各种ACEs的国家和州的流行率.
- 检查ACE暴露中的社会人口差异.
主要方法:
- 利用了2019-2020年行为风险因素监测系统 (BRFSS) 的数据.
- 应用小面积估计技术来预测缺失的ACE数据.
- 分析了18岁及以上成年人的数据,分析时间为2022年10月至2023年5月.
主要成果:
- 据估计,62.8%的美国成年人报告过去的ACE暴露 (范围:CT中的54.9%,ME中的72.5%).
- 情绪虐待是最常见的ACE (34.5%),而家庭监禁是最不常见的 (10.6%).
- 非西班牙裔白人成年人,拥有高等教育/收入者以及获得医疗保健的人群中,ACE暴露率较低.
结论:
- 由于ACE的全国性流行率很高,因此需要针对性的公共卫生干预措施.
- 在ACE负担中显著的社会人口学不平等凸显了差异.
- 针对不成比例地受影响的人口,需要有针对性的社会,教育和医疗战略.
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