对公益计划的支出和暴露于不良童年经历的暴露
Megan E Collins1, Matthew Hall2, Paul J Chung3
1Department of Pediatrics, Children's Mercy Kansas City, 2401 Gillham Road, Kansas City, MO 64108, United States; University of Missouri-Kansas City School of Medicine, 2411 Holmes Street, Kansas City, MO 64108, United States.
Child abuse & neglect
|March 3, 2024
概括
公共福利计划支出增加与儿童不良经历 (ACE) 的减少有关. 投资于家庭的经济稳定可能会改善儿童的福祉,并预防ACE.
科学领域:
- 公共卫生 公共卫生
- 儿童发展 儿童发展
- 社会经济因素 社会经济因素
背景情况:
- 不利的童年经历 (ACE) 与贫困有关.
- 公共利益计划越来越多地用于预防儿童负面结果的初级预防.
研究的目的:
- 估计公共福利计划支出与美国儿童对ACEs累积暴露之间的关联.
主要方法:
- 使用国家儿童健康调查 (2016-17) 对0-17岁儿童的分析.
- 对5个公共利益项目类别 (2010-2017年) 的州级支出进行了审查.
- 主要暴露:每人平均年支出低于联邦贫困线;主要结果:儿童暴露于≥4个ACE.
主要成果:
- 在全国范围内,5.7%的儿童经历了≥4次ACE.
- 对福利计划的总支出与≥4个ACE的几率较低相关 (OR 0.96;p < 0.001).
- 个人福利类别的支出增加也与ACE暴露的减少相关 (所有p < 0.05).
结论:
- 对公益计划的投资可能会减少贫困,并对儿童福祉产生积极影响,超出了既定目标.
- 研究结果支持在公共卫生模型中优先考虑家庭经济稳定,以防止ACE.
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