预防不良童年经历 (ACE) 的围产期干预措施:范围审查
Jane Kinsey1,2,3, Jaime La Charite4, Shirley Russ1,2
1Center for Healthier Children, Families and Communities, University of California, Los Angeles (UCLA), Los Angeles, CA, United States of America.
PloS one
|October 24, 2024
概括
在怀孕期间预防不良童年经历 (ACE) 是至关重要的. 共同育儿,家庭访问和整合性健康干预措施显示出改善母亲和儿童福祉的希望.
科学领域:
- 公共卫生 公共卫生
- 围产期健康 围产期健康
- 儿童发展 儿童发展
背景情况:
- 预防不良童年经历 (ACE) 是公共卫生的优先事项.
- 围产期为有效的ACE预防干预提供了一个关键的窗口.
- 干预措施可以优化儿童的发展,打破世代间的逆境循环.
研究的目的:
- 确定围产期ACE预防干预措施的高质量随机对照试验 (RCT).
- 从双向的角度检查干预措施,评估母亲和孩子的结果.
- 分析基于公共卫生预防连续和生命过程干预研究 (LCIR) 特性来确定有效性的干预措施.
主要方法:
- 使用PsychInfo和PubMed.Med进行了从2000年1月到2023年11月的文章范围审查.
- 包括针对ACE或风险的RCT,孕期启动的母婴结局.
- 分析了使用预防连续和LCIR框架的干预措施;使用t测试来评估LCIR特征与结果的关联.
主要成果:
- 分析了57篇文章,代表了53个独特的围产期干预措施.
- 74%的干预报告了积极的影响,56%的干预对母亲和孩子都有好处.
- 共同育儿计划,家庭访问和整合性健康 (婴儿按摩/) 显示出最强的证据;二次预防是常见的.
结论:
- 虽然很少有研究明确定义了ACE,但围产期干预措施对个体ACE风险产生了积极影响.
- 将生命过程特征纳入全面的围产期干预措施,对未来的ACE预防有希望.
- 结合基于证据的组件,增强了围产期干预措施在预防ACE方面的潜力.
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