Adverse childhood experiences: assessing the impact on health and school engagement and the mitigating role of resilience
Autor: | Christina Bethell, Paul W. Newacheck, Eva Hawes, Neal Halfon |
---|---|
Rok vydání: | 2014 |
Předmět: |
Gerontology
Male medicine.medical_specialty Adolescent media_common.quotation_subject Adverse Childhood Experiences Study Emotional Adjustment Quality of life (healthcare) Residence Characteristics Risk Factors Epidemiology medicine Prevalence Humans Family Social determinants of health Child Abuse Psychiatry Adverse Childhood Experiences Child media_common business.industry Health Policy Infant Newborn Infant Resilience Psychological Health Surveys United States Child Preschool Chronic Disease Life expectancy Educational Status Female Psychological resilience School engagement business |
Zdroj: | Health affairs (Project Hope). 33(12) |
ISSN: | 1544-5208 |
Popis: | The ongoing longitudinal Adverse Childhood Experiences Study of adults has found significant associations between chronic conditions; quality of life and life expectancy in adulthood; and the trauma and stress associated with adverse childhood experiences, including physical or emotional abuse or neglect, deprivation, or exposure to violence. Less is known about the population-based epidemiology of adverse childhood experiences among US children. Using the 2011-12 National Survey of Children's Health, we assessed the prevalence of adverse childhood experiences and associations between them and factors affecting children's development and lifelong health. After we adjusted for confounding factors, we found lower rates of school engagement and higher rates of chronic disease among children with adverse childhood experiences. Our findings suggest that building resilience-defined in the survey as "staying calm and in control when faced with a challenge," for children ages 6-17-can ameliorate the negative impact of adverse childhood experiences. We found higher rates of school engagement among children with adverse childhood experiences who demonstrated resilience, as well as higher rates of resilience among children with such experiences who received care in a family-centered medical home. We recommend a coordinated effort to fill knowledge gaps and translate existing knowledge about adverse childhood experiences and resilience into national, state, and local policies, with a focus on addressing childhood trauma in health systems as they evolve during ongoing reform. |
Databáze: | OpenAIRE |
Externí odkaz: |