| Autor: |
J. Scott Ashwood, Nipher Malika, Stephanie Williamson, Charles Engel, Edward Machtinger, Nina Thompson, Amy Shekarchi, Shannon Thyne, Brigid McCaw, Marguerita Lightfoot, Anda Kuo, Eric Fein, Darcy Benedict, Lisa Gantz, Raymond Perry, Nancy Yap, Nicole Eberhart |
| Jazyk: |
angličtina |
| Rok vydání: |
2024 |
| Předmět: |
|
| Zdroj: |
Preventive Medicine Reports, Vol 47, Iss , Pp 102887- (2024) |
| Druh dokumentu: |
article |
| ISSN: |
2211-3355 |
| DOI: |
10.1016/j.pmedr.2024.102887 |
| Popis: |
Background and Objective: Adverse Childhood Experiences(ACEs) have a powerful influence on mental health, physical health, and life expectancy. Screening for ACEs and the clinician response to ACEs are critical to addressing the health and well-being of children; however, little is known about the actions clinicians take in response to ACE screening. Therefore, we aimed to examine clinician responses to ACE screening at five California pediatric clinics in a large public health care system. Methods: Patient demographics, indicators of social and behavioral determinants of health (e.g., housing insecurity), the number of ACEs endorsed on a screening instrument, and the actions clinicians took in response to each ACE screen were collected. Data was collected from May to October 2021. These data were used to examine the association between number of ACEs reported and clinician response, controlling for patient demographics and their social and behavioral determinants of health using multiple logistic regression. Results: Five participating pediatric clinics conducted 2,652 ACE screens in six-months. Clinicians documented an action twice as often when ACEs were present, after controlling for patient demographics and their social and behavioral determinants of health (odds ratio(OR) = 2.2, 95 % confidence interval(CI): 1.5–3.3, p-value |
| Databáze: |
Directory of Open Access Journals |
| Externí odkaz: |
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