Department of Pediatrics, California Pacific Medical Center, Bayview Child Health Center, San Francisco, CA, USA.
Child Abuse Negl. 2011 Jun;35(6):408-13. doi: 10.1016/j.chiabu.2011.02.006. Epub 2011 Jun 8.
The goal of this study was to investigate the adverse childhood experiences (ACEs) in youth in a low-income, urban community.
Data from a retrospective chart review of 701 subjects from the Bayview Child Health Center in San Francisco are presented. Medical chart documentation of ACEs as defined in previous studies were coded and each ACE criterion endorsed by a traumatic event received a score of 1 (range=0-9). This study reports on the prevalence of various ACE categories in this population, as well as the association between ACE score and two pediatric problems: learning/behavior problems and body mass index (BMI)≥85% (i.e., overweight or obese).
The majority of subjects (67.2%, N=471) had experienced 1 or more categories of adverse childhood experiences (ACE≥1) and 12.0% (N=84) had experienced 4 or more ACEs (ACE≥4). Increased ACE scores correlated with increased risk of learning/behavior problems and obesity.
There was a significant prevalence of endorsed ACE categories in this urban population. Exposure to 4 or greater ACE categories was associated with increased risk for learning/behavior problems, as well as obesity.
Results from this study demonstrate the need both for screening of ACEs among youth in urban areas and for developing effective primary prevention and intervention models.
本研究旨在调查一个低收入城市社区中青少年的不良童年经历（ACEs）。
本研究采用回顾性病历回顾的方法，对来自旧金山湾景儿童健康中心的 701 名受试者的数据进行了分析。根据先前研究中定义的 ACEs，对病历中 ACEs 的医学记录进行了编码，每个 ACE 标准所涉及的创伤性事件得分为 1 分（范围 0-9 分）。本研究报告了该人群中各种 ACE 类别的流行率，以及 ACE 评分与两种儿科问题之间的关联：学习/行为问题和体重指数（BMI）≥85%（即超重或肥胖）。
大多数受试者（67.2%，N=471）经历过 1 种或多种不良童年经历（ACE≥1），12.0%（N=84）经历过 4 种或更多 ACEs（ACE≥4）。ACE 评分的增加与学习/行为问题和肥胖的风险增加相关。
在这个城市人群中，有显著比例的 ACE 类别得到了认可。经历 4 个或更多 ACE 类别与学习/行为问题以及肥胖的风险增加相关。
本研究结果表明，在城市地区的青少年中进行 ACE 筛查以及制定有效的初级预防和干预模式是必要的。
