Kimple Kelly S, Kansagra Susan M
chief, Women's and Children's Health Section, Division of Public Health, North Carolina Department of Health and Human Services, Raleigh, North Carolina
chief, Chronic Disease and Injury Section, Division of Public Health, North Carolina Department of Health and Human Services, Raleigh, North Carolina.
N C Med J. 2018 Mar-Apr;79(2):95-98. doi: 10.18043/ncm.79.2.95.
In working to improve the health of North Carolinians, a broader emphasis has been placed on determinants of health, or non-medical drivers of health. Critical examples of health determinants are adverse childhood experiences, or ACEs, that affect early brain development and lifelong health and function. Multiple organizations and communities have come together to acknowledge the importance of prevention, address toxic stress and trauma in childhood, promote resiliency and trauma-informed care, and invest in the future of North Carolina through its children. This issue of the NCMJ highlights the prevalence and magnitude of ACEs in North Carolina and the effects on our children and the impact into adulthood, and how people and communities can come together to improve public health over the life course by addressing ACEs.
在努力改善北卡罗来纳州居民健康状况的过程中，人们更加广泛地关注健康的决定因素，即健康的非医学驱动因素。健康决定因素的关键例子包括不良童年经历（ACEs），这些经历会影响早期大脑发育以及终身健康和功能。多个组织和社区共同认识到预防的重要性，应对童年时期的毒性应激和创伤，促进恢复力和创伤知情护理，并通过该州的儿童投资北卡罗来纳州的未来。本期《北卡罗来纳医学杂志》强调了北卡罗来纳州ACEs的流行程度和严重程度、对我们儿童的影响以及对成年期的影响，以及人们和社区如何通过应对ACEs共同努力改善整个生命历程中的公共卫生状况。
