Blodgett Christopher, Lanigan Jane D
Department of Human Development, Washington State University Spokane.
Department of Human Development, Washington State University Vancouver.
Sch Psychol Q. 2018 Mar;33(1):137-146. doi: 10.1037/spq0000256.
We explored the feasibility of using school personnel as reporters to examine the relationship between the level of adverse childhood experiences (ACEs) exposure in a nonclinical sample of public elementary schoolchildren and academic risk. We selected a random sample of 2,101 children from kindergarten through 6th grade classroom rosters at 10 elementary schools. Students were 50% male, 78% White, and 55% free and reduced meal program participants. School personnel reported their factual knowledge of 10 ACEs and academic risk in a database controlled by the schools. Data were de-identified prior to analysis. A high prevalence of ACEs exposure was reported (44%), with 13% of students experiencing 3 or more ACEs. Binary logistic regression analyses revealed a dose-response effect between the number of ACEs and risk of poor school attendance, behavioral issues, and failure to meet grade-level standards in mathematics, reading, or writing. Using elementary school personnel reports of child ACE exposure minimized family burden and potential intrusion while producing prevalence estimates consistent with those of caregiver report from the National Survey of Children's Health. Results suggest that understanding and responding to a child's ACE profile might be an important strategy for improving the academic trajectory of at-risk children. (PsycINFO Database Record
我们探讨了利用学校工作人员作为报告者来研究公立小学儿童非临床样本中童年不良经历（ACEs）暴露水平与学业风险之间关系的可行性。我们从10所小学的幼儿园至六年级班级名册中随机抽取了2101名儿童作为样本。学生中50%为男性，78%为白人，55%参加了免费和减价餐计划。学校工作人员在学校控制的数据库中报告了他们对10种ACEs和学业风险的实际了解情况。在分析之前对数据进行了去识别处理。报告显示ACEs暴露的患病率很高（44%），13%的学生经历了3种或更多的ACEs。二元逻辑回归分析揭示了ACEs数量与上学出勤率低、行为问题以及数学、阅读或写作未达到年级水平标准的风险之间的剂量反应效应。利用小学工作人员对儿童ACE暴露的报告，最大限度地减少了家庭负担和潜在干扰，同时得出的患病率估计与全国儿童健康调查中照顾者报告的结果一致。结果表明，了解和应对儿童的ACE概况可能是改善高危儿童学业轨迹的一项重要策略。（PsycINFO数据库记录）
