Department of Behavioral, Social, and Health Education Sciences, Rollins School of Public Health, Emory University.
Department of Psychiatry and Behavioral Sciences, Duke University School of Medicine.
Am Psychol. 2021 Feb-Mar;76(2):326-336. doi: 10.1037/amp0000779.
Adverse childhood experiences (ACEs) including trauma exposure, parent mental health problems, family dysfunction, and community-level adversities put individuals at risk for a host of negative health outcomes. The effects of cumulative ACEs are numerous, diverse, and can predispose an individual to cognitive, emotional, behavioral, and physical health problems as well as premature death. African American youth experience disproportionate exposure to ACEs in the context of racism that increases risk for allostatic load and hinders systems of care responses resulting in physical and mental health disparities. To maximize efforts to mitigate these disparities it is imperative that we translate research into action to respond to ACEs in the context of racism. This article synthesizes African American cultural assets research within a resilience after trauma framework to provide a foundation for translating research into action to mitigate ACE-related disparities among African American youth. We present task shifting and youth-partnered advocacy as two strategies supported by this framework and describe their application to responding to ACEs in the context of racism. (PsycInfo Database Record (c) 2021 APA, all rights reserved).
不良的童年经历(ACEs)包括创伤暴露、父母心理健康问题、家庭功能障碍和社区层面的逆境,使个人面临一系列负面健康后果的风险。累积 ACEs 的影响是多方面的,并且会使个人容易出现认知、情感、行为和身体健康问题,以及早逝。在种族主义的背景下,非裔美国青年不成比例地经历 ACEs,这增加了适应负荷的风险,并阻碍了护理系统的反应,从而导致身体和心理健康方面的差异。为了最大限度地努力减轻这些差异,我们必须将研究转化为行动,以应对种族主义背景下的 ACEs。本文在创伤后恢复力框架内综合了非裔美国人文化资产研究,为将研究转化为行动提供了基础,以减轻非裔美国青年与 ACE 相关的差异。我们提出任务转移和青年伙伴倡导作为这一框架支持的两项策略,并描述它们在应对种族主义背景下的 ACEs 方面的应用。(PsycInfo 数据库记录(c)2021 APA,保留所有权利)。