College of Nursing and Health Sciences, University of Wisconsin-Eau Claire, Eau Claire, Wisconsin, USA.
Public Health Nurs. 2021 Nov;38(6):997-1008. doi: 10.1111/phn.12956. Epub 2021 Aug 16.
To learn more about women's views on screening for adverse childhood experiences (ACEs) during healthcare visits in pregnancy.
Mixed methods with an online survey.
A convenience sample of 154 women with a history of one or more pregnancies was recruited through public health department social media pages in one predominantly rural region of a Midwest state.
Quantitative measures included demographic variables, ACE scores, and preferences regarding screening format, strategies, and resources. Additional perspectives were captured through open-ended questions.
Women's mean ACE score was 2.56 (SD = 2.37) with 68% reporting 0-3 ACEs and 32% reporting four or more. Routine screening for ACEs during prenatal care was supported by 67.5% of women with 9.1% indicating sometimes, 20.8% unsure, and 2.6% against. Strong preference was indicated for screening by one's physician or midwife (80.3%), in an exam room (83.1%), using an independently completed questionnaire (64.2%). Preferred approaches for screening and post-screening interventions also were identified with qualitative themes providing additional insights.
Findings inform strategies for efficiently and sensitively screening for ACEs during pregnancy, highlight the importance of using a trauma-informed approach, and provide direction for educational and interventional resource development.
了解更多关于女性在怀孕期间医疗就诊中对筛查不良童年经历（ACEs）的看法。
混合方法，采用在线调查。
在中西部一个州的一个主要农村地区，通过公共卫生部门的社交媒体页面，招募了 154 名有过一次或多次妊娠史的便利样本女性。
定量测量包括人口统计学变量、ACE 评分，以及对筛查格式、策略和资源的偏好。通过开放式问题捕捉其他观点。
女性的 ACE 平均得分为 2.56（标准差=2.37），68%的女性报告 ACE 得分为 0-3，32%的女性报告 ACE 得分为 4 或更多。67.5%的女性支持在产前护理中常规筛查 ACEs，其中 9.1%的女性表示有时支持，20.8%的女性不确定，2.6%的女性反对。女性强烈倾向于由医生或助产士进行筛查（80.3%）、在检查室进行筛查（83.1%）、使用独立完成的问卷进行筛查（64.2%）。还确定了筛查和筛查后干预的首选方法，定性主题提供了更多的见解。
研究结果为在怀孕期间高效、敏感地筛查 ACEs 提供了策略，强调了采用创伤知情方法的重要性，并为教育和干预资源的开发提供了方向。
