Gaylord Nan M, Bland Tami, Munoz Lauren, Ross Rachel, Olson Corey
J Pediatr Health Care. 2022 Mar-Apr;36(2):e1-e10. doi: 10.1016/j.pedhc.2021.09.003.
This study's purpose was to ascertain the prevalence of adverse childhood experiences (ACEs) in a pediatric population and their connection to other health history information.
Using health history data, a retrospective, descriptive study was undertaken with 1,028 children seen at a school-based, interprofessional clinic over 1 academic year.
Nearly 58% of children had at least one ACE, and 9.5% had four or more, similar to the prevalence of ACEs in adults reported in the original study by Felitti et al. (1998). With increasing ACEs, children had higher rates of intrauterine drug exposure, intensive care on delivery, homelessness, substance abuse, behavioral problems, mental illness, learning difficulties, and weight issues.
Because ACEs are prevalent among children, pediatric providers should use trauma-informed care principles and teach and model a loving and supportive adult presence in children's lives.
本研究的目的是确定儿科人群中不良童年经历（ACEs）的患病率及其与其他健康史信息的关联。
利用健康史数据，对一学年内在一家校内跨专业诊所就诊的1028名儿童进行了一项回顾性描述性研究。
近58%的儿童至少有一次ACEs，9.5%的儿童有四次或更多次ACEs，这与费利蒂等人（1998年）在最初研究中报告的成人ACEs患病率相似。随着ACEs数量的增加，儿童在子宫内接触药物、分娩时重症监护、无家可归、药物滥用、行为问题、精神疾病、学习困难和体重问题的发生率更高。
由于ACEs在儿童中很普遍，儿科医疗服务提供者应采用创伤知情护理原则，并在儿童生活中教导和示范充满爱与支持的成人形象。
