Division of Overdose Prevention, National Center for Injury Prevention and Control, Centers for Disease Control and Prevention, Atlanta, Georgia.
Division of Overdose Prevention, National Center for Injury Prevention and Control, Centers for Disease Control and Prevention, Atlanta, Georgia.
Am J Prev Med. 2022 Jun;62(6 Suppl 1):S40-S46. doi: 10.1016/j.amepre.2021.11.015.
Adverse childhood experiences and overdose are linked in a cycle that affects individuals and communities across generations. The Centers for Disease Control and Prevention's Overdose Data to Action cooperative agreement supports a comprehensive public health approach to overdose prevention and response activities across the U.S. Exposure to traumatic events during childhood can increase the risk for myriad health outcomes, including overdose; therefore, many Overdose Data to Action recipients leveraged funds to address adverse childhood experiences.
In 2021, an inventory of Overdose Data to Action‒funded activities implemented in 2019 and 2020 showed that 34 of the 66 recipients proposed overdose prevention activities that support people who have experienced adverse childhood experiences or that focus on preventing the intergenerational transmission of adverse childhood experiences. Activities were coded by adverse childhood experience prevention strategy, level of the social ecology, and whether they focused on neonatal abstinence syndrome.
Most activities among Overdose Data to Action recipients occurred at the community level of the social‒ecologic model and under the intervene to lessen harms adverse childhood experience prevention strategy. Of the 84 adverse childhood experience‒related activities taking place across 34 jurisdictions, 44 are focused on neonatal abstinence syndrome.
Study results highlight the opportunities to expand the breadth of adverse childhood experience prevention strategies across the social ecology. Implementing cross-cutting overdose and adverse childhood experience‒related activities that span the social‒ecologic model are critical for population-level change and have the potential for the broadest impact. Focusing on neonatal abstinence syndrome also offers a unique intervention opportunity for both adverse childhood experience and overdose prevention.
不良的童年经历和过量用药之间存在着一种循环关系，这种关系影响着代际间的个人和社区。疾病控制与预防中心的过量用药数据行动合作协议支持在美国各地采取全面的公共卫生方法来预防和应对过量用药问题。儿童时期经历创伤性事件会增加多种健康结果的风险，包括过量用药；因此，许多过量用药数据行动的接受者利用资金来解决不良的童年经历问题。
在 2021 年，对 2019 年和 2020 年实施的过量用药数据行动资助活动进行了清查，结果显示，在 66 个接受者中，有 34 个提出了预防过量用药的活动，这些活动支持经历过不良的童年经历的人，或专注于预防不良的童年经历在代际间的传递。活动按预防不良的童年经历的策略、社会生态系统的层次以及是否专注于新生儿戒断综合征进行编码。
在过量用药数据行动的接受者中，大多数活动发生在社会生态模型的社区层面，采用减轻伤害的干预措施来预防不良的童年经历。在 34 个司法管辖区开展的 84 项与不良的童年经历相关的活动中，有 44 项专注于新生儿戒断综合征。
研究结果强调了在整个社会生态系统中扩大预防不良的童年经历策略范围的机会。实施跨越社会生态模型的交叉性过量用药和与不良的童年经历相关的活动，对于实现人口层面的变化至关重要，并有潜力产生最广泛的影响。专注于新生儿戒断综合征也为预防不良的童年经历和过量用药提供了一个独特的干预机会。
