童年不良经历与生活机遇:转变叙述方式

Adverse childhood experiences and life opportunities: Shifting the narrative.

作者信息

Metzler Marilyn, Merrick Melissa T, Klevens Joanne, Ports Katie A, Ford Derek C

机构信息

Division of Violence Prevention, Centers for Disease Control and Prevention, Atlanta, GA.

Karna, LLC, Atlanta, GA.

出版信息

Child Youth Serv Rev. 2017 Jan 14;72:141-149. doi: 10.1016/j.childyouth.2016.10.021.

Abstract

Substantial research shows that early adversity, including child abuse and neglect, is associated with diminished health across the life course and across generations. Less well understood is the relationship between early adversity and adult socioeconomic status, including education, employment, and income. Collectively, these outcomes provide an indication of overall life opportunity. We analyzed data from 10 states and the District of Columbia that used the adverse childhood experiences (ACE) module in the 2010 Behavioral Risk Factor Surveillance System to examine the association between ACEs and adult education, employment, and income. Compared to participants with no ACEs, those with higher ACE scores were more likely to report high school non-completion, unemployment, and living in a household below the federal poverty level. This evidence suggests that preventing early adversity may impact health and life opportunities that reverberate across generations. Current efforts to prevent early adversity might be more successful if they broaden public and professional understanding (i.e., the narrative) of the links between early adversity and poverty. We discuss our findings within the context of structural policies and processes that may further contribute to the intergenerational continuity of child abuse and neglect and poverty.

摘要

大量研究表明,早期逆境,包括儿童期受虐待和被忽视,与一生中乃至几代人的健康状况下降有关。早期逆境与成人社会经济地位(包括教育、就业和收入)之间的关系则鲜为人知。总体而言,这些结果表明了整体生活机会。我们分析了来自10个州和哥伦比亚特区的数据,这些数据在2010年行为危险因素监测系统中使用了儿童期不良经历(ACE)模块,以研究ACEs与成人教育、就业和收入之间的关联。与没有ACEs的参与者相比,ACE分数较高的参与者更有可能报告未完成高中学业、失业以及生活在低于联邦贫困线的家庭中。这一证据表明,预防早期逆境可能会影响健康和生活机会,这种影响会代代相传。如果当前预防早期逆境的努力能够拓宽公众和专业人士对早期逆境与贫困之间联系的理解(即认知),那么这些努力可能会更成功。我们将在结构性政策和过程的背景下讨论我们的研究结果,这些政策和过程可能会进一步导致儿童期受虐待和被忽视以及贫困的代际延续。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c722/10642285/826a3c88d55e/nihms-1931034-f0001.jpg

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