Division of Violence Prevention, National Center for Injury Prevention and Control, Centers for Disease Control and Prevention, Atlanta, Georgia, USA.
Am J Community Psychol. 2024 Sep;74(1-2):100-109. doi: 10.1002/ajcp.12747. Epub 2024 Mar 12.
There is increasing scientific evidence linking substance use, childhood adversity, and social determinants of health. However, little research has considered the evaluation of community-level strategies to reduce substance use by increasing awareness and implementation of evidence-based strategies for preventing adverse childhood experiences (ACEs). This article lays out the conceptual framework for a $2.9 million demonstration project designed to raise awareness of the impact of ACEs on substance use, including primary prevention strategies. Communities used transformational narrative change-with an emphasis on the voices of those most impacted by ACEs and substance use-to highlight the importance of addressing social determinants of health along with primary prevention strategies. The conceptual background highlighted in this article informed media, public health, and local efforts in the three accompanying articles and invited commentary. These findings may help inform future efforts to promote community-level strategies and strengthen the evidence-base for transformational narrative change efforts.
越来越多的科学证据将物质使用、儿童期逆境和健康的社会决定因素联系起来。然而，很少有研究考虑评估通过提高对预防儿童期不良经历（ACEs）的循证策略的认识和实施来减少物质使用的社区一级战略。本文阐述了一个 290 万美元的示范项目的概念框架，该项目旨在提高人们对 ACEs 对物质使用的影响的认识，包括初级预防策略。社区采用变革性的叙事变化——强调受 ACEs 和物质使用影响最大的人的声音——来强调解决健康的社会决定因素以及初级预防策略的重要性。本文强调的概念背景为三篇相关文章中的媒体、公共卫生和地方工作提供了信息，并邀请了评论。这些发现可能有助于为未来促进社区一级战略和加强变革性叙事变化努力的循证基础提供信息。
