Egbert Jamie
Parkinson School of Health Sciences and Public Health, Loyola University Chicago, Maywood, IL, USA.
Disabil Health J. 2025 Jan;18(1):101711. doi: 10.1016/j.dhjo.2024.101711. Epub 2024 Oct 2.
The adverse childhood experiences (ACEs) screening tool is a research measure that has not been frequently employed within the scientific literature addressing deaf and hard-of-hearing (DHH) populations.
To evaluate whether those who are DHH are more likely to cross-sectionally report a high-risk number of ACEs than those who are not DHH.
Data consisting of a weighted total of n = 24,797,770 US adults' responses to the 2021 BRFSS survey were utilized for this study.
The DHH-ACE association was effect modified by age group. In the 25-to-34 (aOR = 2.98; 95 % aOR CI: 1.81, 4.92; P < 0.0001), 35-to-44 (aOR = 3.17; 95 % aOR CI: 1.98, 5.08; P < 0.0001), 45-to-54 (aOR = 1.74; 95 % aOR CI: 1.23, 2.45; P = 0.0016), and 55-to-64-year-old (aOR = 1.85; 95 % aOR CI: 1.41, 2.42; P < 0.0001) age groups, those who are DHH were significantly more likely than their same-age hearing peers to report a high-risk number of ACEs. The findings for the 18-24 years and 65+ age groups were not statistically significant.
The results of this study highlight the need for trauma-informed care and improved early intervention and ACEs screenings for the DHH population.
童年不良经历（ACEs）筛查工具是一种研究手段，在针对聋人和听力障碍（DHH）人群的科学文献中使用并不频繁。
评估与非DHH人群相比，DHH人群在横断面研究中报告高风险ACEs数量的可能性是否更高。
本研究使用了2021年美国疾病预防控制中心行为危险因素监测系统（BRFSS）调查中n = 24,797,770名美国成年人的加权总数据。
DHH与ACEs之间的关联因年龄组而异。在25至34岁（调整后比值比[aOR]=2.98；95% aOR可信区间[CI]：1.81，4.92；P<0.0001）、35至44岁（aOR = 3.17；95% aOR CI：1.98，5.08；P<0.0001）、45至54岁（aOR = 1.74；95% aOR CI：1.23，2.45；P = 0.0016）和55至64岁年龄组（aOR = 1.85；95% aOR CI：1.41，2.42；P<0.0001）中，DHH人群报告高风险ACEs数量的可能性显著高于同龄听力正常的同龄人。18至24岁和65岁及以上年龄组的研究结果无统计学意义。
本研究结果强调了对DHH人群进行创伤知情护理、改善早期干预和ACEs筛查的必要性。
