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美国原住民家庭和贫困家庭的家庭优势:预防儿童期不良经历

Family Strengths among Native American Families and Families Living in Poverty: Preventing Adverse Childhood Experiences.

作者信息

Mullet Natira, Waterman Emily A, Edwards Katie M, Simon Briana, Hopfauf Skyler, Herrington Ramona

机构信息

University of Nebraska-Lincoln.

Bennington College.

出版信息

Fam Relat. 2023 Dec;72(5):2334-2352. doi: 10.1111/fare.12906.

DOI:10.1111/fare.12906
PMID:39734799
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11672864/
Abstract

OBJECTIVE

The purpose of this study was to understand how youth, caregivers, and community professionals perceive family strengths and adverse childhood experiences (ACEs) in their community. Specifically, this study was focused on the protective role of caregivers and families, positive youth development, and how Native American families and families living in poverty support adolescents' social-emotional development and help them thrive in the face of adversity.

BACKGROUND

Research documents the concerning rates and negative outcomes of ACEs. However, very little research has examined the views of families and professionals on how to prevent ACES among these populations.

METHOD

Participants were youth ages 10 to 14 (=20), caregivers (=13), and an occupationally diverse group of professionals whose work intersected with ACEs (=7). Participants were all Native American and/or living in poverty in a small city in the Northern Plains region of the United States.

RESULTS

Themes that emerged from the child and caregiver focus groups regarding protective factors included: 1) family engagement, 2) family and cultural values, 3) personal and family safety, 4) future orientation, and 5) community strengths and needs. Themes that emerged from the professionals' focus group included: 1) families in crisis, 2) intersectionality of family challenges, 3) community collaboration, 4) trauma informed practices and violence prevention, and 5) cultural connections.

CONCLUSION AND IMPLICATIONS

These data provided foundational information relevant to understanding family's strengths and needs and the important role of culture in program development to prevent ACEs.

摘要

目的

本研究旨在了解青少年、照顾者和社区专业人员如何看待他们所在社区的家庭优势和童年不良经历(ACEs)。具体而言,本研究聚焦于照顾者和家庭的保护作用、青少年的积极发展,以及美国原住民家庭和贫困家庭如何支持青少年的社会情感发展,并帮助他们在逆境中茁壮成长。

背景

研究记录了ACEs令人担忧的发生率和负面后果。然而,很少有研究探讨家庭和专业人员对于如何在这些人群中预防ACEs的看法。

方法

参与者包括10至14岁的青少年(n = 20)、照顾者(n = 13),以及一群职业各异且工作与ACEs相关的专业人员(n = 7)。所有参与者均为美国北部平原地区一个小城市的美国原住民和/或贫困人口。

结果

儿童和照顾者焦点小组中出现的关于保护因素的主题包括:1)家庭参与,2)家庭和文化价值观,3)个人和家庭安全,4)未来导向,以及5)社区优势和需求。专业人员焦点小组中出现的主题包括:1)处于危机中的家庭,2)家庭挑战的交叉性,3)社区合作,4)创伤知情实践和暴力预防,以及5)文化联系。

结论与启示

这些数据提供了与理解家庭优势和需求以及文化在预防ACEs项目开发中的重要作用相关的基础信息。

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本文引用的文献

1
Examining Adverse Childhood Experiences (ACEs) within Indigenous Populations: a Systematic Review.审视原住民群体中的童年不良经历(ACEs):一项系统综述。
J Child Adolesc Trauma. 2021 Aug 18;15(2):401-421. doi: 10.1007/s40653-021-00393-7. eCollection 2022 Jun.
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Adverse Childhood Experiences and Resilience in Native American Families and Communities.不良童年经历与美国原住民家庭和社区的适应力。
N C Med J. 2021 Nov-Dec;82(6):408-413. doi: 10.18043/ncm.82.6.408.
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Effectiveness of a Sexual Assault Self-defense Program for American Indian Girls.美国印第安女孩性侵犯自卫项目的有效性。
J Interpers Violence. 2022 Aug;37(15-16):NP13245-NP13267. doi: 10.1177/0886260521997942. Epub 2021 Apr 3.
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Intergenerational transmission and prevention of adverse childhood experiences (ACEs).代际传递与预防不良儿童经历(ACEs)。
Clin Psychol Rev. 2021 Apr;85:101997. doi: 10.1016/j.cpr.2021.101997. Epub 2021 Feb 28.
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The frequencies and disparities of adverse childhood experiences in the U.S.美国不良童年经历的频率和差异
BMC Public Health. 2020 Sep 10;20(1):1327. doi: 10.1186/s12889-020-09411-z.
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Trends in Adverse Childhood Experiences (ACEs) in the United States.美国不良童年经历(ACEs)的趋势。
Child Abuse Negl. 2020 Oct;108:104641. doi: 10.1016/j.chiabu.2020.104641. Epub 2020 Jul 30.
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Adverse childhood experiences and associated health outcomes: A systematic review and meta-analysis.不良儿童经历及其相关健康后果:系统评价和荟萃分析。
Child Abuse Negl. 2019 Nov;97:104127. doi: 10.1016/j.chiabu.2019.104127. Epub 2019 Aug 24.
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Patient-provider relationship and perceived provider weight bias among American Indians and Alaska Natives.美国印第安人和阿拉斯加原住民的医患关系及感知到的医疗服务提供者的体重偏见
Obes Sci Pract. 2017 Dec 13;4(1):76-84. doi: 10.1002/osp4.135. eCollection 2018 Feb.
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Promoting Resilience: Breaking the Intergenerational Cycle of Adverse Childhood Experiences.促进适应力:打破不良童年经历的代际循环。
Health Educ Behav. 2018 Oct;45(5):772-780. doi: 10.1177/1090198117752785. Epub 2018 Feb 12.
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Adverse Childhood Experiences (ACE) among American Indians in South Dakota and Associations with Mental Health Conditions, Alcohol Use, and Smoking.南达科他州美国印第安人的童年不良经历(ACE)及其与心理健康状况、酒精使用和吸烟的关联
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