Measuring Toxic Stress in Childhood and Youth: A Systematic Review

IF 2.5 4区 医学 Q2 HEALTH POLICY & SERVICES Journal of Pediatric Health Care Pub Date : 2024-11-01 DOI:10.1016/j.pedhc.2024.08.008
Mackaully Lucia Parada MSW, LCSW, Juan L. Parada JD, MBA
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Abstract

Introduction

Toxic stress among children/youth is a significant public health concern that has been linked to serious morbidities and premature mortality in adulthood. Uniformity in measurement of a toxic stress variable for use in scholarly research can aid in a more comprehensive understanding of its indicators and implications.

Method

The purpose of this systematic review was to aggregate, organize, and summarize the literature around current practices for operationalizing toxic stress among children/youth. A strategic methodology was conducted according to PRISMA guidelines, and two databases were consulted for relevant studies.

Results

Over 30 different measurement tools were identified across 13 included studies, ranging from biomarkers and physiological indicators to scales, diagnoses, and other assessment instruments.

Discussion

By synthesizing current measurement methods, this review informs research and clinical communities of different approaches to toxic stress measurement, advances standardization efforts, and justifies the necessity of a singular, scientifically validated tool.
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测量儿童和青少年的有毒压力:系统回顾。
导言:儿童/青少年的有毒压力是一个重大的公共健康问题,与成年后的严重疾病和过早死亡有关。在学术研究中统一测量毒性压力变量有助于更全面地了解其指标和影响:本系统性综述的目的是汇总、整理和总结有关当前儿童/青少年毒性压力操作方法的文献。根据 PRISMA 指南制定了战略方法,并查阅了两个数据库中的相关研究:结果:在纳入的 13 项研究中发现了 30 多种不同的测量工具,包括生物标志物、生理指标、量表、诊断和其他评估工具:讨论:本综述综合了当前的测量方法,向研究和临床界介绍了不同的毒性应激测量方法,促进了标准化工作的开展,并证明了科学验证单一工具的必要性。
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来源期刊
CiteScore
3.40
自引率
10.70%
发文量
140
审稿时长
24 days
期刊介绍: The Journal of Pediatric Health Care, the official journal of the National Association of Pediatric Nurse Practitioners, provides scholarly clinical information and research regarding primary, acute and specialty health care for children of newborn age through young adulthood within a family-centered context. The Journal disseminates multidisciplinary perspectives on evidence-based practice and emerging policy, advocacy and educational issues that are of importance to all healthcare professionals caring for children and their families.
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