利用公共卫生和公立学校的合作伙伴关系,对当地积极的童年经历进行监测。

IF 3 4区 医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Public Health Reports Pub Date : 2024-07-01 Epub Date: 2024-01-24 DOI:10.1177/00333549231223707
Frank Spesia, Nancy Swigonski, Cassy White, Mark D Fox, Brett Enneking
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引用次数: 0

摘要

童年的社会心理经历会对健康产生终身影响。这些经历可以作为积极童年经历和不良童年经历一起衡量,也可以作为积极童年经历(PCEs)或不良童年经历单独衡量。关于积极童年经历的大多数研究都集中在积极童年经历如何促进健康。然而,对于公共卫生部门所服务的地方青少年中 PCE 的流行情况,研究却十分有限。圣约瑟夫县卫生局开展了一项研究,以测试通过当地公共卫生部门监测 PCE 的可行性,并确定印第安纳州城市公立学校学生中 PCE 暴露的流行率。我们于 2022 年春季开展了一项调查,收集了 2 所高中和 1 所初中学生的人口统计学信息,并评估了学生接触多氯乙烯的情况。我们采用 5 点李克特量表(0 = 从未、1 = 很少、2 = 有时、3 = 通常、4 = 总是)评估 PCE 的普遍程度。PCE 得分为低(0-2 分)、中(3-5 分)和高(6 或 7 分)。个别 PCE 项目的流行率从 35.6% 到 86.8% 不等。在 798 名受访者中,189 人(23.7%)的 PCE 分数较低,396 人(49.6%)的 PCE 分数中等,213 人(26.7%)的 PCE 分数较高。这项研究证明了校本 PCE 监测的可行性,并确定了初高中学生的 PCE 暴露基线流行率。这些方法适用于不同的环境,可为地方卫生部门和学校系统提供一种新的工具来解决儿童不良经历问题。
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Leveraging Public Health and Public School Partnerships for Local Surveillance of Positive Childhood Experiences.

Childhood psychosocial experiences can have a lifelong effect on health. These experiences can be measured together as positive and adverse childhood experiences or individually as positive childhood experiences (PCEs) or adverse childhood experiences. Most research on PCEs has focused on how PCEs promote health outcomes. However, limited research has been conducted on the prevalence of PCEs among adolescents in local areas served by public health departments. The St. Joseph County Department of Health developed a study to test the feasibility of surveillance of PCEs through local public health departments and to establish a prevalence for PCE exposure among a population of urban public-school students in Indiana. We conducted a survey in spring 2022 that collected demographic information on students at 2 high schools and 1 middle school and assessed exposure to PCEs. We assessed prevalence of PCEs on a 5-point Likert scale (0 = never, 1 = rarely, 2 = sometimes, 3 = usually, 4 = always). PCE scores were grouped into low (0-2), medium (3-5), and high (6 or 7). The prevalence of individual PCE items ranged from 35.6% to 86.8%. Among 798 respondents, 189 (23.7%) reported low PCE scores, 396 (49.6%) reported medium scores, and 213 (26.7%) reported high scores. This research demonstrates the feasibility of school-based PCE surveillance and establishes a baseline prevalence of PCE exposure among a population of middle and high school students. These methods are applicable to different contexts and can provide both local health departments and school systems with a new tool to address adverse childhood experiences.

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来源期刊
Public Health Reports
Public Health Reports 医学-公共卫生、环境卫生与职业卫生
CiteScore
5.00
自引率
6.10%
发文量
164
审稿时长
6-12 weeks
期刊介绍: Public Health Reports is the official journal of the Office of the U.S. Surgeon General and the U.S. Public Health Service and has been published since 1878. It is published bimonthly, plus supplement issues, through an official agreement with the Association of Schools and Programs of Public Health. The journal is peer-reviewed and publishes original research and commentaries in the areas of public health practice and methodology, original research, public health law, and public health schools and teaching. Issues contain regular commentaries by the U.S. Surgeon General and executives of the U.S. Department of Health and Human Services and the Office of the Assistant Secretary of Health. The journal focuses upon such topics as tobacco control, teenage violence, occupational disease and injury, immunization, drug policy, lead screening, health disparities, and many other key and emerging public health issues. In addition to the six regular issues, PHR produces supplemental issues approximately 2-5 times per year which focus on specific topics that are of particular interest to our readership. The journal''s contributors are on the front line of public health and they present their work in a readable and accessible format.
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