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Profiles of Early Childhood Adversity in an Urban Pediatric Clinic: Implications for Pediatric Primary Care

Pediatricians are well-positioned to screen for early childhood adversities, but effective responses to positive screens require an understanding of which adversities typically co-occur, and to what extent they are associated with other risk or protective factors. Among children seen at an urban aca...

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Autores principales: Ronis, Sarah, Guyon-Harris, Katherine L., Burkhart, Kimberly, Gabriel, Mary, Cipolla, Kristin, Riggs, Jessica L., Huth-Bocks, Alissa
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10297345/
https://www.ncbi.nlm.nih.gov/pubmed/37371255
http://dx.doi.org/10.3390/children10061023
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author Ronis, Sarah
Guyon-Harris, Katherine L.
Burkhart, Kimberly
Gabriel, Mary
Cipolla, Kristin
Riggs, Jessica L.
Huth-Bocks, Alissa
author_facet Ronis, Sarah
Guyon-Harris, Katherine L.
Burkhart, Kimberly
Gabriel, Mary
Cipolla, Kristin
Riggs, Jessica L.
Huth-Bocks, Alissa
author_sort Ronis, Sarah
collection PubMed
description Pediatricians are well-positioned to screen for early childhood adversities, but effective responses to positive screens require an understanding of which adversities typically co-occur, and to what extent they are associated with other risk or protective factors. Among children seen at an urban academic pediatric practice, this study aimed to (1) examine the prevalence of different types of early adversity and protective experiences reported by primary caregivers, and (2) define latent classes of co-occurring adversities. Of 1434 children whose parents completed the Safe Environment for Every Kid (SEEK) at well-child visits during November 2019–January 2021, three classes of adverse experiences emerged, including those reporting low adversity (L; 73%), caregiver stress (CS; 17%), and both caregiver stress and depression (CSD; 10%). Among those who also completed the Adverse Childhood Experiences Questionnaire (ACE-Q, n = 1373) and the Protective and Compensatory Experiences Scale (PACES, n = 1377), belonging to the L class was associated with lower ACE-Q and higher PACES scores. For parent-respondents only, ACE-Q scores were significantly greater for the CSD class compared to the CS and L classes. Pediatricians should attend to the needs of caregivers reporting both stress and depression, as these families may face especially high levels of adversity and low levels of protective factors.
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spelling pubmed-102973452023-06-28 Profiles of Early Childhood Adversity in an Urban Pediatric Clinic: Implications for Pediatric Primary Care Ronis, Sarah Guyon-Harris, Katherine L. Burkhart, Kimberly Gabriel, Mary Cipolla, Kristin Riggs, Jessica L. Huth-Bocks, Alissa Children (Basel) Article Pediatricians are well-positioned to screen for early childhood adversities, but effective responses to positive screens require an understanding of which adversities typically co-occur, and to what extent they are associated with other risk or protective factors. Among children seen at an urban academic pediatric practice, this study aimed to (1) examine the prevalence of different types of early adversity and protective experiences reported by primary caregivers, and (2) define latent classes of co-occurring adversities. Of 1434 children whose parents completed the Safe Environment for Every Kid (SEEK) at well-child visits during November 2019–January 2021, three classes of adverse experiences emerged, including those reporting low adversity (L; 73%), caregiver stress (CS; 17%), and both caregiver stress and depression (CSD; 10%). Among those who also completed the Adverse Childhood Experiences Questionnaire (ACE-Q, n = 1373) and the Protective and Compensatory Experiences Scale (PACES, n = 1377), belonging to the L class was associated with lower ACE-Q and higher PACES scores. For parent-respondents only, ACE-Q scores were significantly greater for the CSD class compared to the CS and L classes. Pediatricians should attend to the needs of caregivers reporting both stress and depression, as these families may face especially high levels of adversity and low levels of protective factors. MDPI 2023-06-07 /pmc/articles/PMC10297345/ /pubmed/37371255 http://dx.doi.org/10.3390/children10061023 Text en © 2023 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Ronis, Sarah
Guyon-Harris, Katherine L.
Burkhart, Kimberly
Gabriel, Mary
Cipolla, Kristin
Riggs, Jessica L.
Huth-Bocks, Alissa
Profiles of Early Childhood Adversity in an Urban Pediatric Clinic: Implications for Pediatric Primary Care
title Profiles of Early Childhood Adversity in an Urban Pediatric Clinic: Implications for Pediatric Primary Care
title_full Profiles of Early Childhood Adversity in an Urban Pediatric Clinic: Implications for Pediatric Primary Care
title_fullStr Profiles of Early Childhood Adversity in an Urban Pediatric Clinic: Implications for Pediatric Primary Care
title_full_unstemmed Profiles of Early Childhood Adversity in an Urban Pediatric Clinic: Implications for Pediatric Primary Care
title_short Profiles of Early Childhood Adversity in an Urban Pediatric Clinic: Implications for Pediatric Primary Care
title_sort profiles of early childhood adversity in an urban pediatric clinic: implications for pediatric primary care
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10297345/
https://www.ncbi.nlm.nih.gov/pubmed/37371255
http://dx.doi.org/10.3390/children10061023
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