Parental Adverse Childhood Experiences:

Slides:



Advertisements
Similar presentations
The Visible Child Initiative Investing in the healthy development and academic success of children who have know homelessness Presented by Sharon Henry-Blythe.
Advertisements

The Impact of Trauma Teaching Resilience Through Positive Adult Relationships.
2013 Alaska Behavioral Risk Factor Surveillance System Adverse Childhood Experiences of Alaskan Adults.
Long-term Outcomes of an Interdisciplinary Weight Management Clinic for Youth with Special Needs Meredith Dreyer Gillette PhD 1, 2, Cathleen Odar Stough.
EFFECTIVE INTERVENTIONS FOR NEWBORNS WITH DRUG EXPOSURE AND THEIR FAMILIES Harolyn M.E. Belcher, M.D., M.H.S. Associate Professor of Pediatrics Johns Hopkins.
2013 Alaska Behavioral Risk Factor Surveillance System Adverse Childhood Experiences of Alaskan Adults.
Adverse Childhood Experiences and their Relationship to Adult Well-being, Disease, and Death : Turning gold into lead A collaborative effort between Kaiser.
The Delaware ACE’s Story
Results Baseline Differences Between Groups No significant differences were found between ethnic groups on baseline levels of Praise (F = 2.006, p>.05),
BEYOND ACE OCTOBER 21, CHANGES MADE FOR THIS SECOND ADMINISTRATION OF THE ACE SURVEY: Administration protocols developed by agencies Standardized.
Effects of Poverty By: Alize Lewis Raquan White Bruce Davis Krystal Hoy.
Adverse Childhood Experiences in Maine: Health and Behavioral Outcomes Emily Morian-Lozano 1, Erika Lichter 2, Finn Teach 2 1 Maine Center for Disease.
Implications and Limitations The Asthma H.E.L.P. program demonstrates that an asthma management program can be integrated into the casework process of.
Gender Specific Associations Between Parental Risk Factors and Trauma-Related Psychological Symptoms Among Adolescents Jamara A. Tuttle, MSW 1,2,Terry.
Syed Gillani DO, Kaitlin Leckie PhD, Jodi Hasenack, RN, Kristine Miller DO, and Leslie Dempsey MD Southern Colorado Family Medicine Residency Program,
Deep Dyadic Friendships vs. Broad Peer Preference During Adolescence as Predictors of Adolescent and Adult Internalizing Symptoms Rachel K. Narr & Joseph.
Results Paired-samples T-tests Parents decreased restricted eating (change = -0.14), pressure to eat (change = -0.20), and increased monitoring (change.
CAN Community Advisory Board Community Health Needs 2016
Metabolic Comorbidities of Young Children
ADVERSE CHILDHOOD EXPERIENCES AND BEHAVIORAL HEALTH
Why Should We Screen and What Should We do?
Jacquelyn C. Campbell, PhD,. Jamila K. Stockman, PhD,. Phyllis W
Adverse Childhood Experiences, Traumatic Brain Injury, and Disruptive Behavior Disorders: Results From the 2011 National Survey of Children's Health Timothy.
Demographics of Parents
Prevalence of Adverse Childhood Experiences
You've got mail: Using to recruit a representative cohort for a healthy lifestyles research study Kayla Confer, BS1, Jessica Garber, MPH1, Jody.
Evaluation of new medical school curricula: identifying and treating
The Association of Exposure to Adverse
Patrick Martin, MD. , Sally P. Weaver, PhD, MD. , Adam Flowers, MD
Navya Reddy,1 Geetha Raghuveer,2 , David White2
Health and wellness.
Texas Pediatric Society Electronic Poster Contest
Kreila Cote, Christie Miksys, Sapir Sasson, Jennifer Milliken, Julie L
THE RELATIONSHIP BETWEEN SOCIAL SUPPORT, ACES, AND CHRONIC PAIN
Maternal Demographics
ICAAP & IEA host a screening and discussion of Paper Tigers
Conclusions & Implications Table 1: Characteristics of Sample (N=156)
Introduction Hypotheses Results Discussion Method
Jessica A. Lanerie, MD1 and Teresa K. Duryea, MD2
ACEs, Toxic Stress, and Resilience: What do We Need to Know?
Adverse Childhood Experiences Study
Believed discrimination occurred because of their:
Comparison of the study findings: Male & female
Shudong Wang NWEA Liru Zhang Delaware Department of Education
Opportunities To Change The Outcomes Of Traumatized Children 2015
Cow Creek Health & Wellness Clinic & Behavioral Health
Bonnie Sanderson, PhD, RN
The Influence of Protective Factors on Perceived Impact of Adverse Childhood Experiences Laura Kenny, MPHc Thomas Jefferson University Background Results.
4th Nutrition Center Symposium November 10, 2018
Laurie Ross, PhD 2018 Family Impact Seminar Mosakowski Institute
A NEW UNDERSTANDING OF CHILDHOOD TRAUMA
Developing trust with adolescents
Adverse Childhood Experiences
Analysis of Parental Vaccine Beliefs by Child’s School Type
Introduction Results Methods Conclusions
Adverse Childhood Experiences (aces) in Delaware: Data from the
Adverse Childhood Experiences
Understanding the Effects of Trauma on Health
Wisconsin Adverse Childhood Experiences (ACE) Data
Metro ACEs Data 2018 Community Health Needs Assessment
Korey F. Beckwith & David E. Szwedo James Madison University
Kristin E. Gross & David E. Szwedo James Madison University
CONCLUSIONS & IMPLICATIONS
Rosemary White-Traut, PhD, RN, FAAN
ACE Bermuda Survey Development ACE Conference
Adverse Childhood experiences (ACE)
Adverse Childhood Experiences and Brain Development
Associations Between Feeding Practices and Maternal and Child Weight Among Mothers Who Do Not Correctly Identify Child’s Weight Status Rachel Tabak, PhD,
Detrimental to Childhood: An Analysis of Correlations Between
Training Module 1 of 10: ACEs, Stress, and Trauma
Presentation transcript:

Parental Adverse Childhood Experiences: Parent Perception of Health Impact and Screening Brooke Sweeney, MD1,2 Denise Dowd, MD, MPH3, Amy R Beck, PhD1,4, Amanda Bruce, PhD1,5 John D Cowden, MD, MPH2 & Kimberly A Randell, MD, MSc1,3 1 Center for Children’s Healthy Lifestyles & Nutrition, Kansas City, Missouri 2 Division of General Academic Pediatrics, Children’s Mercy Kansas City 3 Division of Emergency and Urgent Care Services, Children’s Mercy Kansas City 4 Division of Developmental and Behavioral Sciences, Children’s Mercy Kansas City 5 The University of Kansas Medical Center, Kansas City, Kansas Background ACEs (adverse childhood experiences) are repeated and/or prolonged stressful or traumatic experiences occurring prior to age 18. Nearly two-thirds of adults have experienced one ACE and 9-12% have experienced four or more ACEs. Adult studies demonstrate a dose-response relationship between ACEs and adult obesity. ACEs may be associated with childhood obesity. Parent ACEs may be associated with increased risk for child ACEs. Screening parents for their own ACEs has been suggested as a way to enhance child health care; however, parent opinion of such screening has not been explored. Objective: To determine parent perception of: ACEs impact on their own health and their child’s health; Their parenting; Screening for parent ACEs at pediatric visits. Results Results Participants: 78 Parent/guardians Female: 84% Male: 16% African American: 51% Latino/a: 25% Caucasian: 24% Multiracial: 12% Immigrant status: 15% Publically insured: 77% GED/high school degree or less education: 42% ACE score 4+ : Conventional: 16% Expanded: 25% Total ACE: 35% No significant differences by insurance, education, income or gender. Immigrant parents (N=7) perceived less effect of ACEs on parenting and child health (p=0.04). Multiracial parents (N=9) were more likely to agree that ACEs affected their weight (p<0.01) and parenting (p=0.01). Child: Parent: Figure 3. Agreement with Screening for Parental ACEs Methods Parents of children aged 6-12 years attending the general pediatric or weight management clinics of two children’s hospitals were surveyed. Measurement of acceptability of parental ACE screening; perception of impact of their own ACEs on their health, their child’s health and their parenting practices – with Likert Scales ACE score = total number of ACEs experienced Conventional ACEs: child abuse (physical, sexual, emotional), neglect (physical, emotional), household dysfunction (family violence, mental illness, substance abuse, criminal activity) Expanded ACEs: community violence, homeless, racism, unsafe neighborhood, bullying, poverty Analysis: Responses dichotomized: Strongly agree/agree VS Not sure/disagree/strongly disagree. Chi-square or Fisher’s exact tests. Figure 1. Percent of parents agreeing ACEs affect health, weight, and parenting. Child: Conclusions A minority of parents agreed that ACEs impact their health, parenting and their child’s health. More parents agreed that ACEs impact their child’s health, compared to their own health or parenting. Parents with ACE score > 4 were more likely to agree that ACEs impact their health, their child’s health, and their parenting. Most parents felt screening for parental ACEs is acceptable at child’s appointment. Differences by race, ethnicity, immigration status, and parent ACE history warrant further exploration in larger samples. Limitations: This is a relatively small sample of patients presenting to an academic general pediatric or weight management clinic in a single geographic area, limiting generalizability. Answers are potentially altered by recall bias, selection bias, and social desirability bias. Parent: Acknowledgments This work supported in part by the Center for Children’s Healthy Lifestyles & Nutrition Pilot Grant and the Children’s Mercy Summer Scholars Program. Figure 2. Percent of parents agreeing ACEs affect health, by number of parent ACEs. N for each category are as follows: 0 ACEs (N=23); 1-3 ACEs (N=27); 4+ ACEs (N=16). Significant results from crosstab analysis are represented with * (* p<0.05, ** p<0.01, *** p<0.001)