Background

Adverse childhood experiences (ACEs) have been associated with poorer health from childhood into adulthood. There has been limited prior research examining the associations between positive childhood experiences (PCEs) and health among children.

Objective

The present study examines the association between PCES and child health, controlling for ACE counts, using a nationally representative sample.

Participants and Setting

: The data for this study came from the 2019–2020 National Survey of Children’s Health and were limited to children six years of age or older with complete demographic information and information on ACEs, PCEs, and child health (n = 46,913).

Methods

Bivariate analyses between PCEs, ACEs, child/adolescent characteristics, or caregiver’s characteristics and child/adolescent health were examined using Pearson’s Chi-square tests, weighted to produce nationally representative distributions. Multivariable regression models were used to examine the association between selected PCEs and good health, controlling for whether a child had two or more ACEs.

Results

In adjusted analyses, children who experienced any of the following PCEs had a higher odds of good health, compared to children who did not experience each type of these PCEs: after school activities (aOR 1.85; 95% CI 1.11–3.09), resilient family (aOR 2.22; 95% CI 1.45–3.41), supportive neighborhood (aOR 1.56; 95% CI 1.01–2.41), and connected caregiver (aOR 1.84; 95% CI 1.22–2.77).

Conclusions

Examining and understanding PCEs and how they are associated with child health is a unique opportunity to guide more targeted policies and intervention efforts. Efforts to provide PCEs in schools, homes, and communities may help to reduce health inequities early in childhood.

中文翻译：

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美国儿童和青少年健康：不良和积极的童年经历的作用

背景

不良童年经历（ACE）与从童年到成年的健康状况较差有关。先前关于积极的童年经历（PCE）与儿童健康之间关系的研究非常有限。

客观的

本研究使用全国代表性样本，在控制 ACE 计数的情况下，探讨了 PCES 与儿童健康之间的关联。

参与者及设置

：本研究的数据来自 2019-2020 年全国儿童健康调查，仅限于六岁或以上且拥有完整人口统计信息以及 ACE、PCE 和儿童健康信息的儿童 (n = 46,913)。

方法

使用皮尔逊卡方检验对 PCE、ACE、儿童/青少年特征或看护者特征和儿童/青少年健康之间的双变量分析进行检查，并加权以产生全国代表性的分布。使用多变量回归模型来检查选定的 PCE 与良好健康之间的关联，并控制儿童是否有两个或多个 ACE。

结果

在调整后的分析中，与未经历过每种 PCE 的儿童相比，经历过以下任何 PCE 的儿童健康状况良好的几率更高：课后活动（aOR 1.85；95% CI 1.11–3.09）、有弹性的家庭（aOR 2.22；95% CI 1.45–3.41）、支持性邻里（aOR 1.56；95% CI 1.01–2.41）和有联系的看护者（aOR 1.84；95% CI 1.22–2.77）。

结论

检查和了解 PCE 及其与儿童健康的关系是指导更有针对性的政策和干预工作的独特机会。在学校、家庭和社区提供 PCE 的努力可能有助于减少儿童早期的健康不平等。