干旱区生态环境知识资源中心(Arid): Quantifying Adverse Childhood Experiences in Oklahoma With the Oklahoma Adversity Surveillance Index System (OASIS): Development and Cross-Sectional Study

Arid

DOI	10.2196/45891
	Quantifying Adverse Childhood Experiences in Oklahoma With the Oklahoma Adversity Surveillance Index System (OASIS): Development and Cross-Sectional Study
	Beaman, Jason Walter; Miner, Cherie Josephine; Bolinger, Cadence
通讯作者	Beaman, JW
来源期刊	JMIR PUBLIC HEALTH AND SURVEILLANCE
ISSN	2369-2960
出版年	2023
卷号	9
英文摘要	Background: Developmental trauma depending on several factors may lead to later adult health risks and is an increasing public health concern, especially in states with predominantly rural populations. Oklahoma remains one of the states in America with the highest count of adverse childhood experiences (ACEs); therefore, more refined research methods for quantifying ACEs are vital for ensuring proper statewide interventions. Objective: While data sets already exist at the state level measuring specific ACEs like divorce or child abuse, the state currently lacks a single source for specific ACEs that can incorporate regions to allow for the identification of counties where ACEs are especially high. This county identification will allow for assessing trends in adversity prevalence over time to indicate where targeted interventions should be done and which counties experience amplified long-term consequences of high ACE rates. Thus, the model for the Oklahoma Adversity Surveillance Index System (OASIS) was born-a public health tool to map ACEs at the county level and grade them by severity over time. Methods: County-level data for 6 ACEs (mental illness, divorce, neglect, child abuse, domestic violence, and substance use) were collected from the Oklahoma Department of Human Services, Oklahoma State Department of Health, and Oklahoma Community Mental Health Centers for the years 2010 to 2018. First, a potential ACEs score (PAS) was created by standardizing and summing county rates for each ACE. To examine the temporal change in the PAS, a bivariate regression analysis was conducted. Additionally, an ACEs severity index (ASI) was created as a standardized measure of ACE severity across time. This included scoring counties based on severity for each ACE individually and summing the scores to generate an overall ASI for each county, capturing the severity of all ACEs included in the analysis. Results: Mental illness and substance use showed the highest rates at the state level. Results from the regression were significant (F-1,F-76=5.269; P=.02), showing that county PAS showed an increase over years. The ASI scores ranged from 0 to 6, and 4 Oklahoma counties (Adair, McCurtain, Muskogee, and Pittsburg) received a score of 6. Conclusions: OASIS involves the identification of counties where ACEs are most prevalent, allowing for the prioritization of interventions in these hot spot counties. In addition, regression analysis showed that ACEs increased in Oklahoma from 2010 to 2018. Future efforts should center on adding additional ACEs to the ASI and correlating adverse outcome rates (such as violence and medical disorder prevalence) at the county level with high ASI scores.
英文关键词	statewide intervention adverse childhood experiences public health surveillance system trauma rural mental illness childhood trauma surveillance developmental trauma adult
类型	Article
语种	英语
开放获取类型	Green Published, gold
收录类别	SCI-E ; SSCI
WOS记录号	WOS:001160526400004
WOS关键词	WHITE HEALTH DISPARITIES ; UNITED-STATES ; OUTCOMES ; CHILDREN ; CHICAGO
WOS类目	Public, Environmental & Occupational Health
WOS研究方向	Public, Environmental & Occupational Health
资源类型	期刊论文
条目标识符	http://119.78.100.177/qdio/handle/2XILL650/397088
推荐引用方式 GB/T 7714	Beaman, Jason Walter,Miner, Cherie Josephine,Bolinger, Cadence. Quantifying Adverse Childhood Experiences in Oklahoma With the Oklahoma Adversity Surveillance Index System (OASIS): Development and Cross-Sectional Study[J],2023,9.
APA	Beaman, Jason Walter,Miner, Cherie Josephine,&Bolinger, Cadence.(2023).Quantifying Adverse Childhood Experiences in Oklahoma With the Oklahoma Adversity Surveillance Index System (OASIS): Development and Cross-Sectional Study.JMIR PUBLIC HEALTH AND SURVEILLANCE,9.
MLA	Beaman, Jason Walter,et al."Quantifying Adverse Childhood Experiences in Oklahoma With the Oklahoma Adversity Surveillance Index System (OASIS): Development and Cross-Sectional Study".JMIR PUBLIC HEALTH AND SURVEILLANCE 9(2023).