Rural-Urban Differences in the Prevalence of Adverse Childhood Experiences Following the COVID-19 Pandemic.

IF 1.2 4区医学 Q4 HEALTH POLICY & SERVICES

Journal of Health Care for the Poor and Underserved Pub Date : 2025-01-01 DOI:10.1353/hpu.2025.a959111

Emma Boswell, Elizabeth Crouch, Cassie Odahowski, Peiyin Hung

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引用次数: 0

Abstract

Objective: The prevalence of adverse childhood experiences (ACEs) increased during the COVID-19 pandemic, but rural-urban differences have not yet been analyzed. This study examines rural-urban disparities in the prevalence of and predictors of experiencing ACEs during COVID-19.

Methods: Using data from the 2021-2022 National Health Interview Survey, rural-urban differences in the type and number of ACEs and the odds of having experienced four or more ACEs were analyzed.

Findings: Rural children were more likely to experience most ACEs; there were no significant differences for racial discrimination. After adjustment, there were no rural-urban differences in the odds of having four or more ACEs. Children with a lower household income had greater odds of experiencing four or more ACEs than those with a higher income, regardless of rurality.

Conclusions: The findings of this study may be helpful in guiding stakeholders considering the populations in need of resources for impacts of ACEs, particularly rural children and children in poverty.

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COVID-19大流行后儿童不良经历发生率的城乡差异

目的：2019冠状病毒病（COVID-19）大流行期间，儿童不良经历（ace）患病率有所上升，但尚未分析城乡差异。本研究考察了COVID-19期间经历ace的流行率和预测因素在城乡之间的差异。方法：利用2021-2022年全国健康访谈调查的数据，分析城乡在ace类型、次数以及经历四次及以上ace的几率方面的差异。研究发现：农村儿童更容易经历ace；在种族歧视方面差异不显著。经过调整后，城乡之间出现四次或更多ace的几率没有差异。与农村地区无关，家庭收入较低的孩子比收入较高的孩子经历四次或更多ace的几率更大。结论：本研究的结果可能有助于指导利益相关者考虑需要资源的人群，特别是农村儿童和贫困儿童的影响。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Health Care for the Poor and Underserved Multiple-

CiteScore

2.00

自引率

7.10%

发文量

154

期刊介绍： The journal has as its goal the dissemination of information on the health of, and health care for, low income and other medically underserved communities to health care practitioners, policy makers, and community leaders who are in a position to effect meaningful change. Issues dealt with include access to, quality of, and cost of health care.