Emma Boswell, Elizabeth Crouch, Cassie Odahowski, Peiyin Hung
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Rural-Urban Differences in the Prevalence of Adverse Childhood Experiences Following the COVID-19 Pandemic.
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.
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.
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