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Do pediatricians ask about adverse childhood experiences in pediatric primary care?

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dc.contributor.author Kerker, B. D., Storfer-Isser, A., Szilagyi, M., Stein, R. E., Garner, A. S., O'Connor, K. G., ... & Horwitz, S. M.
dc.date.accessioned 2017-03-24T15:35:14Z
dc.date.available 2017-03-24T15:35:14Z
dc.date.issued 2016
dc.identifier.citation Kerker, B. D., Storfer-Isser, A., Szilagyi, M., Stein, R. E., Garner, A. S., O'Connor, K. G., ... & Horwitz, S. M. (2016). Do pediatricians ask about adverse childhood experiences in pediatric primary care?. Academic pediatrics, 16(2), 154-160. en_US
dc.identifier.uri https://www.aap.org/en-us/Documents/journals_research_update.pdf
dc.identifier.uri http://hdl.handle.net/11212/3276
dc.description.abstract The stress associated with adverse childhood experiences (ACEs) has immediate and long-lasting effects. The objectives of this study were to examine 1) how often pediatricians ask patients’ families about ACEs, 2) how familiar pediatricians are with the original ACE study, and 3) physician/ practice characteristics, physicians’ mental health training, and physicians’ attitudes/beliefs that are associated with asking about ACEs. Data were collected from 302 nontrainee pediatricians exclusively practicing general pediatrics who completed the 2013 American Academy of Pediatrics Periodic Survey. Pediatricians indicated whether they usually, sometimes, or never inquired about or screened for 7 ACEs. Sample weights were used to reduce nonresponse bias. Weighted descriptive and logistic regression analyses were conducted. Only 4% of pediatricians usually asked about all 7 ACEs; 32% did not usually ask about any. Less than 11% of pediatricians reported being very or somewhat familiar with the ACE study. Pediatricians who screened/inquired about ACEs usually asked about maternal depression (46%) and parental separation/divorce (42%). Multivariable analyses showed that pediatricians had more than twice the odds of usually asking about ACEs if they disagreed that they have little effect on influencing positive parenting skills, disagreed that screening for social emotional risk factors within the family is beyond the scope of pediatricians, or were very interested in receiving further education on managing/treating mental health problems in children and adolescents. Few pediatricians ask about all ACEs. Pediatric training that emphasizes the importance of social/emotional risk factors may increase the identification of ACEs in pediatric primary care. en_US
dc.language.iso en_US en_US
dc.publisher Academic pediatrics en_US
dc.subject Adverse Childhood Experiences (ACE) en_US
dc.subject Pediatric care en_US
dc.subject assessment en_US
dc.subject screening en_US
dc.title Do pediatricians ask about adverse childhood experiences in pediatric primary care? en_US
dc.type Article en_US


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