Primary Care Pediatricians' Perceived Prevalence and Surveillance of Adverse Childhood Experiences in Low-Income Children

Journal of Health Care for the Poor and Underserved
Melissa A BrightElizabeth Shenkman

Abstract

A recent policy statement from the American Academy of Pediatrics outlines the central role of pediatricians in screening for and addressing precipitants of toxic stress (e.g., adverse experiences). Despite these recommendations, it is unknown whether pediatricians are in fact screening for these precipitants. A sample of 210 pediatricians serving low-income children completed a survey regarding their responses to adverse childhood experiences (ACEs). Participants were asked to estimate the prevalence of ACEs in their practice, their current practices, and recommendations for screening. For nearly all ACEs, pediatricians' estimates of the prevalence in their practice were lower than state-reported prevalence. For many ACEs, the number of pediatricians who support the need for recommended screening was far higher than the number who reported actually screening. Our findings suggest clinicians serving primarily low-income families recommend screening but may underestimate the prevalence of ACEs in their practice and may not be equipped to screen or address these matters consistently.

Associated Clinical Trials

Citations

Nov 24, 2017·Clinical Pediatrics·Canan KaratekinAndrew Barnes
Oct 18, 2019·Pediatric Research·Andrew J BarnesLindsay Acheson Thompson
Jan 9, 2020·Social Work in Public Health·Tierney K PoppElizabeth A Bumpus
Jan 4, 2019·Journal of Paediatrics and Child Health·Yuanee WickramasingheRomy Hurwitz
Jan 20, 2021·Pediatric Research·Marcela LopezKanwaljeet J S Anand
Sep 24, 2020·The Journal for Nurse Practitioners : JNP·Christina RaridenDeborah Loman
Jan 16, 2021·Pediatric Research·Lindsay A ThompsonMatthew J Gurka
Aug 4, 2021·Journal of Child and Adolescent Psychiatric Nursing : Official Publication of the Association of Child and Adolescent Psychiatric Nurses, Inc·Ruthanne PalumboNancy R Ahern

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