Journal article
The Burden of Adverse Childhood Experiences in Children and Those of Their Parents in a Burn Population
Journal of burn care & research, Vol.42(5), pp.944-952
09/30/2021
DOI: 10.1093/jbcr/irab009
PMCID: PMC8483149
PMID: 33484246
Abstract
The aim of this study was to determine the prevalence, type, and associations of parental and child adverse childhood experiences (ACEs) in children presenting with burn injuries. Parents of burned children completed an ACE-18 survey, including questions on parent and child ACEs, needs, and resiliency. Demographics, burn injury, hospital course, and follow-up data were collected. Family needs and burn outcomes of children with and without ACEs' exposure (no ACE vs one to two ACEs vs three or more ACEs) were analyzed. P <.05 was considered significant. Seventy-five children were enrolled-58.7% were male, 69.3% white. The average age was 6.0 ± 5.2 years. The average total burn surface area was 4.4 ± 5.7% (0.1-27%). Parent ACE exposure correlated with child ACE exposure (r = .57; P = .001) and this intensified by increasing child age (P = .004). Child ACE exposure showed a graded response to family needs, including food and housing insecurity and childcare needs. Stress and psychosocial distress of the parents was significantly associated with their children's ACE burden. The ACE burden of parents of burned children can affect the ACE load of their children. Burned children with more ACEs tend to have significantly more needs and more family distress. Awareness of past trauma can help identify a vulnerable population to ensure successful burn recovery.
Details
- Title: Subtitle
- The Burden of Adverse Childhood Experiences in Children and Those of Their Parents in a Burn Population
- Creators
- Jia Ern Ong - University of IowaMikenzy Fassel - University of IowaLaura Scieszinski - University of IowaSameen Hosseini - University of IowaColette Galet - University of IowaResmiye Oral - Dartmouth–Hitchcock Medical CenterLucy Wibbenmeyer - University of Iowa
- Resource Type
- Journal article
- Publication Details
- Journal of burn care & research, Vol.42(5), pp.944-952
- DOI
- 10.1093/jbcr/irab009
- PMID
- 33484246
- PMCID
- PMC8483149
- NLM abbreviation
- J Burn Care Res
- ISSN
- 1559-047X
- eISSN
- 1559-0488
- Grant note
- UL1 TR002537 / NCATS NIH HHS UL1TR002537 / NIH HHS NCATS NIH HHS
- Language
- English
- Date published
- 09/30/2021
- Academic Unit
- Stead Family Department of Pediatrics; Surgery; Injury Prevention Research Center
- Record Identifier
- 9984322932702771
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