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Abstract Objective : To develop, validate and estimate national and across state prevalence on a multi-dimensional index that assesses the complex medical, social and relational health risks experienced by US children Methods : Data from the National Survey of Children's Health was used to construct the Integrated Child Risk Index (ICRI) which includes medical health risk (MHR), social health risk (SHR) and relational health risk (RHR) domains.
Authors and Disclosures David Bergman, MD1, Christina Bethell, PhD2, Narangerel Gombojav, PhD2, Sandra Hassink, MD, FAAP3 and Kurt C. Stange, MD, PhD4 1Stanford University, Stanford, California 2Johns Hopkins University, Baltimore, Maryland 3Nemours Children's Health System, Wilmington, Delaware 4Case Western Reserve University, Cleveland, Ohio Corresponding Author Kurt C.
Abstract In light of concerns over the potential detrimental effects of declining care continuity, and the need for connection between patients and health care providers, our multidisciplinary group considered the possible ways that relationships might be developed in different kinds of health care encounters.
To view the full text, please login as a subscribed user or purchase a subscription. Click here to view the full text on ScienceDirect. FiguresFigure 1Prevalence of assessment of particular ACEs among 14 tools evaluated in this article.Figure 2Adjusted odds ratios for emotional, mental, or behavioral problems (age 2–17 years) by adverse childhood experiences.Figure 3Prevalence of children with special health care needs with complex needs, by income and adverse childhood experiences (ACEs) status.
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