Identification of determinants of healthy development after household challenge adverse childhood experiences in children born between 2000-2012 in Manitoba using administrative health, social, and education data
Notice bibliographique
Résumé
When children thrive in spite of experiencing adversity, they are called resilient. Finding a way to assess resilience using administrative data at the whole population level at low cost and minimal intervention was appealing. Qualities contributing to resilience include physical and mental health, functioning in society, and healthy development in childhood. The purpose of this study was to identify variables that are associated with healthy childhood development after exposure to household challenge adverse childhood experiences using administrative health, education and social data. The objectives were to describe the developmental outcomes of children exposed to adversities, to identify factors that are associated with healthy development after exposure to adversity, and to examine the identified factors in the context of a resilience framework. A cohort of children born in Manitoba between 2000-2012 was created. Children exposed to household challenge adverse childhood experiences were compared to unexposed children. Using the Early Development Instrument, children’s development was assessed on five domains at school entry. Children who met expectations in each domain despite exposure to adversity were considered resilient. Using regression models, variables that connected to sub-constructs of resilience were evaluated to determine if any were associated with resilience. Exploratory factor analysis determined whether factors that emerged mapped onto constructs of resilience previously defined in the literature. Children who were exposed to household challenge adverse childhood experiences had poorer developmental outcomes compared to their unexposed peers. Several individual-, family-, and community-level factors were associated with resilience including sex, age, being first-born, health, team parenting, parent education, not being a newcomer, residential stability, neighbourhood SES, and regular contact with the health system. These factors clustered into 7 latent factors: family structure, health, parenting capacity, socio-economic status, optimal childhood health care, support seeking, and supported parenting. A major benefit of this study was the establishment of a cohort of children with household challenge adverse childhood experiences, supporting future research into health, educational, and social outcomes related to childhood adversity. This strengths-based study allows for the use of resilience as an outcome measure in policy evaluation requiring little intervention, no primary data collection, and reduced time and cost.
Récupéré en direct depuis OpenAlex et désinversé. Les résumés ne sont pas conservés dans cette base de données : les index inversés représentent 8,6 Go des 9,3 Go de texte de la base, et le serveur dispose de 13 Go libres.
Comment cette classification a été obtenuedéplier
Prédiction machine sur la base complète
Imitation des enseignantsNi prévalence calibrée, ni vérité terrain. Validation humaine à venir. Le volet Gemma est une étiquette directe du modèle pour chaque travail de la base, lue sur la notice réduite au titre. Le volet Codex est un classifieur appris des 10 348 étiquettes directes de Codex et calibré sur les taux pondérés de l'échantillon; les champs sans appui suffisant ne portent aucun appel Codex. Le mode candidate est l'union des deux volets; le consensus est leur intersection. Ces sorties portent le statut machine_predicted_unvalidated et ne sont pas des étiquettes humaines.
Scores du classifieur distillé par catégorie (deux têtes)
| Catégorie | Codex | Gemma |
|---|---|---|
| Métarecherche | 0,001 | 0,002 |
| Méta-épidémiologie (sens strict) | 0,000 | 0,000 |
| Méta-épidémiologie (sens large) | 0,000 | 0,000 |
| Bibliométrie | 0,001 | 0,003 |
| Études des sciences et des technologies | 0,001 | 0,001 |
| Communication savante | 0,001 | 0,000 |
| Science ouverte | 0,001 | 0,001 |
| Intégrité de la recherche | 0,000 | 0,001 |
| Charge utile insuffisante (le modèle a refusé de juger) | 0,001 | 0,000 |
Scores machine (provisoires)
Les deux têtes enseignantes du modèle étudiant, lues sur ce travail. Un score ordonne la base pour la relecture; il n'affirme jamais une catégorie, et le statut de validation accompagne chaque rangée tel quel.
Scores de référence d'un modèle non mature (critères de maturité non atteints, 7 itérations). Un score ordonne; il n'affirme jamais une catégorie.
score_only:v0-immature-baseline · tel quel depuis la passe de notation : score_only signifie que le nombre peut ordonner les travaux, et qu'aucune étiquette de catégorie n'en découleClassification
machine, non validéePrédiction automatique; un appel candidat d’une seule source (Gemma direct ou Codex distillé), pas un consensus.
Le détail, modèle par modèle et score par score, se trouve en fin de page sous « Comment cette classification a été obtenue ».