Adverse Childhood Experience and Social Risk: Pediatric Practice and Potential

Conn, Anne-Marie; Szilagyi, Moira; Forkey, Heather

doi:10.1016/j.acap.2020.03.013

Cited by 7 publications

(2 citation statements)

References 10 publications

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“…Race-based stressors are threats of harm or injury, humiliating or shaming events, and witnessing harm to People of Color [ 30 , 31 ]. These race-based experiences have short-term and long-term impacts on mental health and physical health among socially disadvantaged racial and ethnic populations, including among children as adverse childhood experiences that can negatively impact well into adulthood as chronic health conditions [ 23 , 31 - 35 ]. Although the field has focused primarily on the experiences and consequences of race-based stress among African American people [ 36 ], AAs and NHs/PIs, along with minoritized groups, also suffer significantly from race-based stress [ 31 , 37 ].…”

Section: Introductionmentioning

confidence: 99%

An Antiracism Community-Based Participatory Research With Organizations Serving Immigrant and Marginalized Communities, Including Asian Americans and Native Hawaiians/Pacific Islanders in the United States Pacific Northwest: Qualitative Description Study With Key Informants

Nguyen-Truong¹,

Waters²,

Richardson³

et al. 2023

Asian Pac Isl Nurs J

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Background Asian American (AA) community leaders, Native Hawaiian/Pacific Islander (NH/PI) community leaders, and allies in the United States Pacific Northwest expressed concern that there are families and children from AA communities and NH/PI communities who experience and witness acts of xenophobia and racism. This can cause racial trauma. The long-time practice of aggregating AA and NH/PI data contributes to erasure and makes it challenging to advance health equity, such as allocating resources. According to AAPI Data’s long-awaited report in June 2022, there are over 24 million AAs and 1.6 million NHs/PIs in the United States, growing by 40% and 30%, respectively, between 2010 and 2020. Philanthropic investments have not kept up with this substantive increase. The National Academies of Sciences, Engineering, and Medicine emphasized the need for effective partnerships to advance the health and well-being of individuals and communities in antiracism and system-level research. Objective The aim of this community-based participatory research qualitative description study was to identify perceptions and experiences regarding racial discrimination, race-based stress, and racial trauma; intergenerational healing and resiliency; and sharing the body with science from key informants of an academic and community partnership to inform antiracism coalition work. This partnership includes academic researchers and community leaders from community-based organizations and a health care organization serving immigrant and marginalized communities, including AAs and NHs/PIs in the United States Pacific Northwest. Methods In total, 10 key informants joined 1 of 2 participatory group discussions via videoconference for 2 hours in 2022. We used a semistructured and open-ended group interview guide. A qualitative participatory group-level assessment was conducted with the key informants and transcribed. Interpretations and meanings of the main points and the main themes were reflected upon, clarified, and verified with the key informants in real time. The field note–based data transcripts were manually coded using conventional content analysis. Reflexivity was used. Results There were 6 main themes: prejudice plus power in racism definition and working in solidarity to counter lateral oppression/false sense of security, microaggression as multilayers, “not assimilationist by nature” and responding differently to white superiority, intergenerational- and identity-related trauma, what is healing among People of Color and through a lens of resiliency and intergenerational connection and knowledge, and mistrust and fear in the research and health care systems surrounding intentions of the body. Conclusions The themes highlight the importance of internal and intergenerational healing from racial trauma and the need for solidarity among communities of color to combat white supremacy and colonization. This work was foundational in an ongoing effort to dismantle racism and uplift the community voice through a cross-sector academic and community partnership to inform antiracism coalition work.

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Section: Introductionmentioning

confidence: 99%

An Antiracism Community-Based Participatory Research With Organizations Serving Immigrant and Marginalized Communities, Including Asian Americans and Native Hawaiians/Pacific Islanders in the United States Pacific Northwest: Qualitative Description Study With Key Informants

Nguyen-Truong¹,

Waters²,

Richardson³

et al. 2023

Asian Pac Isl Nurs J

View full text Add to dashboard Cite

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“…Returning to ACEs as an example, recent articles in this journal advance discussion about the relationship between research, practice, and policy, 8 for example how to effectively communicate about evidence to influence policy. 9 How can such discussions make best use of available screening data?…”

mentioning

confidence: 99%