Because of the many things that Adverse Childhood Experiences lead to, the problem of adverse childhood experience is the most important public health problem ever seen…
July 26, 2010 § Leave a comment
“The [ACE-] study is a wake-up call for the medical and public health communities that previously thought that high levels of child trauma, including sexual and physical abuse, were seen only in disadvantaged populations.
The 17,000 people who comprise the ACE study are typically American middle-class – 80 percent white, 10 percent Asian, 10 percent Latino. Seventy-four percent attended college; 46 percent graduated from college. Their average age: 57./…/
‘The study is disquieting in its description of the frequency of abuse against children and how often families appear to be dysfunctional,’ wrote epidemiologist Dr. William Foege, former director of the CDC, a senior fellow with the Bill and Melinda Gates Foundation and a legend in the field of public health, in an editorial in the American Journal of Preventive Medicine.
‘It is not what we want to believe about our culture, our neighborhoods, or ourselves. And yet as troubling as the data seem to be, we need to confront the problems described and find an appropriate public health response.’/…/
…fixing the obesity problem with diets or advice about eating won’t have any effect. ‘Nutrition is a nice subject and has nothing to do with obesity,’ he explains. ‘Teaching people about nutrition is essentially predicated on the assumption that people get fat because they don’t know any better./…/
Regarding the larger issue – the effect of behavior on chronic disease – one thing is very clear to Felitti and Anda. If physicians don’t address how childhood trauma affects people’s health, it’s not likely that patients will change their behavior. They won’t lose the weight, stop the smoking or dig out of the depression that contributes to their diseases.”
July 15, 2010 § Leave a comment