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Resilience and protective factors in childhood: Understanding the relationship of positive health indicators to home, school, and community environment
Christina Bethell, PhD, MBA, MPH,
Department of Pediatrics, School of Medicine, The Child and Adolescent Health Measurement Initiative, Oregon Health & Science University, Portland, OR
Neal Halfon, MD, MPH,
Center for Healthier Children, Families, and Communities, University of California, Los Angeles, Los Angeles, CA
Paul Newacheck, DrPH,
Institute of Health Policy Studies, University of California, San Francisco, San Francisco, CA
Eva Hawes, MPH, CHES,
Department of Pediatrics, School of Medicine, The Child and Adolescent Health Measurement Initiative, Oregon Health & Science University, Portland, OR
Resiliency, optimism, curiosity and engagement in learning are elements of positive health development in children. Positive health indicators were newly included in the embargoed 2011/12 National Survey of Children's Health (2011/12), which provides an opportunity to look at associations across demographic subgroups, and environments in which children live. National and state level positive health indicators prevalence will be calculated across a range of child subgroups and states. National and state-level prevalence of positive health indicators will be calculated based on the age-specific items (children 6 months-5 years: 4 items, and children 6-17 years: 5 items), in addition to analysis of a composite score for flourishing items. Flourishing items measure resiliency, attachment and connection with caregiver, curiosity and learning, and engagement in school. Demographic prevalence and child's health status, including presence of emotional, behavioral or developmental problems, will be explored for association with flourishing score. Examination of related factors, including parent-child interactions, adverse childhood experiences, school performance, and neighborhood safety and support, will provide a more comprehensive picture of children's health and well-being. Protective factors such as positive health development have been shown to correlate with school performance, social integration and overall mental/emotional health throughout a child's life. Understanding the relationship between protective factors and healthy development is essential to improving and constructing programs that promote the well-being of all children. The disparities between demographic subgroups and associations with home, school and neighborhood environments inform efforts to improve policy and program management to help children achieve healthy development across the lifespan.
Learning Areas:
Public health or related research
Social and behavioral sciences
Systems thinking models (conceptual and theoretical models), applications related to public health
Learning Objectives:
Evaluate national prevalence and variations in positive health development within the 2011/12 National Survey of Children’s Health (NSCH).
Describe association of positive health indicators with home, school, and community environments.
Analyze relationships between risk and protective factors in children, and ways to help children achieve healthy development across the lifespan.
Keyword(s): Children and Adolescents, Well-Being
Presenting author's disclosure statement:Qualified on the content I am responsible for because: I am Director of The Child and Adolescent Health Measurement Initiative (CAHMI) and Data Resource Center for Child and Adolescent Health, where our mission is to advance a patient-centered health care system. I serve as principle investigator for the collaborative development, validation and implementation of health and health care quality tools. Additional expertise in the development of systems of care that address the early socioemotional factors essential to promoting healthy development over the life course.
Any relevant financial relationships? No
I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines,
and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed
in my presentation.
