ACE-IQ

Adverse Childhood Experiences International Questionnaire (ACE-IQ)
پرسشنامه بین المللی تجارب نامطلوب دوران کودکی
Adverse Childhood Experiences International Questionnaire (ACE-IQ) A1.1
Section A: Rationale for ACE-IQ
Adverse Childhood Experiences International Questionnaire (ACE-IQ)
Rationale for ACE-IQ
 Background The consequences of adverse childhood experiences (ACEs) such as child maltreatment and other traumatic stressors for health risk behaviours and long-term chronic diseases has been the focus of a growing number of studies.
 However many countries have yet to appreciate the major public health implications of ACEs and their lifelong consequences. For this recognition to spread requires that data on ACEs are collected as part of broader health and health risk behaviour surveys‚ and that the findings are used to advocate for and inform policies and programmes designed to reduce ACEs and promote safe‚ stable and nurturing relationships between children and their parent or caregivers.
 Aim The International ACE Research Network has produced the ACE-IQ which will enable the measurement of childhood adversities in all countries and comparisons of such adversities between them; the drawing of associations between childhood adversities and health risk behaviours and health outcomes in later life; advocacy for increased investments to reduce childhood adversities‚ and scientific information to inform the design of prevention programmes.
 Implementation
 ACE-IQ should always be integrated into broader health surveys. Although data about adversities on their own may be useful for some purposes‚ the real value of ACE-IQ lies in demonstrating the associations between early exposures to ACEs and subsequent risk behaviours and health outcomes. It is only by integrating ACE-IQ into broader health surveys that such associations can be measured.
 When the ACE-IQ is administered as part of broader health surveys it should be included in the middle of the instrument to ensure that an adequate level of rapport between the interviewer and respondent can be established before asking the sensitive questions it contains. As some of the questions in the ACE-IQ may cause upset for a participant it is strongly recommended that wherever the ACE-IQ is implemented a list of reputable‚ reliable and responsible local services should be available‚ so that the interviewer can direct the participant to the appropriate source of help or support.
The ACE-IQ can be translated into the appropriate language for use in the country where it's being delivered‚ but the normal procedures of translation and back translation must be followed in order to ensure the fidelity of the translation.
 Testing The current stage in the development of the ACE-IQ instrument‚ following international field-testing (2009-2011)‚ is to test the reliability and validity of ACE-IQ by implementing it as part of broader health surveys in 6-8 countries. These surveys should aim to produce data that can be used to test the psychometric properties of the tool‚ compare findings across sites and with other studies‚ and check internal consistencies.
Section B: Questionnaire
B1.1
 Adverse Childhood Experiences International Questionnaire (ACE-IQ)
Participant Identification Number: [ ][ ] [ ][ ] [ ][ ]
 0
DEMOGRAPHIC INFORMATION
01
[C1]
Sex (Record Male / Female as observed)
Male
Female
0.2
[C2]
What is your date of birth?
Day [ ][ ] Month [ ][ ] Year [ ][ ][ ][ ]
Unknown (Go to Q.C3)
0.3 [C3]
How old are you?
[ ][ ]
0.4
[C4]
What is your [in‎sert relevant ethnic group / racial group / cultural group / others] background?
[Locally defined]
[Locally defined]
[Locally defined]
Refused
0.5
[C5]
What is the highest level of education you have completed?
No formal schooling
Less than primary school
Primary school completed
Secondary/High school completed
College/University completed
Post graduate degree
Refused
0.6
[C6]
Which of the following best describes your main work status over the last 12 months?
Government employee
Non-government employee
Self-employed
Non-paid
Student
Homemaker
Retired
Unemployed (able to work)
Unemployed (unable to work)
Refused
0.7
[C7]
What is your civic status?
Married (Go to Q.M2)
Living as couple
Divorced or separated
Single
Widowed (Go to Q.M2)
Other
Refused
1
MARRIAGE
1.1
[M1]
 
Have you ever been married?
Yes
No (Go to Q.M5)
Refused
1.2
[M2]
At what age were you first married?
Age [ ][ ]
Refused
1.3
[M3]
At the time of your first marriage did you yourself choose your husband/wife?
Yes (Go to Q.M5)
No
Don't know / Not sure
Refused
1.4
[M4]
At the time of your first marriage if you did not choose your husband/wife yourself‚ did you
give your consent to the choice?
Yes
No
Refused
1.5
[M5]
If you are a mother or father what was your age when your first child was born?
 
Age [ ][ ]
Not applicable
Refused
2
RELATIONSHIP WITH PARENTS/GUARDIANS
When you were growing up‚ during the first 18 years of your life . . .
2.1
[P1]
Did your parents/guardians understand your problems and worries?
Always
Most of the time
Sometimes
Rarely
Never
Refused
2.2
[P2]
Did your parents/guardians really know what you were doing with your free time when you were not at school or work?
Always
Most of the time
Sometimes
Rarely
Never
Refused
3
3. 1
[P3]
How often did your parents/guardians not give you enough food even when they could easily have done so?
Many times
A few times
Once
Never
Refused
3.2
[P4]
Were your parents/guardians too drunk or intoxicated by drugs to take care of you?
Many times
A few times
Once
Never
Refused
3.3
[P5]
How often did your parents/guardians not send you to school even when it was available?
 
Many times
A few times
Once
Never
Refused
4
FAMILY ENVIRONMENT
When you were growing up‚ during the first 18 years of your life . . .
4.1
[F1]
Did you live with a household member who was a problem drinker or alcoholic‚ or misused street or prescription drugs?
Yes
No
Refused
4.2
[F2]
Did you live with a household member who was depressed‚ mentally ill or suicidal?
Yes
No
Refused
4.3
[F3]
Did you live with a household member who was ever sent to jail or prison?
Yes
No
Refused
4.4
[F4]
Were your parents ever separated or divorced?
Yes
No
Not applicable
Refused
4.5
[F5]
Did your mother‚ father or guardian die?
Yes
No
Don't know / Not sure
Refused
These next questions are about certain things you may actually have heard or seen IN YOUR HOME. These are things that may have been done to another household member but not necessarily to you.
When you were growing up‚ during the first 18 years of your life . . .
4.6
[F6]
Did you see or hear a parent or household member in your home being yelled at‚ screamed at‚ sworn at‚ insulted or humiliated?
Many times
A few times
Once
Never
Refused
4.7
[F7]
Did you see or hear a parent or household member in your home being slapped‚ kicked‚ punched or beaten up?
Many times
A few times
Once
Never
Refused
4.8
[F8]
Did you see or hear a parent or household member in your home being hit or cut with an object‚ such as a stick (or cane)‚ bottle‚ club‚ knife‚ whip etc.?
Many times
A few times
Once
Never
Refused
These next questions are about certain things YOU may have experienced.
When you were growing up‚ during the first 18 years of your life . . .
5
5.1
[A1]
Did a parent‚ guardian or other household member yell‚ scream or swear at you‚ insult or humiliate you?
Many times
A few times
Once
Never
Refused
5.2
[A2]
Did a parent‚ guardian or other household member threaten to‚ or actually‚ abandon you or throw you out of the house?
Many times
A few times
Once
Never
Refused
5.3
[A3]
Did a parent‚ guardian or other household member spank‚ slap‚ kick‚ punch or beat you up?
Many times
A few times
Once
Never
Refused
5.4
[A4]
Did a parent‚ guardian or other household member hit or cut you with an object‚ such as a stick (or cane)‚ bottle‚ club‚ knife‚ whip etc?
Many times
A few times
Once
Never
Refused
 
5.5
[A5]
Did someone touch or fondle you in a sexual way when you did not want them to?
Many times
A few times
Once
Never
Refused
5.6
[A6]
Did someone make you touch their body in a sexual way when you did not want them to?
Many times
A few times
Once
Never
Refused
5.7
[A7]
Did someone attempt oral‚ anal‚ or vaginal intercourse with you when you did not want them to?
Many times
A few times
Once
Never
Refused
5.8
[A8]
Did someone actually have oral‚ anal‚ or vaginal intercourse with you when you did not want them to?
Many times
A few times
Once
Never
Refused
6
PEER VIOLENCE
These next questions are about BEING BULLIED when you were growing up. Bullying is when a young person or group of young people say or do bad and unpleasant things to another young person. It is also bullying when a young person is teased a lot in an unpleasant way or when a young person is left out of things on purpose. It is not bullying when two young people of about the same strength or power argue or fight or when teasing is done in a friendly and fun way.
When you were growing up‚ during the first 18 years of your life . . .
6.1
[V1]
How often were you bullied?
Many times
A few times
Once
Never (Go to Q.V3)
Refused
6.2
[V2]
How were you bullied most often?
I was hit‚ kicked‚ pushed‚ shoved around‚ or locked indoors
I was made fun of because of my race‚ nationality or colour
I was made fun of because of my religion
I was made fun of with sexual jokes‚ comments‚ or gestures
I was left out of activities on purpose or completely ignored
I was made fun of because of how my body or face looked
I was bullied in some other way
Refused
This next question is about PHYSICAL FIGHTS. A physical fight occurs when two young people of about the same strength or power choose to fight each other.
When you were growing up‚ during the first 18 years of your life . . .
6.3
[V3]
How often were you in a physical fight?
Many times
A few times
Once
Never
Refused
7
WITNESSING COMMUNITY VIOLENCE
 
These next questions are about how often‚ when you were a child‚ YOU may have seen or heard certain things in your NEIGHBOURHOOD OR COMMUNITY (not in your home or on TV‚ movies‚ or the radio).
When you were growing up‚ during the first 18 years of your life . . .
7.1
[V4]
Did you see or hear someone being beaten up in real life?
Many times
A few times
Once
Never
Refused
7.2
[V5]
Did you see or hear someone being stabbed Many times or shot in real life?
Many times
A few times
Once
Never
Refused
7.3
[V6]
Did you see or hear someone being threatened with a knife or gun in real life?
Many times
A few times
Once
Never
Refused
8
EXPOSURE TO WAR/COLLECTIVE VIOLENCE
 
These questions are about whether YOU did or did not experience any of the following events when you were a child. The events are all to do with collective violence‚ including wars‚ terrorism‚ political or ethnic conflicts‚ genocide‚ repression‚ disappearances‚ torture and organized violent crime such as banditry and gang warfare.
When you were growing up‚ during the first 18 years of your life . . .
 
8.1
[V7]
Were you forced to go and live in another place due to any of these events?
Many times
A few times
Once
Never
Refused
8.2
[V8]
Did you experience the deliberate destruction of your home due to any of these events?
Many times
A few times
Once
Never
Refused
8.3
[V9]
 
Were you beaten up by soldiers‚ police‚ militia‚ or gangs?
Many times
A few times
Once
Never
Refused
8.4
[V10]
Was a family member or friend killed or beaten up by soldiers‚ police‚ militia‚ or gangs?
Many times
A few times
Once
Never
Refused
سایت روان سنجی : پرسشنامه بین المللی تجارب نامطلوب دوران کودکی از سال 2006 در برنامه بوده و از سال 2009 – 2011 در برخی کشورها مورد بررسی قرار گرفته و از برنامه های تحت پوشش سازمان بهداشت جهانی WHO است . اگر علاقمند به کار در زمینه این پرسشنامه باشید می توانید با این نشانی butch‎arta@who.int ارتباط برقرار کنید.
پرسشنامه بین المللی تجارب نامطلوب دوران کودکی
http://www.who.int/violence_injury_prevention/violence/activities/adverse_childhood_experiences/q_by_q_document.pdf
   
خرداد 1396
اسفند 1395
آبان 1395
فروردین 1394
خرداد 1393
فروردین 1393
اسفند 1392
بهمن 1392
دی 1390
آذر 1390
تیر 1390
خرداد 1390
اردیبهشت 1390
بهمن 1389
دی 1389
اردیبهشت 1389
دی 1388
آبان 1388
شهریور 1388
مرداد 1388
تیر 1388
خرداد 1388
   
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