Experiencias Adversas de la Infancia
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Resumen
Las Experiencias Adversas de la Infancia (ACE) son situaciones estresantes que ocurren antes de los 18 años, estas son altamente prevalentes en nuestro medio y se asocian con riesgo incrementado de resultados adversos en la salud física, oportunidades de vida, educación, comportamiento social y salud mental a corto, mediano y largo plazo. Debido a la inmadurez de diversos sistemas fisiológicos, donde destaca el eje hipotálamo-hipófisis-adrenal, los niños expuestos a ACE pueden sufrir estrés tóxico y sus consecuencias, lo que podría ser transmitido transgeneracionalmente por mecanismos epigenéticos no del todo dilucidados. Existen distintos grupos poblacionales que han sido económica o socialmente marginalizados que tienen mayor riesgo de padecer ACE, por lo que se han propuesto distintas políticas en salud pública para prevenir o disminuir la exposición de los niños a los traumas infantiles. Este artículo revisa la adversidad infantil, estrés traumático tóxico, ACE en poblaciones afectadas desproporcionalmente y estrategias para la prevención.
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