不良童年经历与身体,精神和行为健康之间的关系中的种族差异
Tracy Lam-Hine1, Corinne A Riddell2, Patrick T Bradshaw3
1Stanford University School of Medicine, Division of Epidemiology & Population Health, Palo Alto, CA.
medRxiv : the preprint server for health sciences
|June 19, 2023
概括
童年不良经历 (ACE) 不成比例地影响多种族个体,增加他们患喘和焦虑的风险. 针对性的预防工作对于这个脆弱的人群至关重要.
科学领域:
- 公共卫生 公共卫生
- 健康 公平 卫生 公平
- 流行病学 流行病学
背景情况:
- 童年不良经历 (ACE) 与成年后的负面健康结果有关.
- 多种族人群报告ACE得分较高,在健康公平研究中代表性不足.
- 了解高ACE的多种族个体的特定健康风险对于有针对性的干预至关重要.
研究的目的:
- 研究ACE与多种族个体的特定健康结果之间的关联.
- 确定多种族个人是否应该成为ACE预防工作的重点.
- 为了比较ACE对不同种族群体健康结果的相对影响.
主要方法:
- 从青少年到成人健康国家纵向研究 (n = 12,372) 的数据分析.
- 估计四个或更多的ACE与身体,精神和行为健康结果之间的关联.
- 使用经过修改的Poisson模型与比赛×ACEs相互作用来评估差异性风险.
主要成果:
- 与白人,黑人和亚洲参与者相比,多种族人士显示ACE和喘之间的关联明显更强.
- 在多种族人群中,ACE和焦虑之间的关联也比黑人,亚洲人和土著参与者更强.
- 过多的病例估计表明多种族组中与ACE相关的喘和焦虑负担不成比例.
结论:
- ACEs是普遍有害的,但似乎在多种族人群中不成比例地增加了发病率.
- 这些发现支持了针对多种族个体的针对性ACE预防和干预策略的需要.
- 需要进一步研究不同种族群体中与ACE相关的健康差异.
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