积极的童年经历和成年健康结果
Cher X Huang1,2, Neal Halfon3,4, Narayan Sastry5
1David Geffen School of Medicine at UCLA, Los Angeles, California.
Pediatrics
|June 20, 2023
概括
积极的童年经历 (PCE) 显著降低了成人健康状况不佳和心理健康状况的风险,即使考虑到不良的童年经历 (ACE). 这些保护因素对于长期幸福至关重要.
科学领域:
- 公共卫生 公共卫生
- 心理学 心理学 心理学
- 社会学 社会学 社会学
背景情况:
- 不利的童年经历 (ACE) 与有害的成年精神和身体健康结果有关.
- 儿童时期的保护因素,量化为积极的童年经历 (PCE),可以减轻这些风险.
- 关于PCE对全国代表性成年人群健康的独立影响的研究有限.
研究的目的:
- 检查PCE综合得分与成人健康结果之间的关联.
- 为了确定PCE是否可以预测独立于ACE的健康状况.
- 评估PCEs和ACEs对成人健康状况发展风险的影响.
主要方法:
- 利用了2017年收入动态小组研究及其2014年童年回顾情况补充 (n=7496) 的数据.
- 采用多变量逻辑回归来分析PCE得分与成人自我评估健康或诊断疾病之间的关系,以ACE进行调整.
- 应用了考克斯的比例危险模型来研究PCE和ACE对新诊断的年度风险的联合影响.
主要成果:
- 报告5-6个PCE的成年人与ACE独立的0-2个PCE的成年人相比,健康和精神病诊断的风险明显较低.
- 较高的PCE分数 (5-6) 与每年16%降低患任何成人精神病或身体疾病的风险有关.
- 相反,报告3次或更多次ACE与每年42%增加患成人健康状况的风险有关.
结论:
- 积极的童年经历 (PCE) 显示出对成年人的健康状况不佳和心理健康问题具有独立的保护作用.
- PCE与整个成年期发展身体或心理健康状况的风险降低有关,即使考虑到ACE.
- 调查结果强调了促进儿童保护因素对长期健康弹性的重要性.
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