美国儿童中不良童年经历的普遍性 成人 - 行为风险因素监测系统,2011-2020年
MMWR. Morbidity and mortality weekly report
|June 29, 2023
概括
在美国成年人中,不良童年经历 (ACE) 很常见,超过63%的人报告至少有一次. 特定的社会人口统计学群体和地理区域的患病率更高,突出了针对性预防策略的需要.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 社会学 社会学 社会学
背景情况:
- 不利的童年经历 (ACE) 与许多负面的健康和社会结果有关.
- ACE 患病率的差异往往植根于社会经济因素和环境条件.
- 零星的人口级数据收集阻碍了对ACE的全面理解和预防.
研究的目的:
- 用最近的国家数据估计美国成年人中ACE的患病率.
- 为了确定与较高的ACEs患病率相关的社会人口统计特征.
- 检查ACE患病率的司法管辖区差异,以告知有针对性的干预措施.
主要方法:
- 分析2011-2020年行为风险因素监测系统 (BRFSS) 来自所有50个州和哥伦比亚特区的数据.
- 计算ACE患病率,按关键社会人口统计学变量分层 (例如性别,年龄,种族/民族,教育,就业状况).
- 检查美国不同司法管辖区ACE患病率的地理差异.
主要成果:
- 总的来说,63.9%的美国成年人报告了至少一个ACE;17.3%报告了四个或更多的ACE.
- 在女性,年轻成年人 (25-34岁),非西班牙裔AI/AN和多种族成年人,受教育程度较低的人和失业人士中观察到四个或更多ACE的更高患病率.
- 四个或更多ACE的司法范围的流行率从新泽西州的11.9%到俄勒冈州的22.7%不等.
结论:
- 在美国成年人中,ACEs非常普遍,根据社会人口统计学因素和位置存在显著差异.
- 了解这些模式对于开发和实施有效,公平的ACE预防策略至关重要.
- 持续和本地化数据收集对于指导有针对性的预防工作和减少健康不平等至关重要.
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