儿童时期的不良经历和成年时所有原因的死亡风险
Sinéad D'Arcy-Bewick1, Nicholas Turiano2, Angelina R Sutin3
1Department of Psychology, University of Limerick, Limerick, Ireland; Health Research Institute, University of Limerick, Limerick, Ireland.
Child abuse & neglect
|August 5, 2023
概括
儿童不良经历 (ACE) 累计增加成人死亡风险,身体虐待是显著的预测因素. 每种ACE都会增加这种风险,这凸显了对特定ACE类型的进一步研究的需要.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 心理学 心理学 心理学
背景情况:
- 儿童不良经历 (ACE) 与成人死亡率有关.
- 之前的研究还没有充分探索非父母ACE,累积效应或特定ACE类型对死亡率的影响.
- 性在这些关联中的作用仍然不清楚.
研究的目的:
- 调查ACE与死亡风险之间的关联.
- 为了确定ACE是否对死亡率具有累积或平稳的影响.
- 根据ACE类型,类型之间的相互作用和性别差异来研究风险差异.
主要方法:
- 在美国中年发展调查 (1995/96-2018) 中,利用了来自6319名参与者的数据 (25-74岁).
- 在五个类别中评估了20个自我报告的ACE:身体虐待,情绪虐待,社会经济劣势,不利的家庭结构和16岁的健康状况不佳.
- 采用Cox的比例危险模型来分析死亡风险.
主要成果:
- 在ACE和增加的死亡风险之间发现了累积关联 (HR=1.033,p≤.001).
- 这种关联是线性的,每次ACE都会逐渐增加风险.
- 在对其他类型进行调整后,身体虐待是唯一明显预测死亡风险增加的ACE类型 (HR=1.05,p=.024). 没有观察到性别或ACE类型的相互作用.
结论:
- ACEs累计与成年人死亡风险增加有关.
- 身体虐待成为影响死亡率的关键ACE类型.
- 对单个ACE类型的进一步研究是有必要的,因为它们可能对死亡风险产生不同的影响.
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