早期生活因素和晚年老年多重疾病风险:基于查尔斯的证据
Minjun Zhao1, Xu He2, Tianrong Li2
1Department of Geriatrics, The First People's Hospital of Yunnan Province, The Affiliated Hospital of Kunming University of Science and Technology, Kunming, China, 1135854530@qq.com.
Gerontology
|September 19, 2023
概括
儿童健康,家庭财务状况和经历暴力对长期健康有重大影响. 积极的早期生活条件与减少多病症相关,而不良经历增加了其风险.
科学领域:
- 老年学与公共卫生
- 慢性病的流行病学 慢性病的流行病学
- 健康的社会决定因素
背景情况:
- 人们越来越认识到早期生活经历对长期健康的影响.
- 然而,童年状况与晚年多病症发展之间的具体关系仍未得到充分研究.
研究的目的:
- 调查各种早期生活因素与老年人多发病率的流行之间的关联.
- 确定儿童时期影响长期健康结果的保护性和风险因素.
主要方法:
- 利用来自中国健康与退休长度研究 (CHARLS) 的横截面数据.
- 基于14种常见的慢性疾病定义的多病症.
- 采用后勤回归分析来评估生命早期因素与随后多病症之间的联系.
主要成果:
- 良好的自我评价儿童健康 (平均或更好) 与发展多病症的几率显著降低 (分别为0.78和0.72).
- 童年经历家庭成员的暴力与多发病率的增加有关 (OR 1.29).
- 儿童时期家庭财务状况优越也显示出防治多病症的保护作用 (平均和较富裕家庭的OR分别为0.72和0.76).
结论:
- 儿童的健康状况,家庭的社会经济状况,以及暴露于暴力的情况是以后生活中多病症的重要预测因素.
- 针对儿童不良状况的干预措施可能有助于预防或减少老年人群中多病症的负担.
- 加强对弱势儿童的社会支持和监测可以减轻长期的健康差异.
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