童年逆境和加速生殖事件:系统审查和元分析
Wenqin Ding1, Yuxiang Xu1, Anthony J Kondracki2
1Department of Maternal, Child and Adolescent Health, School of Public Health, Anhui Medical University, Hefei, China.
American journal of obstetrics and gynecology
|October 11, 2023
概括
童年逆境显著增加了加速女性生殖事件的可能性,特别是与虐待和家庭功能障碍相关的事件. 需要进一步的研究来了解这些关联的细微差别.
科学领域:
- 生殖健康 生殖健康
- 心理社会流行病学心理学
- 发展心理学 发展心理学
背景情况:
- 加快女性生殖事件包括早期青春期,初潮和分娩.
- 童年逆境包括在成长时期的不良经历.
- 了解早期生命逆境和生殖时间之间的联系对于公共卫生至关重要.
研究的目的:
- 系统地审查和综合关于童年逆境和加速女性生殖事件之间的联系的证据.
- 量化整体风险并探索特定类型的逆境和涉及的生殖事件.
主要方法:
- 在PubMed,Web of Science和Embase进行了系统的文献搜索.
- 进行了观察性研究 (队列,横截面,病例对照) 的元分析.
- 使用I平方统计数据评估异质性,并通过调节和元回归分析进行探索.
主要成果:
- 患有童年逆境的女性几乎是经历加速生殖事件的两倍 (OR, 1.91).
- 功能障碍的家庭动态 (OR,2.13) 和虐待显示出最强的关联.
- 在各个研究中观察到很高的异质性 (I2 > 75%).
结论:
- 儿童时期的逆境暂时与加速的女性生殖事件有关,特别是虐待和家庭功能障碍.
- 高异质性需要谨慎的解释和进一步调查特定的童年经历.
- 需要更多的研究来澄清不同类型和儿童逆境时间的确切影响.
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