童年逆境与成年期过早和可能可避免的死亡率之间的关联:基于人口的研究
Asmita Bhattarai1,2, Gina Dimitropoulos3,4, Andrew G M Bulloch5,3,6
1Department of Community Health Sciences, Cumming School of Medicine, University of Calgary, 3280 Hospital Drive NW, Calgary, AB, Canada. asmita.bhattarai1@ucalgary.ca.
BMC public health
|October 18, 2023
概括
儿童时期的身体虐待和被送出家乡,增加了成年期过早,可避免的死亡风险. 这些关联可能是由成年人的行为和社会经济因素介导的.
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:
- 儿童逆境很少与死亡率相关的研究.
- 成年期潜在可预防死亡率 (PPAM) 是一个关键的公共卫生问题.
- 成人因素在这种关联中扮演的调解角色需要研究.
研究的目的:
- 检查特定的童年逆境与成年期过早和可能可避免的死亡率 (PPAM) 之间的关联.
- 调查由成人社会经济,心理社会和行为因素的潜在调解.
主要方法:
- 利用了来自全国人口健康调查 (NPHS-1994) 的数据,与加拿大生命统计数据库 (CVSD 1994-2014) 相连接.
- 追溯评估儿童时期的逆境,包括身体虐待和被送出家门.
- 雇佣的竞争性原因生存模型在代表性成年人样本中分析PPAM的关联.
主要成果:
- 身体虐待和被送出家门与增加的PPAM有显著的关联.
- 当调整成年人吸烟,感知健康,抑郁,社会支持和收入等因素时,这些关联会减弱.
- 其他研究的童年逆境没有显示与PPAM有显著的关联.
结论:
- 童年身体虐待和远离家园的心理后果可能会增加可避免死亡的风险.
- 确定了潜在的调解者,建议未来研究和干预的途径.
- 与家庭功能障碍相关的不利因素可能不是死亡结果的直接决定因素.
相关概念视频
Attention-Deficit/Hyperactivity Disorder
73
Attention-deficit/hyperactivity disorder (ADHD) is a neurodevelopmental disorder characterized by persistent inattention, hyperactivity, and impulsivity. It affects approximately 5-8% of children globally, with around 60-70% of cases persisting into adulthood. ADHD has significant implications for educational attainment, social interactions, and occupational success.
Diagnostic Criteria and Symptoms
To diagnose ADHD, symptoms must manifest before age 12 and be evident across multiple settings....
Diagnostic Criteria and Symptoms
To diagnose ADHD, symptoms must manifest before age 12 and be evident across multiple settings....
73
Psychoneuroimmunology: Cardiovascular Disease
33
Psychoneuroimmunology (PNI) is a multidisciplinary field that examines how psychological factors, particularly stress, interact with the immune system and impact physical health. Research in PNI has shown that chronic or traumatic stress can disrupt both the hypothalamic-pituitary-adrenal axis and the sympathetic nervous system. These disruptions contribute to serious health conditions, including cardiovascular diseases.
A key area of focus in PNI is the relationship between stress and coronary...
A key area of focus in PNI is the relationship between stress and coronary...
33
Aging
59
Aging is a complex biological phenomenon influenced by various processes that affect cellular and systemic functions. Several prominent theories attempt to explain its mechanisms, highlighting cellular limitations, oxidative damage, and hormonal changes as central factors in aging.
Cellular Clock Theory
The cellular clock theory posits that the human lifespan is closely tied to the finite capacity of cells to divide, a phenomenon governed by telomeres, which are protective caps at the ends of...
Cellular Clock Theory
The cellular clock theory posits that the human lifespan is closely tied to the finite capacity of cells to divide, a phenomenon governed by telomeres, which are protective caps at the ends of...
59
Coronary Artery Disease I: Introduction
17
Coronary Artery Disease (CAD): An Overview with Scientific InsightsCoronary Artery Disease (CAD), often referred to as C-A-D, is a prevalent blood vessel disorder classified under the broader category of atherosclerosis. Atherosclerosis is a pathological process characterized by the hardening and narrowing of arteries due to the accumulation of atherosclerotic plaques. These plaques are composed of cholesterol, fatty substances, inflammatory cells, calcium, and fibrin, reducing blood flow to...
17
Stress and Mental Health
163
Chronic stress profoundly affects mental health, significantly influencing mood, behavior, and overall quality of life. Research closely links chronic stress with mental health conditions such as depression, anxiety, and substance use disorders. Ongoing exposure to stress can lead to physiological and psychological changes, initiating a cycle of emotional distress and maladaptive coping mechanisms.
Individuals with depression often experience challenges in both their personal and professional...
Individuals with depression often experience challenges in both their personal and professional...
163
Adler's Individual Psychology
766
Alfred Adler, a prominent figure in psychology, founded the school of individual psychology. In contrast to Freud's emphasis on sexual or aggressive motives, Adler suggested that individuals are primarily motivated by their purposes and goals. He believed that people strive for perfection rather than pleasure. Adler argued that individuals could creatively act upon their genetic inheritance and environmental experiences to shape their own lives, emphasizing conscious motivation over...
766


