不良童年经历与身体,精神和行为健康之间的关系中的种族差异
Tracy Lam-Hine1, Corinne A Riddell2,3, Patrick T Bradshaw3
1Stanford University School of Medicine, Division of Epidemiology & Population Health, 1701 Page Mill Road, Palo Alto, CA, USA.
SSM - population health
|October 20, 2023
概括
儿童不良经历 (ACE) 不成比例地影响多种族的人,增加了喘和焦虑的风险. 预防工作必须量身定制,以支持多种族的青年和家庭.
科学领域:
- 公共卫生 公共卫生
- 心理学 心理学 心理学
- 社会学 社会学 社会学
背景情况:
- 童年不良经历 (ACE) 与成年后的负面健康结果有关.
- 多种族人群报告平均ACE得分更高,健康风险增加.
- 需要针对多种族个体制定有针对性的预防策略.
研究的目的:
- 研究多种族人群中ACE和健康结果之间的关联.
- 确定多种族个体是否需要特定的ACE预防工作.
- 为了在不同种族群体中比较与ACE相关的健康结果风险.
主要方法:
- 国家长度研究青少年到成人健康 (1994-2009) 的分析.
- 检查了四个或更多的ACE与身体,精神和行为健康结果之间的关联.
- 利用修改后的Poisson模型与种族和ACE的交互条款.
主要成果:
- 与其他种族群体相比,多种族参与者与喘和焦虑有更强的关联.
- 白人,黑人和亚洲人的喘病例相对于多种族人群相对较低.
- 与多种族个人相比,黑人,亚洲人和土著参与者的过度病例较少,与焦虑的关联较弱.
结论:
- 预防ACEs的策略需要量身定制,以有效地支持多种族的青年和家庭.
- 观察到的较强的关联凸显了对文化敏感干预的需求.
- 进一步的研究应该探索驱动这些差异的具体机制.
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