不利的童年经历和性取向:对全国代表性数据的交叉分析
Joshua P Mersky1, ChienTi Plummer Lee1, Davin Hami2
1Institute for Child and Family Well-being, Helen Bader School of Social Welfare, University of Wisconsin-Milwaukee, Milwaukee, Wisconsin.
American journal of preventive medicine
|October 26, 2023
概括
不良的童年经历 (ACE) 不成比例地影响性少数群体. 交叉性揭示了复杂的模式,白人青少年对同性吸引力报告的逆境比黑人青少年对同性吸引力更高.
科学领域:
- 社会流行病学 社会流行病学
- 公共卫生 公共卫生
- 健康差距 研究 研究 研究 研究
背景情况:
- 儿童不良经历 (ACE) 与长期健康结果有关.
- 了解不同人群中ACE的患病率对于有针对性的干预至关重要.
研究的目的:
- 检查在性取向,性别,种族/种族和经济地位的交叉点上ACEs的患病率.
- 确定具有不成比例高ACE的特定子组.
主要方法:
- 国家长度研究青少年到成人健康数据 (1994-2018) 的分析.
- 使用ANOVA和多变量回归来比较ACE患病率.
- 多级建模以评估24个交叉组的个体异质性和歧视性准确性.
主要成果:
- 性少数群体的人与异性恋人相比,报告了更高的整体ACE.
- 复杂的模式出现了:白人青少年同性吸引力比黑人青少年同性吸引力更高的ACE.
- 经济优势与双性恋成年人较高的ACE相关;贫穷的白人参与者报告的ACE比贫穷的黑人和西班牙裔参与者更多.
结论:
- 对社会身份,特别是性取向和贫困的交叉分析对于准确地表示ACE差异至关重要.
- 调查结果强调需要细微的公共卫生战略,以解决根植于童年逆境的健康差异.
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