美国年轻成年人中不良童年经历和有问题的健康结果的模式:潜伏类分析
Katelyn F Romm1,2, Carla J Berg3,4
1TSET Health Promotion Research Center, Stephenson Cancer Center, University of Oklahoma Health Sciences Center, Oklahoma City, OK, USA.
Substance use & addiction journal
|January 23, 2024
概括
童年不良经历 (ACE) 显著影响年轻人的健康. 特定的ACE,如父母虐待,与不同的物质使用和心理健康问题有关,突出了针对性干预的必要性.
科学领域:
- 精神病学是一个精神病学.
- 心理学 心理学 心理学
- 公共卫生 公共卫生
背景情况:
- 儿童不良经历 (ACE) 与年轻成年人的负面健康结果有关.
- 关于不同类型的ACE与特定物质使用或心理健康问题的特定关联的研究是有限的.
研究的目的:
- 在年轻成年人中确定ACE类别.
- 检查ACE类与当前物质使用和心理健康症状之间的差异关联.
主要方法:
- 隐性类分析 (LCA) 用于在2209名美国年轻成年人中识别ACE类.
- 多变量后勤回归分析了ACE与物质使用 (烟草,大麻,酒精) 和心理健康 (抑郁,焦虑) 结果之间的关联.
- 对社会人口统计因素进行控制的分析.
主要成果:
- 65.4%的参与者报告至少有一次ACE.
- LCA确定了四个ACE类:低ACE,糟糕的家庭健康和离婚,父母虐待和高ACE.
- 高ACE与大多数物质使用和心理健康结果有关. 父母虐待和不良家庭健康/离婚课程显示与烟草,大麻和心理健康问题存在特定关联.
结论:
- 具有高ACE或特定ACE (如父母虐待) 的年轻人面临着使用物质和心理健康问题的风险增加.
- 健康促进计划应该选ACE,以定制针对年轻人的干预措施.
- 了解不同的ACE结果联系对于有效的公共卫生战略至关重要.
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