从累积的逆境分离不良童年经历的组成:来自美国2个国家的横截面证据. 样品 样品 样品 样品
Steven D Barger1,2, Jose A Oláis1
1Department of Psychological Sciences, Northern Arizona University, Flagstaff, Arizona.
AJPM focus
|February 29, 2024
概括
童年不良经历 (ACE) 显著影响成年人的健康. 检查个别的ACE揭示了不同的健康风险,与简单的累积得分不同,突出了公共卫生战略中需要细微分析的需要.
科学领域:
- 公共卫生 公共卫生
- 心理学 心理学 心理学
- 流行病学 流行病学
背景情况:
- 儿童不良经历 (ACE) 是成年人发病率和死亡率的确立风险因素.
- ACE 的累积影响通常使用总分数进行评估.
- 然而,单独或组合的单个ACE所带来的独特健康风险仍然不太清楚.
研究的目的:
- 评估累积风险评分中的个人和并发性ACE暴露是否同样与目前的吸烟和一生的抑郁病史有关.
- 为了确定特定的ACE是否会给健康带来独特的风险,超出一般逆境评分.
主要方法:
- 2019年和2020年行为风险因素监测系统 (BRFSS) 的ACE评估的横截面分析.
- 累计ACE分数和五个最常见的独特ACE组件的建模.
- 对ACE组件进行比较,对共变量进行调整.
主要成果:
- 23%和57%-58%的参与者分别报告了1个或2个以上的ACE.
- 与口头虐待 (11.8%) 或与精神病患者一起生活 (9.5%) 相比,父母离婚 (16.6%) 的吸烟率更高.
- 终身抑郁症的患病率因单个ACE类型而异,与精神病患者一起生活的家庭成员患病率最高 (26.6%).
结论:
- 累积的ACE得分掩盖了显著的健康风险异质性.
- 检查不同的ACE成分对于更精确地了解健康风险至关重要.
- 公共卫生干预措施可能受益于针对特定的ACE,而不是仅依赖累积得分.
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