童年不良经历与早产之间的关联:一种潜伏的阶级方法
Yasamean Zamani-Hank1, Ahnalee Brincks2, Nicole M Talge1
1Department of Epidemiology and Biostatistics, College of Human Medicine, Michigan State University, East Lansing, Michigan, USA.
Journal of women's health (2002)
|March 8, 2024
概括
在一项大型研究中,不良童年经历 (ACE) 与早产 (PTD) 没有直接联系. 需要进一步的研究来了解ACEs.
科学领域:
- 公共卫生 公共卫生
- 生殖健康 生殖健康
- 心理学 心理学 心理学
背景情况:
- 在美国,早产 (PTD) 的种族和社会经济地位 (SES) 差异仍然存在.
- 儿童不良经历 (ACE) 可能会增加不良出生结果的风险,在ACE患病率上存在种族和SES差异.
- 需要进行研究来确定ACE是否会导致PTD的种族和SES差异.
研究的目的:
- 检查ACE和PTD之间的关系.
- 根据ACE模式识别女性的子组.
- 调查种族和SES是否影响ACE模式或它们与PTD的关联.
主要方法:
- 从国家青少年到成人健康长度研究 (1994-2018) 中对3884名妇女进行了长度研究.
- 隐性类别分析用于根据ACE发生情况识别子组.
- 分析检查了潜伏类成员 (LCM) 和PTD之间的关联,以及种族和SES的影响.
主要成果:
- 确定了两个潜在类别:低ACE和高ACE.
- 高ACEs类显示情绪虐待,身体虐待,性虐待和寄养照顾的可能性增加.
- 没有一个隐性类别与PTD有显著的关联,种族和SES没有预测LCM.
结论:
- ACEs可能不会像以前假设的那样影响PTD风险.
- 未来的研究应该探索ACEs对活产妊娠的影响.
- 建议调查可能减轻ACEs对PTD影响的保护因素.
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