在密西西比州的成年人中,不良的童年经历和糖尿病风险
Zachary Boswell1, Christopher Williams1, Jamil Abdo1
1College of Osteopathic Medicine, William Carey University, Hattiesburg, USA.
Cureus
|April 10, 2024
概括
儿童不良经历 (ACE) 与密西西比州成年人糖尿病风险较高密切相关. 身体或性虐待显著增加了糖尿病的几率,突出了ACE作为主要预防重点.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 健康的社会决定因素
背景情况:
- 密西西比州面临着高糖尿病患病率.
- 儿童不良经历 (ACE) 越来越多地与糖尿病等慢性疾病有关.
- 之前没有任何研究探讨了特别在密西西比州内的ACEs-糖尿病联系.
研究的目的:
- 研究密西西比州成年人的不良童年经历 (ACE) 和糖尿病诊断之间的关联.
- 量化ACE类别数量与糖尿病风险之间的关系.
- 为密西西比州的公共卫生战略和初级保健干预提供信息.
主要方法:
- 利用了2020年密西西比州居民的行为风险因素监测系统 (BRFSS) 数据.
- 根据报告的童年不利情况计算出ACE总暴露得分.
- 使用多变量逻辑回归,调整人口统计,社会经济地位和BMI,以建模糖尿病风险.
主要成果:
- 身体虐待 (AOR 1.72) 和性虐待 (AOR 1.56) 显示糖尿病诊断的几率最高.
- 每个额外的ACE类别都逐渐增加了糖尿病的几率 (1ACE:AOR1.02;7ACE:AOR2.20).
- 在累积的ACE暴露和糖尿病诊断之间发现了显著的关联.
结论:
- 儿童不良经历与密西西比州成年人糖尿病风险增加密切相关.
- 这些发现强调了在糖尿病预防和管理策略中解决ACE的重要性.
- 建议通过立法,公共卫生运动和初级保健查进行干预,以减轻糖尿病负担.
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