关于不良童年经历和心理健康的种族/民族差异
Margaret T Canady1, Jessica L Barrington-Trimis2, Alyssa F Harlow2
1University of California, Irvine, Irvine, California.
American journal of preventive medicine
|May 2, 2024
概括
儿童不良经历 (ACE) 与年轻成年人的心理健康状况不佳有关. 然而,具体的ACE的影响在不同种族和民族群体之间有很大差异,这凸显了针对性干预的必要性.
科学领域:
- 心理健康研究 心理健康研究
- 公共卫生 公共卫生
- 社会学 社会学 社会学
背景情况:
- 在不良童年经历 (ACE) 的流行方面,种族和民族差异得到了记录.
- 有限的研究已经探索了这些差异如何影响年轻成年期ACE和心理健康之间的关系.
研究的目的:
- 调查各种类型的ACE与年轻成年期心理健康结果之间的关系中的种族和种族差异.
- 确定可能需要针对性心理健康干预的特定ACE和人口群体.
主要方法:
- 南加州一组2020名年轻成年人 (年龄20-23岁) 提供了10个被召回的ACE和当前心理健康症状 (抑郁症,焦虑症,PTSD,睡眠问题) 的数据.
- 后勤回归和相互作用模型被用来分析累积,分组和个人ACE和心理健康结果之间的关联,分层按种族/种族.
主要成果:
- 所有ACE暴露水平都与精神健康症状的可能性增加有关.
- 在个人和分组ACE (但不是累积ACE) 和心理健康结果之间的关联中观察到显著的种族/种族差异.
- 例如,与其他群体相比,西班牙裔参与者在虐待相关的ACE和抑郁症状之间显示出更强烈的关联. 与亚裔美国人和太平洋岛民相比,情绪虐待也与西班牙裔个体的睡眠问题有更强烈的联系.
结论:
- 该研究揭示了种族/种族群体在特定ACE对心理健康的影响方面存在显著的异质性.
- 这些发现强调了考虑种族/种族的重要性,以了解ACE的影响,并为脆弱人群制定有针对性的预防策略.
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