对ACE项目的不响应与2021年行为风险因素监测系统中的人口变量和健康指标有关
Timothy J Grigsby1, Madalyn Larson2, Andrea Lopez3
1Department of Social and Behavioral Health, University of Nevada, Las Vegas, United States.
Preventive medicine reports
|May 14, 2024
概括
不披露不良童年经历 (ACE) 的个人表现出与披露不良童年经历 (ACE) 的人相似的健康风险. 对ACE调查的不响应与各种行为和较差的健康结果有关,突出显示了包容性干预的必要性.
科学领域:
- 公共卫生 公共卫生
- 心理学 心理学 心理学
- 社会学 社会学 社会学
背景情况:
- 儿童不良经历 (ACE) 是18岁之前的创伤性事件,具有长期的健康后果.
- 由于敏感性,隐私或痛苦,个人可能会拒绝回答ACE问题.
- 了解不响应对于评估健康影响至关重要.
研究的目的:
- 调查ACE调查项目的不响应与健康结果之间的关联.
- 确定选择不披露ACE的个人健康影响.
主要方法:
- 2021年行为风险因素监测系统 (BRFSS) 国家调查的二次分析.
- 检查社会人口结构因素,ACE暴露和ACE项目不响应.
- 对健康行为和状况的统计分析.
主要成果:
- 不响应ACE项目的人与报告ACE暴露的人有着共同的健康模式.
- 没有反应与更健康 (艾滋病毒检测) 和更危险 (吸烟) 的行为相关.
- 没有反应的人更容易出现体重不足/肥胖,注意力集中问题,自我评估健康状况不佳以及多种诊断 (抑郁症,糖尿病,高血压,心血管事件).
结论:
- 与ACE相关的健康差异需要注意,无论其披露状态如何.
- 医疗干预必须包括ACE受访者和非受访者.
- 以创伤为基础的护理,早期干预和有针对性的公共卫生举措对所有受ACE影响的人来说至关重要.
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