儿童不良经历与过早死亡之间的关系中的性别差异:一项前性人口研究
Raimo K R Salokangas1, Henri R W Salokangas2, Tiina From1
1Department of Psychiatry, University of Turku, Turku, Finland.
Child abuse & neglect
|May 14, 2024
概括
童年不良经历 (ACE) 与过早死亡有关,特别是在工作年龄的女性中. 家庭冲突可能会增加两性死亡风险,可能由成人健康行为和社会经济地位调解.
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:
- 在出生队列研究中,不良童年经历 (ACE) 与全因死亡率有关.
- ACE对工作年龄人口过早死亡率的影响需要进一步调查,可能存在性别特异性差异.
研究的目的:
- 在劳动年龄人口中调查ACE和全因死亡率之间的关联.
- 探索ACEs-死亡率关系中的潜在性别差异.
主要方法:
- 使用芬兰健康2000年队列 (n=4981,在基线时30-64岁) 的前性人口研究.
- 通过关于ACE,健康行为,自我报告的健康和收入的问卷收集的数据.
- 死亡率跟踪到2020年,使用考克斯回归分析.
主要成果:
- 经济困难,父母失业和慢性疾病与死亡率有关.
- 高数量的ACE (4+) 显著预测了女性的全因死亡率 (HR 2.11),但不是男性.
- 糟糕的健康行为,自我报告的健康状况和低收入是两种性别的主要死亡率预测因素.
- 在控制其他因素后,童年家庭冲突与两性死亡率有关.
结论:
- 工作年龄的女性似乎更容易受到与众多ACE相关的死亡风险的影响.
- 童年家庭冲突可能会提升男女之间的过早死亡风险.
- ACE 和过早死亡之间的联系可能部分是由成年人的健康行为和社会经济地位解释的.
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