在青春期前的青少年中,积极的童年经历 (PCE),歧视和内化/外化之间的关联
Kristen R Choi1, Lilian Bravo2, Jaime La Charite3
1School of Nursing (KR Choi and E Cardona), UCLA, Los Angeles, Calif; Department of Health Policy and Management (KR Choi, J La Charite, and LE Wisk), Fielding School of Public Health, Los Angeles, Calif.
Academic pediatrics
|July 14, 2024
概括
累积的歧视会损害年轻人的情感和行为健康. 积极的童年经历 (PCE) 有助于减少这些症状,这表明需要采取措施解决社会不平等问题.
科学领域:
- 儿童和青少年心理学 儿童和青少年心理学
- 公共卫生 公共卫生
- 社会学 社会学 社会学
背景情况:
- 歧视,包括种族,族裔,国籍,性别认同和体重,是青少年的重要压力因素.
- 了解各种歧视类型的累积影响以及积极童年体验 (PCE) 的保护作用,对于青年的福祉至关重要.
研究的目的:
- 调查四种类型的感知歧视对青春期前行为症状的个人和累积影响.
- 检查积极的童年经历 (PCE) 的调节作用和不良童年经历 (ACE) 在这些关系中的影响.
主要方法:
- 青少年大脑认知发展 (ABCD) 研究数据的二次分析 (N=10,915名青少年前青少年).
- 使用儿童行为检查清单 (CBCL) 测量的情绪/行为症状.
- 后勤回归模型用于评估歧视类型,PCE,ACE和临床范围的行为症状之间的关系.
主要成果:
- 体重歧视是最常见的暴露.
- 累积歧视与临床范围的行为症状显著相关 (aOR=1.47),即使考虑到其他ACE.
- PCEs与减少的行为症状 (aOR=0.82) 有着独立的关联,并且稍微削弱了歧视与症状之间的联系.
结论:
- 累积歧视对年轻人的情绪和行为健康构成风险.
- 积极的童年经历独立地与年轻人较少的行为症状有关.
- 需要进一步的研究和社区层面的干预,以防止歧视,并通过解决社会不平等来促进PCE.
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