创伤经历与晚年健康之间的联系:美国纵向衰老队列的挑战和机遇
Audrey R Murchland1, Karestan C Koenen1,2,3,4, Eleanor Hayes-Larson5
1Department of Epidemiology, Harvard T.H. Chan School of Public Health, Boston, MA, United States.
American journal of epidemiology
|August 27, 2024
概括
创伤暴露在晚年对健康产生重大影响,但对其影响的研究,如痴呆症,是有限的. 需要更多的研究来了解创伤.
科学领域:
- 公共卫生 公共卫生
- 老年学是一门学科.
- 流行病学 流行病学
背景情况:
- 创伤,包括严重伤害或暴力,是众所周知的中年健康后果的主要公共卫生问题.
- 现有的研究不足以解决创伤对与衰老相关的健康结果和不平等的影响,例如痴呆症.
- 社会弱势群体不成比例地受到创伤的影响.
研究的目的:
- 讨论关于创伤和晚年健康结果缺乏证据的原因.
- 审查美国纵向老龄化队列研究中的创伤措施,特别是人际暴力.
- 为未来对老年人创伤影响的研究提出策略.
主要方法:
- 审查了包括人际暴力在内的创伤措施,在七个已建立的美国纵向衰老队列研究中.
- 分析了关于在队列研究中纳入创伤测量措施的常见问题.
- 进行了PhenX工具包对相关评估工具的结构化审查.
主要成果:
- 确定了关于创伤暴露及其对老龄化人口的影响数据的严重缺乏.
- 在主要的纵向衰老研究中突出了当前创伤评估的局限性.
- 发现了用于测量人际暴力的特定工具,这对于创伤研究至关重要.
结论:
- 有必要将创伤评估,特别是人际暴力,纳入衰老研究.
- 解决数据缺口将有助于理解创伤在晚年健康和健康差异中的作用.
- 推的评估工具可以促进对创伤对认知健康和衰老的长期影响的研究.
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