儿童生活环境与中年和老年人的慢性疾病之间的关联:基于人口的回顾性研究
Liyong Lu1, Sicheng Li2, Ting Chen3
1Center for Health Management and Policy Research, School of Public Health, Cheeloo College of Medicine, Shandong University, Jinan, Shandong, China; NHC Key Lab of Health Economics and Policy Research (Shandong University), Jinan, Shandong, China.
Social science & medicine (1982)
|November 23, 2024
概括
童年生活环境对成年人的慢性疾病有很大影响. 父母的变形是最有影响力的童年因素,影响中年和老年人的后期健康结果.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 老年学是一门学科.
背景情况:
- 童年状况,如社会经济地位,创伤和不良经历,与以后的生活健康有关.
- 然而,许多其他童年生活环境对慢性疾病发展的影响仍未得到充分研究.
研究的目的:
- 调查各种童年生活环境与中老年人和老年人的慢性疾病患病率之间的联系.
- 确定特定的童年因素及其在预测成人慢性疾病状况中的相对重要性.
主要方法:
- 利用了来自中国健康与退休长度研究 (CHARLS) (2011-2020) 的数据,其中有16681名参与者.
- 在六个领域检查了50个童年生活环境因素,采用逻辑回归,LASSO和量子式g计算 (QGC).
- 基于童年情况的K-Means集群确定了不同的亚群,以分析差异性的慢性疾病易感性.
主要成果:
- 超过71.36%的参与者报告了慢性疾病.
- 在50个童年因素中,有17个与慢性疾病有显著的积极关联.
- 父母形是导致慢性疾病发展的最重要因素,通过QGC解释了23.50%的变异.
结论:
- 童年生活环境对成人慢性疾病的发展有持久的影响.
- 父母的变形是儿童时期发现的最有影响力的因素.
- 最弱势的亚群体经历了童年健康问题,战时暴露和父母健康问题,这表明慢性疾病风险更高.
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