童年不良经历对美国成年人喘严重性的影响
Chukwuemeka E Ogbu1, Ioannis Stouras2, Chisa O Oparanma3
1Department of Internal Medicine, Cape Fear Valley Health, Fayetteville, NC 28304, USA.
Medical sciences (Basel, Switzerland)
|November 25, 2024
概括
儿童不良经历 (ACE) 与美国成年人,特别是女性喘严重程度的增加有关. 通过早期干预来减少ACE可能有助于管理成人喘.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 环境健康 环境健康
背景情况:
- 儿童不良体验 (ACE) 和它们与美国成年人喘严重程度的关联仍然未得到充分研究.
- 在ACEs-喘严重程度联系的性别差异需要进一步调查.
研究的目的:
- 为了确定美国成年人中喘严重程度的患病率.
- 调查ACE和喘严重程度之间的关联,包括性别特异性影响.
主要方法:
- 使用2019-2020年行为风险因素监测系统 (BRFSS) 喘回调调查 (ACBS) 数据进行的横截面研究.
- 分析了22934名患有喘的美国成年人,评估了11个ACE变量和喘严重程度 (间歇性与持续性).
- 权重后勤回归模型用于检查关联,控制混因素和按性别分层.
主要成果:
- 持续性喘影响45.3%的美国成年人患有喘.
- 较高的累积ACE得分与持续性喘的几率增加相关 (aOR=1.054每单位增加).
- 在特定的ACE (例如,性虐待,父母离婚,家庭滥用酒精) 和持久性喘之间发现了显著的关联,在女性中观察到更强烈的影响.
结论:
- 暴露于ACE与美国成年人,特别是女性持久性喘的几率更高有关.
- 这些发现强调了预防策略和早期干预的必要性,以减轻ACE并可能减少成人喘的严重程度.
- 针对ACE的有针对性的干预措施可能对喘管理和公共卫生至关重要.
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