父母的不良童年经历与子女健康不理想的风险之间的关联:系统性审查和元分析
Mengna Wei1, Weixi Deng1, Miyuan Wang1
1Department of Maternal and Child Health, School of Public Health, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.
Trauma, violence & abuse
|December 14, 2024
概括
父母的不良童年经历 (ACE) 显著影响后代的健康,包括早产和发育迟缓. 特定的ACE亚型,如家庭功能障碍和虐待,与各种儿童健康结果呈现独特的关联,突出显示了代际影响.
科学领域:
- 公共卫生 公共卫生
- 发展心理学 发展心理学
- 流行病学 流行病学
背景情况:
- 以前的审查还没有充分探讨特定的父母不良童年经历 (ACE) 亚型及其对后代健康的影响.
- 了解这些特定的代际影响对于有针对性的干预措施至关重要.
研究的目的:
- 系统地审查和元分析父母ACE亚型与各种后代健康结果之间的关联.
- 确定哪些特定的家长ACE亚型与儿童的特定不良健康结果有关.
主要方法:
- 在多个电子数据库 (PubMed,Web of Science等) 中进行全面的系统搜索. 对1998年至2023年的研究进行了调查.
- 数据提取和质量评估 (纽卡斯尔-太华尺度) 由两个独立的审查员进行.
- 一个随机效应模型被用来计算47项符合条件的研究的合并几率比率 (ORs) 和95%置信区间 (95%CI).
主要成果:
- 家长的ACE与早产 (PTB),低出生体重 (LBW),发育迟缓以及社会情绪和行为问题 (ORs 1.063.02) 有显著的关联.
- 家庭功能障碍,性虐待和身体虐待等特定的亚型与PTB有关,而家庭功能障碍也与认知迟缓相关.
- 父母虐待和忽视的亚型与社会情感问题有关,多个ACE亚型与后代的总和外部化行为问题相关.
结论:
- 父母ACE,特别是特定的亚型,对多种后代健康结果产生显著和多样化的不良影响.
- 认识到不同家长ACE亚型的独特影响对于制定有效的预防和干预策略至关重要.
- 解决ACE的代际传播对于改善儿童健康和福祉至关重要.
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