跨性别成年人中的不良童年经历和主观认知衰退
Jobina Chiow1, Ethan C Cicero1
1Nell Hodgson Woodruff School of Nursing, Emory University, Atlanta, Georgia, USA.
概括
童年不良经历 (ACE) 在跨性别和非二进制 (TGN) 成人中显著增加主观认知衰退 (SCD) 的风险. 早期查和创伤相关的护理对于减轻这些风险和支持大脑健康至关重要.
科学领域:
- 神经科学是一个神经科学.
- 公共卫生 公共卫生
- 社会科学 社会科学 社会科学
背景情况:
- 儿童不良经历 (ACE) 与慢性健康问题有关,包括阿尔茨海默病和相关痴呆症 (ADRD).
- 主观认知衰退 (SCD) 是ADRD的早期指标.
- 虽然ACE和SCD已在跨性别和非二进制 (TGN) 成人中单独研究,但它们之间的关系在这个人群中仍然未被探索.
研究的目的:
- 为了确定TGN成年人中ACE的患病率.
- 检查TGN成年人ACE和SCD之间的关联.
主要方法:
- 2019-2021年美国16个州的行为风险因素监测系统数据的二次分析.
- 包括45岁以上的TGN成年人 (N=206).
- 统计测试 (皮尔森的奇平方/费舍尔的精确) 和回归分析 (原始和调整的几率比率) 用于评估ACE和SCD之间的关联.
主要成果:
- 18%的TGN成年人报告SCD.
- 60%的人至少经历过一次ACE,近50%的人报告童年虐待或家庭功能障碍.
- 包括童年虐待和家庭功能障碍在内的ACE与增加SCD风险显著相关.
- 随着每次增加ACE (aOR=1.4),SCD的几率增加了40%.
结论:
- ACEs是TGN成年人中SCD的重要危险因素.
- 确认性别和创伤的护理,以及对ACE和SCD的查和干预,对于改善TGN成人健康和降低ADRD风险至关重要.
相关概念视频
01:30Cognitive Development During Adulthood
48
Cognitive development continues throughout adulthood, undergoing significant shifts across early, middle, and late stages. Individual transition occurs from adolescent idealism to pragmatic and adaptable thinking in early adulthood. During this period, individuals learn to integrate personal beliefs with the recognition that other perspectives are equally valid. Exposure to the complexities of modern society, diverse experiences, and higher education contribute to this adaptive thought process,...
48
01:18Cognitive Development During Adolescence
42
During adolescence, individuals experience significant cognitive development that enhances their understanding of others' emotions and thoughts, known as cognitive empathy. This period is marked by an increased ability to adapt to others' perspectives and a more nuanced understanding of others' mental states, a skill that is foundational for social problem-solving and conflict avoidance. The development of cognitive empathy relies heavily on the theory of mind — the...
42
01:24Revisionist Views of Adolescent and Adult Cognition
23
A revisionist approach to Jean Piaget's theory of cognitive development has brought new insights that challenge and reinterpret his established ideas. Piaget proposed that the formal operational stage, emerging in adolescence, represents the culmination of cognitive maturity. During this stage, individuals are said to develop abstract thinking, engage in systematic problem-solving, and show a form of egocentrism, believing others are as preoccupied with their behavior as they are...
23
01:27Ethnic Identity within a Larger Culture
29
Adolescents from ethnic minority backgrounds face a multifaceted journey in forming their identities, shaped by the intersections of cultural expectations and personal exploration. For these adolescents, identity formation involves not only typical developmental challenges but also navigating the perceptions and attitudes of the majority culture. As they grow, adolescents in ethnic minority groups often become increasingly aware of stereotypes, social biases, and discrimination, all of which...
29
03:34Theory of Romantic Attachment in Adulthood
43.1K
Attachment is a long-standing connection or bond with others. While Attachment Theory was conceived in developmental psychology to describe infant-caregiver bonding, it's been extended into adulthood to include romantic relationships.
43.1K
02:55Stereotypes, Prejudice, and Discrimination
89.9K
Humans are very diverse and although we share many similarities, we also have many differences. The social groups we belong to help form our identities (Tajfel, 1974). These differences may be difficult for some people to reconcile, which may lead to prejudice toward people who are different. Prejudice is a negative attitude and feeling toward an individual based solely on one’s membership in a particular social group (Allport, 1954; Brown, 2010). Prejudice is common against people who...
89.9K