在美国4个州的积极童年经历和成人健康和机会结果
Robert D Sege1, Maria V Aslam2, Cora Peterson2
1Institute for Clinical Research and Health Policy Studies, Tufts Medical Center, Boston, Massachusetts.
JAMA network open
|July 29, 2025
概括
积极的童年经历 (PCE) 与更好的成人健康,生活机会和显著的经济效益有关. 在儿童时期促进PCE可以改善终身福利和降低医疗保健成本.
科学领域:
- 公共卫生 公共卫生
- 发展心理学 发展心理学
- 卫生经济学 卫生经济学
背景情况:
- 培养儿童的环境对于发展至关重要,但它们对成年人健康的长期影响尚未完全理解.
- 积极的童年经历包括在家庭和社区中感到安全,归属,得到支持和联系.
- 评估PCE对终身健康和经济价值的可衡量的影响对于公共卫生战略至关重要.
研究的目的:
- 评估积极童年体验 (PCE) 与成人健康结果,生活机会和经济价值之间的关联.
- 量化报告成年后PCE数量较多的健康和经济益处.
- 为政策和干预提供信息,旨在促进促进促进长期福祉的童年经验.
主要方法:
- 来自美国四个州的行为风险因素监测系统数据的横截面分析.
- 成年参与者 (N=20,916) 报告了七个关键的积极童年经历 (PCE).
- 回归模型评估了PCE计数与成人教育,收入,健康行为,慢性疾病和整体健康之间的关联.
主要成果:
- 超过一半的成年人 (53.1%) 报告了大量的积极童年经历 (PCE).
- 更高的PCE分数与更高的中学后教育,更高的收入和更低的吸烟概率相关.
- 在较高的PCE和许多慢性疾病的较低患病率之间发现了显著的关联,包括关节炎,糖尿病和抑郁症.
结论:
- 积极的童年经历 (PCE) 与改善终身健康,增加生活机会和实质性的经济效益密切相关.
- 在四个州,PCE相关的慢性疾病减少的估计年经济价值超过了2150亿美元.
- 调查结果强调了实施促进积极童年体验的战略的重要性,以促进长期的个人和社会福祉.
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