在国家儿童发展研究中,50岁儿童的不良经历和健康
Kate A Timmins1,2, Ross MacDonald1, Marcus Beasley1
1Aberdeen Centre for Arthritis and Musculoskeletal Health (Epidemiology Group), University of Aberdeen, Aberdeen, United Kingdom.
儿童不良经历 (ACE) 与成年人的多种健康问题有关,特别是严重的疼痛和不良心理健康. 针对特定ACE类型的有针对性的干预措施有助于减轻这些长期健康影响.
科学领域:
- 公共卫生
- 流行病学
- 心理学
背景情况:
- 大多数研究将不良童年经历 (ACE) 与单一健康结果联系起来,阻碍了整体影响评估.
- 检查与ACE相关的广泛健康结果可以为有针对性的干预策略提供信息.
研究的目的:
- 在单个纵向研究中量化ACE和多个成年健康结果之间的关联.
- 确定与童年逆境相关的特定健康漏洞.
主要方法:
- 国家儿童发展研究的二次分析 (英国出生队列,1958年出生).
- 在50岁时检查11个自我报告的健康结果的全结果方法.
- 用于评估风险差异的双重可靠估计,并对混因素进行调整.
主要成果:
- 在成年期,ACE与严重的疼痛和心理健康状况明显相关.
- 与男性相比,女性的心理健康差异较高 (6. 50%).
- 虐待,忽视和家庭冲突显示出与健康状况的最广泛联系.
结论:
- ACE对成年人的健康有广泛的影响,特别是严重的疼痛和心理健康.
- 虽然广泛的干预措施是有用的,但考虑到ACE类型的有针对性的方法至关重要.
- 调查结果强调需要解决童年逆境造成的特殊脆弱性.
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