长期暴露于童年逆境和出生结果在一个双世代纵向队列研究
Mary-Gray Southern1, Cara Girardi2, Dmitry Tumin3
1Department of Obstetrics and Gynecology, Brody School of Medicine, East Carolina University, Greenville, NC.
概括
这项研究发现,不良童年经历 (ACE) 的数量或持续时间与不良出生结果之间没有联系. 这与之前的研究相矛盾,表明可能涉及其他因素.
科学领域:
- 公共卫生 公共卫生
- 发展心理学 发展心理学
- 社会学 社会学 社会学
背景情况:
- 不利的童年经历 (ACE) 与负面的健康结果有关.
- 暴露于ACE的持续时间,而不仅仅是数量,可能会影响怀孕的结果.
研究的目的:
- 调查ACE暴露的持续时间与出生不良结果之间的关联.
- 为此分析,使用双代纵向队列调查.
主要方法:
- 使用1979年全国青年纵向调查进行的双代纵向队列调查.
- 检查的ACE包括母亲监禁,离婚/分居,母亲过度饮酒和贫困.
- 将ACE数据与出生结果联系起来:低出生体重,早产,分娩路线和婴儿停留时间.
主要成果:
- 在ACE计数或持续时间与大多数出生结果之间没有发现统计学意义上的关联.
- 观察到较高的ACE数量与婴儿长时间停留之间的潜在联系.
结论:
- 该研究没有发现出生结果恶化与ACE暴露的累积数量或持续时间之间的关联.
- 与先前研究的差异可能源于成人压力因素,ACE-成人状况相互作用或数据收集偏差.
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