中年和老年人的不良童年经历和孤独轨迹:网络分析方法
Xue Wang1, Wendie Zhou1, Jiaqi Yu1
1School of Nursing, Peking University, No. 38 Xueyuan Road, Haidian District, Beijing, 100191, China.
Public health
|February 18, 2026
概括
童年不良经历 (ACE) 与成年时持续高孤独感有关. 预防ACE和实施公共卫生策略可以减轻晚年孤独感.
科学领域:
- 心理学 心理学 心理学
- 公共卫生 公共卫生
- 社会学 社会学 社会学
背景情况:
- 孤独是一个广泛的全球问题,不完全理解的发展因素.
- 儿童不良经历 (ACE) 被认为是对长期健康结果的重要贡献者.
研究的目的:
- 为了调查ACE和孤独轨迹与时间的相关性.
- 从童年到成年,确定孤独发展的具体模式.
主要方法:
- 利用了来自中国健康与退休长度研究 (CHARLS) 的数据.
- 基于雇佣群体的轨迹建模 (GBTM) 来定义孤独模式 (2011-2020年).
- 进行了后勤回归和网络分析,以检查ACE的影响并确定关键风险因素.
主要成果:
- 确定了两个孤独轨迹:持续低和持续高.
- 对ACE总量,与威胁相关的ACE和与剥夺相关的ACE的更大暴露显著预测了持续高的孤独感.
- 网络分析强调"家庭精神疾病"",家庭暴力"和"身体虐待"是孤独发展的核心节点.
结论:
- ACEs是持续高孤独的关键预测指标.
- 强调需要预防ACE和终身公共卫生干预措施.
- 建议在中期和晚年成年人群中减轻孤独的策略,对于有ACE病史的人来说.
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