背景:不良童年经历(ACE)会增加以后健康状况不佳的风险。
目的:本研究旨在对与ACE相关的多维健康风险进行更全面的调查,为了解决他们对心理纵向影响的理解差距,物理,和行为健康领域。
方法:这项研究包括6,504名参与者(51.61%女性),来自全国青少年与成人健康纵向研究(1994-2018)。
方法:我们利用潜在的班级成长分析来确定从青春期到成年的三个健康领域的轨迹:抑郁症(心理健康,MH),自我报告身体健康(SRH),和暴饮暴食频率(BDF)。然后使用二元逻辑回归来评估不同类型的ACE对这些纵向健康轨迹的独特贡献。
结果:确定了MH的三到四个轨迹(始终较低,递减,增加),SRH(始终较低,递减,增加,始终很高),和BDF(持续较低,递减,中度)。回归结果表明,情感虐待和目睹社区暴力的经历增加了与心理健康和行为健康领域不利轨迹相关的风险,分别。
结论:个体ACE差异预测精神,物理,和行为健康轨迹,可能通过各种途径。预防ACE可以减轻这些领域的青少年和年轻人的健康风险。
BACKGROUND: Adverse childhood experiences (ACEs) elevate the risk of poor health later in life.
OBJECTIVE: This study aims to provide a more comprehensive investigation of the multidimensional health risks associated with ACEs, to address a gap in the understanding of their longitudinal impact on mental, physical, and behavioral health domains.
METHODS: This study included 6, 504 participants (51.61 % females) from the National Longitudinal Study of Adolescent to Adult Health (1994-2018).
METHODS: We utilized latent class growth analysis to identify trajectories from adolescence to adulthood in three health domains: depression (Mental Health, MH), self-report physical health (SRH), and binge drinking frequency (BDF). Binary logistic regression was then used to assess the unique contributions of different types of ACEs to these longitudinal health trajectories.
RESULTS: Three to four trajectories were identified for MH (consistently low, decreasing, increasing), SRH (consistently low, decreasing, increasing, consistently high), and BDF (consistently low, decreasing, moderate). Regression results showed that experience of emotional abuse and witnessed community violence elevated the risk associated with unfavorable trajectories in the mental health and behavioral health domains, respectively.
CONCLUSIONS: Individual ACEs differentially predicted mental, physical, and behavioral health trajectories, potentially through various pathways. Prevention of ACEs could mitigate health risks for adolescents and young adults across these domains.