کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
6237896 1608643 2015 5 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Childhood Adversity and Adult Chronic Disease: An Update from Ten States and the District of Columbia, 2010
ترجمه فارسی عنوان
آلودگی دوران کودکی و بیماری مزمن بزرگسالان: به روز رسانی از ده ایالت و منطقه کلمبیا، 2010
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی سیاست های بهداشت و سلامت عمومی
چکیده انگلیسی

BackgroundAdverse childhood experiences (ACEs), including child abuse and family dysfunction, are linked to leading causes of adult morbidity and mortality. Most prior ACE studies were based on a nonrepresentative patient sample from one Southern California HMO.PurposeTo determine if ACE exposure increases the risk of chronic disease and disability using a larger, more representative sample of adults than prior studies.MethodsTen states and the District of Columbia included an optional ACE module in the 2010 Behavioral Risk Factor Surveillance Survey, a national cross-sectional, random-digit-dial telephone survey of adults. Analysis was conducted in November 2012. Respondents were asked about nine ACEs, including physical, sexual, and emotional abuse and household member mental illness, alcoholism, drug abuse, imprisonment, divorce, and intimate partner violence. An ACE score was calculated for each subject by summing the endorsed ACE items. After controlling for sociodemographic variables, weighted AORs were calculated for self-reported health conditions given exposure to zero, one to three, four to six, or seven to nine ACEs.ResultsCompared to those who reported no ACE exposure, the adjusted odds of reporting myocardial infarction, asthma, fair/poor health, frequent mental distress, and disability were higher for those reporting one to three, four to six, or seven to nine ACEs. Odds of reporting coronary heart disease and stroke were higher for those who reported four to six and seven to nine ACEs; odds of diabetes were higher for those reporting one to three and four to six ACEs.ConclusionsThese findings underscore the importance of child maltreatment prevention as a means to mitigate adult morbidity and mortality.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: American Journal of Preventive Medicine - Volume 48, Issue 3, March 2015, Pages 345-349
نویسندگان
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