How adverse childhood experiences relate to single and multiple health risk behaviours in German public university students: a cross-sectional analysis.
How adverse childhood experiences relate to single and multiple health risk behaviours in German public university students: a cross-sectional analysis.
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DOI：
10.1186/s12889-018-5926-3
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发表时间：
2018-08-13
影响因子：
4.5
通讯作者：
Fischer F
中科院分区：
文献类型：
--
作者：
Wiehn J;Hornberg C;Fischer F
不良童年经历（ACE）已被证明与健康风险行为（HRB）有关。本研究旨在确定ACE的危险因素，并探讨ACE和单一和多个HRB之间的协会在德国的大学生样本。在公立大学学生（N = 1466）中进行了一项基于在线的横断面研究。广泛应用的ACE问卷，并扩展到操作13类儿童逆境。首先，对每种类型的ACE和HRB的变量进行二分（单ACE和单HRB），然后用于累积评分（多ACE和多HRB）。评估频率，并进行（多项式）logistic回归分析。ACE的患病率范围从3.9%到34.0%，这取决于儿童期逆境的类型。单/多个ACE的社会人口学风险和保护因素根据结果变化很大。特别是，高家庭社会经济地位似乎是一个一致的保护因素，大多数ACE。调整社会人口学特征后，单一和多个HRB与单一ACE事件相关。此外，发现多种ACE与各种单一和多个HRB之间存在剂量-反应关系，为ACE与HRB相关提供了有力证据。ACE的数量可以在单个或多个HRB中发挥作用。因此，减少ACE的数量可以减少HRB，这是许多发病和死亡的主要原因。研究结果强调了创伤知情的健康干预措施的重要性，这些干预措施旨在预防ACE的发生，并在儿童和成人中建立能力。本文的在线版本（10.1186/s12889-018-5926-3）包含补充材料，可供授权用户使用。
Adverse childhood experiences (ACEs) have been shown to be linked to health risk behaviours (HRBs). This study aims to identify risk factors for ACEs and to examine the associations between ACEs and single and multiple HRBs in a sample of university students in Germany. An online-based cross-sectional study was conducted among public university students (N = 1466). The widely applied ACE questionnaire was used and extended to operationalise 13 categories of childhood adversity. First, variables for each type of ACE and HRB were dichotomised (single ACEs and single HRBs), and then used for cumulative scores (multiple ACEs and multiple HRBs). Frequencies were assessed, and (multinomial) logistic regression analyses were performed. Prevalence rates of ACEs ranged from 3.9 to 34.0%, depending on the type of childhood adversity. Sociodemographic risk and protective factors for single/multiple ACEs varied strongly depending on the outcome. In particular, a high family socioeconomic status seemed to be a consistent protective factor for most ACEs. After adjusting for sociodemographic characteristics, both single and multiple HRBs were associated with single events of ACEs. Moreover, dose-response relationships between multiple ACEs and various single and multiple HRBs were found. The study provides strong evidence that ACEs are associated with HRBs. The number of ACEs may play a role in single or multiple HRBs. Reducing the number of ACEs could thus decrease HRBs, which account for many of the leading causes of morbidity and death. The findings highlight the importance of trauma-informed health interventions designed to prevent the occurrence of ACEs, and build capacity among children and adults. The online version of this article (10.1186/s12889-018-5926-3) contains supplementary material, which is available to authorized users.
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影响因子：
4.4
作者：
Bellis, Mark A.;Hardcastle, Katie;Butler, Nadia
通讯作者：
Butler, Nadia
影响因子：
4.5
作者：
Anda RF;Dong M;Brown DW;Felitti VJ;Giles WH;Perry GS;Valerie EJ;Dube SR
通讯作者：
Dube SR
影响因子：
--
作者：
Bush, K;Kivlahan, DR;Bradley, KA
通讯作者：
Bradley, KA
影响因子：
120.7
作者：
Anda, RF;Croft, JB;Giovino, GA
通讯作者：
Giovino, GA
影响因子：
3.6
作者：
DeMartini, Kelly S.;Carey, Kate B.
通讯作者：
Carey, Kate B.