Adverse Childhood Experiences Related to Poor Adult Health Among Lesbian, Gay, and Bisexual Individuals
Adverse Childhood Experiences Related to Poor Adult Health Among Lesbian, Gay, and Bisexual Individuals
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DOI：
10.2105/ajph.2015.302904
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发表时间：
2016-02-01
影响因子：
12.7
通讯作者：
Proescholdbell, Scott
中科院分区：
文献类型：
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作者：
Austin, Anna;Herrick, Harry;Proescholdbell, Scott
目标。我们探讨了在针对不良童年经历 (ACE) 进行调整之前和之后，性取向与不良成人健康结果之间的关系。方法。数据来自 2012 年北卡罗来纳州、2011 年华盛顿州、2011 年和 2012 年威斯康星州行为风险因素监测系统 (BRFSS) 调查，涉及按性取向和 8 类 ACE 分类的健康风险、健康状况不佳和慢性病。有 711 名女同性恋、男同性恋和双性恋 (LGB) 受访者和 29 690 名异性恋受访者。结果。 LGB 个体的所有 ACE 发生率均高于异性恋者，比值比范围为 1.4 至 3.1。在对 ACE 的累积暴露进行调整后，性取向不再与身体健康状况不佳、当前吸烟和酗酒相关。与心理健康状况不佳、活动受限、艾滋病毒危险行为、当前哮喘、抑郁和残疾的关联仍然存在，但有所减弱。结论。 LGB 人群中 ACE 的患病率较高，这可能是他们成年后健康状况不佳的额外风险的部分原因。
Objectives. We explored the association of sexual orientation with poor adult health outcomes before and after adjustment for exposure to adverse childhood experiences (ACEs).Methods. Data were from the 2012 North Carolina, 2011 Washington, and 2011 and 2012 Wisconsin Behavioral Risk Factor Surveillance System (BRFSS) surveys regarding health risks, perceived poor health, and chronic conditions by sexual orientation and 8 categories of ACEs. There were 711 lesbian, gay, and bisexual (LGB) respondents and 29 690 heterosexual respondents.Results. LGB individuals had a higher prevalence of all ACEs than heterosexuals, with odds ratios ranging from 1.4 to 3.1. After adjustment for cumulative exposure to ACEs, sexual orientation was no longer associated with poor physical health, current smoking, and binge drinking. Associations with poor mental health, activity limitation, HIV risk behaviors, current asthma, depression, and disability remained, but were attenuated.Conclusions. The higher prevalence of ACEs among LGB individuals may account for some of their excess risk for poor adult health outcomes.