Association Between Adverse Childhood Events and Multimorbidity in a Racial and Ethnic Diverse Sample of Middle-Aged and Older Adults.
Association Between Adverse Childhood Events and Multimorbidity in a Racial and Ethnic Diverse Sample of Middle-Aged and Older Adults.
复制标题
不良童年事件与中年和老年人不同种族和民族样本中的多重发病之间的关联。
DOI：
10.1093/geroni/igz016
复制
发表时间：
2019
影响因子：
7
通讯作者：
Udo,Tomoko
中科院分区：
文献类型：
--
作者：
Vásquez,Elizabeth;Quiñones,Ana;Ramirez,Stephanie;Udo,Tomoko
背景和目的儿童期不良事件（ACE）与以后生活中增加的健康风险有关。然而，目前尚不清楚ACE是否可能与不同种族/民族的中年人和老年人的多发病有关。我们评估了在美国中年和老年人样本中ACE与躯体和精神多发病数量之间的关联是否存在种族和民族差异。研究设计和方法数据来自2012-2013年全国酒精和相关疾病流行病学调查（N= 10，727; ≥55岁）用于测试自我报告的躯体疾病（即，心脏病、高血压、中风、糖尿病、关节炎、癌症、骨质疏松症和慢性肺病）以及DSM-5精神疾病（即，抑郁症）在过去12个月内的ACE史不同，同时按年龄分层（即，55-64或≥65）和人种/种族组（即，非西班牙裔白色[NHW;有ACE病史的患者报告两种以上躯体疾病和精神疾病的患病率分别为48.8%和11.4%，无ACE病史的患者报告两种以上躯体疾病和精神疾病的患病率分别为41.1%和3.3%。调整社会人口统计学和其他健康危险因素，ACE与种族和民族中年人中更多的躯体多发病显著相关，但老年人的情况并非如此。强调筛查ACE对促进健康老龄化的重要性。
Background and ObjectivesAdverse childhood events (ACEs) have been associated with increased health risks later in life. However, it is unclear whether ACEs may be associated with multimorbidity among diverse racial/ethnic middle-aged and older adults. We evaluated whether there were racial and ethnic differences in the association between ACEs and the number of somatic and psychiatric multimorbidity in a sample of U.S. middle-aged and older adults.Research Design and MethodsData from the 2012–2013 National Epidemiologic Survey on Alcohol and Related Conditions (N= 10,727; ≥55 years) were used to test whether the number of self-reported somatic conditions (i.e., heart disease, hypertension, stroke, diabetes, arthritis, cancer, osteoporosis, and chronic lung problems) as well asDSM-5psychiatric disorders (i.e., depression) during the past 12 months differed by history of ACEs while stratifying by age (i.e., 55–64 or ≥65) and racial/ethnic group (i.e., non-Hispanic White [NHW;n= 7,457], non-Hispanic Black [NHB;n= 1,995], and Hispanic [n=1275]).ResultsThe prevalence of reporting more than two somatic conditions and psychiatric disorders was 48.8% and 11.4% for those with a history of ACEs, and 41.1% and 3.3% for those without a history of ACEs. Adjusting for sociodemographic and other health risk factors, ACEs was significantly associated with greater numbers of somatic multimorbidity among racial and ethnic middle-aged adults but this was not the case for older adults.Discussion and ImplicationsOur findings suggest that middle-aged adults with a history of ACEs are more likely to suffer from somatic and psychiatric multimorbidity, highlighting the importance of screening for ACEs in promoting healthy aging.