Adverse childhood experiences and association with health, mental health, and risky behavior in the kingdom of Saudi Arabia
Adverse childhood experiences and association with health, mental health, and risky behavior in the kingdom of Saudi Arabia
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DOI：
10.1016/j.chiabu.2016.09.003
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发表时间：
2016-10-01
影响因子：
4.8
通讯作者：
Fluke, John
中科院分区：
文献类型：
--
作者：
Almuneef, Maha;Hollinshead, Dana;Fluke, John
背景：本研究的目的是确定ACE是否影响沙特阿拉伯王国（KSA）成年人的健康和风险行为负担。研究方法：2013年，在KSA进行了一项横断面研究，以确定ACE的回顾性患病率及其与高危行为和慢性疾病的关系。来自10,156名成年人在所有13个沙特地区的调查获得了使用阿拉伯语版本的世界卫生组织ACE-IQ（KSA ACE-IQ）。结果：与没有ACE的受访者相比，即使只有一个ACE也会显着增加糖尿病（OR = 1.3），抑郁（OR = 1.32）或焦虑（OR = 1.79）的发生率。需要两次ACE才能使高血压（OR = 1.46）、精神疾病（OR = 1.93）、吸烟（OR = 1.17）、饮酒（OR = 1.75）和吸毒（OR = 1.45）的发生率具有统计学显著性，且更高。报告4次或4次以上ACE的受访者患冠心病（OR = 1.94）和肥胖（OR = 2.25）的几率更高。与未报告ACE的受试者相比，报告4次或4次以上ACE的受试者发生酒精或药物使用、精神疾病、抑郁和/或焦虑结局的几率超过4倍，发生糖尿病、高血压、肥胖和/或吸烟结局的几率超过2倍。该分析的结果强调了提供重点预防方法以减轻KSA中ACE的潜在益处，以及健康和危险行为后果的累积负担。(C)2016爱思唯尔有限公司版权所有
Background: The aim of this study is to determine if ACEs impact the health and risk behavior burden among Kingdom of Saudi Arabia (KSA) adults. Methods: In 2013, a cross-sectional study was conducted across KSA to identify the retrospective prevalence of ACEs and their association with high risk behaviors and chronic diseases. Surveys from 10,156 adults in all 13 Saudi regions were obtained using an Arabic version of the WHO ACE-IQ (KSA ACE-IQ).Results: Compared to respondents reporting no ACEs, even just one ACE contributed significantly to the odds of experiencing diabetes mellitus (OR = 1.3), depression (OR = 1.32), or anxiety (OR = 1.79) outcomes. Two ACEs were necessary for statistically significant, higher odds to emerge for hypertension (OR = 1.46), mental illness (OR = 1.93), smoking (OR = 1.17), alcohol use (OR = 1.75), and drug use (OR = 1.45). Respondents who reported four or more ACEs had greater odds of coronary heart disease (OR = 1.94), and obesity (OR = 2.25). Compared to those reporting no ACEs, respondents reporting four or more ACEs had over four times the odds of Alcohol or Drug Use, Mental Illness, Depression, and/or Anxiety outcomes and more than twice the odds of diabetes, hypertension, obesity, and/or smoking outcomes.Conclusion: Findings from this analysis underscore the potential benefit of providing focused preventative approaches to mitigating ACEs in KSA in relation to both the specific and cumulative burden of health and risky behavior outcomes. (C) 2016 Elsevier Ltd. All rights reserved.