Adverse childhood experiences, chronic diseases, and risky health behaviors in Saudi Arabian adults: A pilot study
Adverse childhood experiences, chronic diseases, and risky health behaviors in Saudi Arabian adults: A pilot study
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DOI：
10.1016/j.chiabu.2014.06.003
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发表时间：
2014-11-01
影响因子：
4.8
通讯作者：
Albuhairan, Fadia
中科院分区：
文献类型：
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作者：
Almuneef, Maha;Qayad, Mohammed;Albuhairan, Fadia
不良童年经历(ACE)与危险的健康行为和成年后慢性疾病的发展有关。这项研究使用ACE国际问卷(ACE-IQ)对2012年居住在沙特阿拉伯利雅得的成年人的ACE、慢性病和危险行为之间的关系进行了调查。采用横断面设计，年龄在18岁以上的成年人有资格参加。对疏忽、家庭功能障碍、虐待(身体、性和情感)以及同伴和社区暴力的ACE事件评分进行了衡量。ACE-IQ还补充了关于危险健康行为、慢性病和情绪的问题。共有931名受试者完成了问卷调查(完成率为88%)；57%的样本是女性，90%的年龄在45岁以下，86%的人至少受过大学教育，80%的人是沙特国民，58%的人已婚。三分之一的参与者(32%)曾接触过4次或更多的ACE，10%、17%和23%的参与者分别接触过3、2或1次ACE。只有18%的人没有血管紧张素转换酶。危险健康行为的患病率在4%到22%之间。自我报告的慢性病患病率在6%到17%之间。暴露于4个或更多的ACE会使患慢性病的风险增加2-11倍，并使危险的健康行为增加8-21倍。这项研究的结果将有助于规划和发展防止虐待儿童和减轻成人慢性病负担的方案。(C)2014爱思唯尔有限公司。保留所有权利。
Adverse childhood experiences (ACEs) have been linked with risky health behaviors and the development of chronic diseases in adulthood. This study examined associations between ACEs, chronic diseases, and risky behaviors in adults living in Riyadh, Saudi Arabia in 2012 using the ACE International Questionnaire (ACE-IQ). A cross-sectional design was used, and adults who were at least 18 years of age were eligible to participate. ACEs event scores were measured for neglect, household dysfunction, abuse (physical, sexual, and emotional), and peer and community violence. The ACE-IQ was supplemented with questions on risky health behaviors, chronic diseases, and mood. A total of 931 subjects completed the questionnaire (a completion rate of 88%); 57% of the sample was female, 90% was younger than 45 years, 86% had at least a college education, 80% were Saudi nationals, and 58% were married. One-third of the participants (32%) had been exposed to 4 or more ACEs, and 10%, 17%, and 23% had been exposed to 3, 2, or 1 ACEs respectively. Only 18% did not have an ACE. The prevalence of risky health behaviors ranged between 4% and 22%. The prevalence of self-reported chronic diseases ranged between 6% and 17%. Being exposed to 4 or more ACEs increased the risk of having chronic diseases by 2-11 fold, and increased risky health behaviors by 8-21 fold. The findings of this study will contribute to the planning and development of programs to prevent child maltreatment and to alleviate the burden of chronic diseases in adults. (C) 2014 Elsevier Ltd. All rights reserved.