Early life adversity increases the salience of later life stress: an investigation of interactive effects in the PSID.
Early life adversity increases the salience of later life stress: an investigation of interactive effects in the PSID.
复制标题
早年的逆境增加了晚年生活压力的显着性：PSID 中交互效应的调查。
DOI：
10.1017/s2040174419000308
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发表时间：
2020
影响因子：
1.7
通讯作者：
Chyu,Laura
中科院分区：
文献类型：
--
作者：
Saxton,Katherine;Chyu,Laura
大量证据表明，整个生命过程中的压力与健康轨迹有关，但在生命过程的不同阶段，不良经历的组合尚未得到很好的理解。本研究探讨童年逆境、成年逆境与成年身心健康之间的互动关系。使用收入动态小组研究（PSID）补充的童年回顾性环境研究（CRCS）的数据，我们创建了早期生活逆境（EAI）和成人逆境（AAI）指数。我们使用逻辑回归来检查EAI和AAI的影响，调整年龄，性别，种族/民族，健康行为和儿童健康作为所有模型的协变量。我们对健康状况一般/不佳、两种或两种以上慢性疾病以及成年后心理困扰的结果重复了这一分析。对于所有这三个结果，我们的研究结果表明，在那些经历过更高水平的早期逆境的人中，成年逆境的显著性越来越高。与低EAI和低AAI的个体相比，高EAI和高AAI的个体表现出最高的健康状况（OR = 5.71），慢性疾病（OR = 3.06）和心理困扰（OR = 13.08）。这些发现与风险累积或压力和健康的双重风险模型一致。童年时期的逆境放大了与成年期压力相关的健康风险，导致多种健康结果。
A large body of evidence has shown that stress throughout life is associated with health trajectories, but the combination of adverse experiences at different stages of the life course is not yet well understood. This study examines the interactions between childhood adversity, adulthood adversity, and adult physical and mental health. Using data from The Childhood Retrospective Circumstances Study (CRCS) supplement to the Panel Study of Income Dynamics (PSID), we created indices of early life adversity (EAI) and adult adversity (AAI). We used logistic regression to examine the effects of EAI and AAI, adjusting for age, sex, race/ethnicity, health behaviors, and childhood health as covariates in all models. We repeated this analysis for the outcomes of fair/poor health, two or more chronic conditions, and psychological distress in adulthood. For all the three outcomes, our findings suggest increasing salience of adult adversity among those who experienced higher levels of early adversity. Individuals with high EAI and high AAI exhibited the highest odds of fair/poor health (OR = 5.71), chronic conditions (OR = 3.06), and psychological distress (OR = 13.08) compared to those with low EAI and low AAI. These findings are consistent with the accumulation of risk or dual risk model of stress and health. Adversity in childhood amplifies the health risks associated with stress in adulthood for multiple health outcomes.