Parent-child relationships and health problems in adulthood in three UK national birth cohort studies
Parent-child relationships and health problems in adulthood in three UK national birth cohort studies
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DOI：
10.1093/eurpub/cki049
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发表时间：
2005-12-01
影响因子：
4.4
通讯作者：
Wadsworth, MEJ
中科院分区：
文献类型：
--
作者：
Stewart-Brown, SL;Fletcher, L;Wadsworth, MEJ
背景：基于事件的测量表明，童年时期的情绪逆境会对健康产生长期影响，但对家庭冲突、严厉管教或缺乏感情等慢性情绪压力源的关注较少。这项研究旨在评估后者对成年期健康问题和疾病的影响。方法：对三项 43 岁和 16 岁英国全国出生队列研究中收集的数据进行逻辑回归和多项逻辑回归分析，涵盖“儿童”关系质量的主观报告，以及 43、33 和 26 岁成年时报告的健康问题和疾病的数量，并根据社会阶层、性别以及 1946 年和 1970 年队列的精神疾病症状进行调整。结果：虐待和忽视的报告（1946 年队列）、与母亲和父亲的不良关系（1958 年队列）以及一系列负面关系描述符（1970 年队列）预测了成年后三种或更多疾病或健康问题的报告。对于一种或两种疾病或健康问题，结果不一致。对性别、社会阶层和不良心理健康状况的调整降低了健康状况不佳的可能性，但关系质量的衡量标准保留了显着的独立效应。结论：不良的亲子关系可能是成年后健康状况不佳的一个可补救的危险因素。
Background: Event-based measures suggest that emotional adversity in childhood has a long-term health impact, but less attention has been paid to chronic emotional stressors such as family conflict, harsh discipline or lack of affection. This study aimed to assess the impact of the latter on health problems and illness in adulthood. Methods: Logistic regression and multinomial logistic regression analyses of data collected in three UK national birth cohort studies at ages 43 and 16 years covering subjective report of relationship quality from the 'child', and number of health problems and illnesses reported in adulthood at ages 43, 33 and 26 years adjusted for social class, sex and, in 1946 and 1970 cohorts, for symptoms of mental illness. Results: Reports of abuse and neglect (1946 cohort), poor quality relationship with mother and father (1958 cohort), and a range of negative relationship descriptors (1970 cohort) predicted reports of three or more illnesses or health problems in adulthood. Results were inconsistent with respect to one or two illnesses or health problems. Adjustment for sex, social class and poor mental health attenuated the odds of poor health, but measures of relationship quality retained a significant independent effect. Conclusions: Poor quality parent-child relationships could be a remediable risk factor for poor health in adulthood.