Adverse Childhood Experiences Affect Health Risk Behaviors and Chronic Health of Iowans
Adverse Childhood Experiences Affect Health Risk Behaviors and Chronic Health of Iowans
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DOI：
10.1007/s10896-017-9909-4
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发表时间：
2017-08-01
影响因子：
3.8
通讯作者：
Lee, Kyuho
中科院分区：
文献类型：
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作者：
Downey, Jacy C.;Gudmunson, Clinton G.;Lee, Kyuho
不良童年经历（ACE），包括儿童期虐待和家庭功能障碍，并与成年后的各种行为危险因素和慢性疾病有关。该研究重复了原始ACE研究（Felitti等人，American Journal of Preventive Medicine，14（4），245-258. doi：10.1016/s 0749 -3797（98）00017-8，1998），在爱荷华州对成年人进行了代表性的抽样。数据来自2012年的行为风险因素监测系统（BRFSS）调查，当时ACE评估首次由疾病控制和预防中心（2012年）在爱荷华州引入。爱荷华州的大多数成年人（58%）至少经历过一次ACE，根据ACE的类型，ACE的共发率范围为76%至97%。成年期的健康危险行为，如饮酒、吸烟和肥胖与ACE的发生次数显著相关。ACE也与抑郁症有关。ACE的数量也能显著预测包括心脏病、中风和COPD在内的慢性健康结局。这项复制研究表明，爱荷华州对干预和预防计划的需求与美国其他州解决ACE后果的需求相似。
Adverse childhood experiences (ACEs), include childhood abuse and household dysfunction, and are associated with a variety of behavioral risk factors and chronic illnesses in adulthood. This study replicates the original ACEs study (Felitti et al. American Journal of Preventive Medicine, 14(4), 245-258. doi:10.1016/s0749-3797(98)00017-8, 1998) with a representative sample of adults in Iowa. Data come from the Behavioral Risk Factor Surveillance System (BRFSS) survey of 2012 when ACE assessments were first introduced in Iowa by the Centers for Disease Control and Prevention (2012). The majority of adults in Iowa (58%) have experienced at least one ACE, and depending on the type of ACE, co-occurrence of ACEs ranged from 76% to 97%. Health risk behaviors in adulthood, such as drinking, smoking, and obesity were significantly related to the number of ACEs experienced. ACEs were also associated with depression. Chronic health outcomes including heart disease, stroke, and COPD were also significantly predicted by the number of ACEs. This replication study demonstrates that the need for intervention and prevention programs in Iowa are similar to the needs found in other states in the U.S. for addressing the consequences of ACEs.