Relationship between adverse childhood experiences and perceived discrimination in adulthood.
Relationship between adverse childhood experiences and perceived discrimination in adulthood.
复制标题
DOI：
10.1016/j.jad.2020.09.023
复制
发表时间：
2020-12-01
影响因子：
6.6
通讯作者：
Egede LE
中科院分区：
文献类型：
--
作者：
Campbell JA;Walker RJ;Garacci E;Dawson AZ;Williams JS;Egede LE
不良的童年经历（ACE）和感知的歧视影响健康超时，但很少有人知道他们的协会。在美国中年研究（MIDUS）中，6,325名参与者的数据在三波数据中进行了分析。ACE包括儿童时期的情感或身体虐待、家庭功能障碍或经济压力。广义线性模型与广义估计方程的方法被用来测试的ACE和感知歧视和感知不平等的未经调整和调整的关联。ACE患者在工作中感知到的不平等程度显著高于ACE患者（β=0.05，95%CI 0.02-0.07），在家中（β=0.06，95%CI 0.04-0.09），家庭关系（β=0.09，95%CI 0.06-0.11）、每日感知歧视（β=0.77，95%CI 0.58-0.96）和终生感知歧视（β=0.24，95%CI 0.18-0.30）。ACE类型与更多的感知不平等和感知歧视显着相关。在调整家庭功能障碍、经济压力、年龄、性别、种族/民族、教育、婚姻状况和收入后，虐待与所有结果独立相关。调查结果不能说话ACE和歧视之间的时间关系。不应假定ACE会引起感知歧视，而是存在一个重要的关联，值得进一步调查。这些发现代表了更好地理解ACE和感知歧视之间关系的第一步。由于两者都影响整个生命周期的健康，因此从人口健康的角度来看，了解干预的关系，机制和途径非常重要。努力纳入关于歧视和不平等经历的讨论，可能是ACE治疗的一部分，以解决整个生命周期的心理社会压力。
Adverse Childhood Experiences (ACEs) and perceived discrimination impact health overtime, however little is known about their association. Data for 6,325 participants in the Midlife in the US (MIDUS) study were analyzed across three waves of data. ACEs included emotional or physical abuse, household dysfunction, or financial strain in childhood. Generalized Linear Models with Generalized Estimating Equation approach was used to test the unadjusted and adjusted associations for ACEs and perceived discrimination and perceived inequality. Individuals with ACEs reported significantly higher perceived inequality in work (β=0.05, 95%CI 0.02–0.07), in home (β=0.06, 95%CI 0.04–0.09), in family relationships (β=0.09, 95%CI 0.06–0.11), perceived daily discrimination (β=0.77, 95%CI 0.58–0.96), and perceived lifetime discrimination (β=0.24, 95%CI 0.18–0.30). ACE types were significantly associated with more perceived inequality and perceived discrimination. Abuse was independently associated with all outcomes after adjusting for household dysfunction, financial strain, age, sex, race/ethnicity, education, marital status, and income. Findings cannot speak to the temporal relationship between ACEs and discrimination. It should not be assumed that ACEs cause perceived discrimination, but rather that there is an important association that warrants further investigation. These findings represent the first step in better understanding the relationship between ACEs and perceived discrimination. As both influence health across the lifespan, understanding the relationship, mechanisms, and pathways for intervening are of great importance from a population health perspective. Efforts to incorporate discussions on experiences with discrimination and inequality may be warranted as a part of treatment for ACEs to address psychosocial stressors across the lifespan.
登录
查看更多内容
影响因子：
3
作者：
Campbell, Jennifer A.;Farmer, Gail C.;Egede, Leonard
通讯作者：
Egede, Leonard
影响因子：
5.5
作者：
Rich-Edwards, Janet W.;Spiegelman, Donna;Wright, Rosalind J.
通讯作者：
Wright, Rosalind J.
影响因子：
4.4
作者：
Honings, Steven;Drukker, Marjan;Os, Jim van
通讯作者：
Os, Jim van
影响因子：
--
作者：
Danese, Andrea;Moffitt, Terrie E.;Harrington, HonaLee;Milne, Barry J.;Polanczyk, Guilherme;Pariante, Carmine M.;Poulton, Richie;Caspi, Avshalom
通讯作者：
Caspi, Avshalom
影响因子：
3.1
作者：
Bruner, Charles
通讯作者：
Bruner, Charles