Childhood Trauma and Adult Risk Factors and Disease in Hispanics/Latinos in the US: Results From the Hispanic Community Health Study/Study of Latinos (HCHS/SOL) Sociocultural Ancillary Study
Childhood Trauma and Adult Risk Factors and Disease in Hispanics/Latinos in the US: Results From the Hispanic Community Health Study/Study of Latinos (HCHS/SOL) Sociocultural Ancillary Study
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DOI：
10.1097/psy.0000000000000394
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发表时间：
2017-02-01
影响因子：
3.3
通讯作者：
Penedo, Frank J.
中科院分区：
文献类型：
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作者：
Llabre, Maria M.;Schneiderman, Neil;Penedo, Frank J.
目的：儿童期不良经历与成人期疾病有关。我们报告ACE在西班牙裔/拉美裔美国人的患病率及其与主要危险因素和疾病adultory.Methods：数据从社会文化辅助研究的西班牙裔社区健康研究/拉丁裔研究（HCHS/SOL）被使用。西班牙裔社区健康研究/拉丁裔研究的社会文化辅助研究是在美国四个城市社区进行的流行病学研究：布朗克斯，芝加哥，迈阿密和圣地亚哥。分析样本包括5117名参与者，基线年龄为18至74岁。线性和逻辑模型，调整社会人口因素，用于检查ACE和危险因素的关联（抑郁症状、肥胖、吸烟和饮酒）和慢性疾病（冠心病、中风、糖尿病、哮喘、慢性阻塞性肺疾病和癌症）;后者也调整了危险因素。大多数参与者（77.2%）经历了至少一次ACE，28.7%经历了四次或更多。不良的童年经历在所有祖先群体中都很常见，但各群体之间存在差异。四个或更多ACE的患病率在女性中高于男性（分别为31.2%和25.8%）。不良童年经历与抑郁症状、体重指数、吸烟、饮酒、癌症、冠心病和慢性阻塞性肺病有关，但与哮喘、糖尿病或中风无关。协会没有缓和的社会support.Conclusions：不良的童年经历是普遍存在于美国西班牙裔/拉丁裔，并参与疾病的成年。ACE在美国西班牙裔/拉丁裔中的明显较高患病率与疾病的较强相关性不一致。需要进一步的研究来确定可能调节ACE与成人疾病相关性的因素。
Objective: Adverse childhood experiences (ACEs) are implicated in diseases of adulthood. We report the prevalence of ACEs in Hispanics/Latinos in the US and their association with major risk factors and diseases in adulthood.Methods: Data from the Sociocultural Ancillary Study of the Hispanic Community Health Study/Study of Latinos (HCHS/SOL) were used. The Sociocultural Ancillary Study of the Hispanic Community Health Study/Study of Latinos is an epidemiological study conducted in four urban communities in the US: Bronx, Chicago, Miami, and San Diego. The analytic sample comprised 5117 participants, ages 18 to 74 at baseline. Linear and logistic models, adjusted for sociodemographic factors, were used to examine associations of ACEs and risk factors (depressive symptoms, obesity, smoking, and alcohol use) and chronic disease (coronary heart disease, stroke, diabetes, asthma, chronic obstructive pulmonary disease, and cancer); the latter were also adjusted for risk factors.Results: Most participants (77.2%) experienced at least one ACE, and 28.7% experienced four or more. Adverse childhood experiences were common among all ancestry groups, with variability among them. Prevalence of four or more ACEs was higher among women than men (31.2% and 25.8%, respectively). Adverse childhood experiences were associated with depressive symptoms, body mass index, smoking, alcohol use, cancer, coronary heart disease, and chronic obstructive pulmonary disease, but not asthma, diabetes, or stroke. Associations were not moderated by social support.Conclusions: Adverse childhood experiences are prevalent among US Hispanics/Latinos and are involved in disease in adulthood. The apparent higher prevalence of ACEs in US Hispanics/Latinos did not correspond with stronger associations with disease. Further studies are needed to identify factors that may moderate the associations of ACE with adult disease.