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童年不幸是成功老龄化的威胁:预防疾病。

Childhood misfortune as a threat to successful aging: avoiding disease.

机构信息

Department of Sociology, University of Toronto, 725 Spadina Avenue, Toronto, Ontario, Canada M5S 2J4.

出版信息

Gerontologist. 2012 Feb;52(1):111-20. doi: 10.1093/geront/gnr071. Epub 2011 Jul 11.

Abstract

PURPOSE

The purpose of this study was to examine whether childhood misfortune reduces the likelihood of being disease free in adulthood.

DESIGN AND METHODS

This article used a sample of 3,000+ American adults, aged 25-74, who were first interviewed in 1995 and reinterviewed in 2005. Logistic regression was used to estimate the odds of avoiding disease at the first wave and remaining disease free a decade later.

RESULTS

Consistent with a life course view of successful aging, higher levels of childhood misfortune (e.g., abuse, financial strain) are associated with a lower probability of disease avoidance. This pattern was observed across a large set of chronic conditions and in multivariate analyses spanning both waves of the study.

IMPLICATIONS

Childhood misfortune has approximately equal consequences for adult disease avoidance as does the combined effect of moderate lifetime smoking and obesity. Efforts to alleviate adverse experiences for children may have long-term benefits for successful aging.

摘要

目的

本研究旨在探讨童年不幸是否会降低成年后无病生存的可能性。

设计与方法

本研究使用了一个由 3000 多名 25-74 岁的美国成年人组成的样本,这些成年人于 1995 年首次接受访谈,并于 2005 年再次接受访谈。使用逻辑回归来估计在第一波中避免疾病的几率,以及十年后保持无病的几率。

结果

与成功老龄化的生命历程观点一致,较高水平的童年不幸(例如,虐待、经济压力)与较低的疾病避免几率相关。这种模式在一系列慢性疾病中都存在,并且在跨越研究两波的多变量分析中也是如此。

意义

童年不幸对成年后避免疾病的影响与中度终生吸烟和肥胖的综合影响相当。减轻儿童不良经历的努力可能对成功老龄化具有长期益处。

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