童年不良经历：家庭成员入狱与成年后的健康相关生活质量
Adverse childhood events: incarceration of household members and health-related quality of life in adulthood.
作者信息
Gjelsvik Annie, Dumont Dora M, Nunn Amy, Rosen David L
出版信息
J Health Care Poor Underserved. 2014 Aug;25(3):1169-82. doi: 10.1353/hpu.2014.0112.
BACKGROUND
Incarceration of a household member has been associated with adverse outcomes for child well-being.
METHODS
We assessed the association between childhood exposure to the incarceration of a household member and adult health-related quality of life (HRQOL) in the 2009/2010 Behavioral Risk Factor Surveillance System controlling for age, race/ethnicity, education, and additional adverse childhood experiences.
RESULTS
Adults who lived in childhood with an incarcerated household member had higher risk of poor HRQOL compared with adults who had not (adjusted relative risk [ARR] 1.18; 95% CI 1.07, 1.31). Among Black adults the association was strongest with the physical health component of HRQOL (ARR 1.58 [95% CI 1.18, 2.12]); among White adults, the association was strongest with the mental health component of HRQOL (ARR 1.29, [95% CI 1.07-1.54]).
CONCLUSIONS
Living with an incarcerated household member during childhood is associated with higher risk of poor HRQOL during adulthood, suggesting that the collateral damages of incarceration for children are long-term.
背景
家庭成员被监禁与儿童福祉的不良后果有关。
方法
在2009/2010年行为危险因素监测系统中，我们评估了童年时期接触家庭成员被监禁情况与成人健康相关生活质量（HRQOL）之间的关联，并对年龄、种族/族裔、教育程度和其他童年不良经历进行了控制。
结果
童年时期与被监禁家庭成员一起生活的成年人，与未经历过这种情况的成年人相比，健康相关生活质量较差的风险更高（调整后相对风险[ARR]为1.18；95%置信区间为1.07, 1.31）。在黑人成年人中，这种关联与健康相关生活质量的身体健康部分最为密切（ARR为1.58 [95%置信区间为1.18, 2.12]）；在白人成年人中，这种关联与健康相关生活质量的心理健康部分最为密切（ARR为1.29, [95%置信区间为1.07 - 1.54]）。
结论
童年时期与被监禁家庭成员一起生活，与成年后健康相关生活质量较差的风险较高有关，这表明监禁对儿童的附带损害是长期的。
Zotero 插件