周四出生的孩子：童年不良经历在美国女同性恋、男同性恋和双性恋成年人心理健康差异解释中的作用。
Thursday's child: the role of adverse childhood experiences in explaining mental health disparities among lesbian, gay, and bisexual U.S. adults.
作者信息
Blosnich John R, Andersen Judith P
机构信息
Department of Veterans Affairs, Center for Health Equity Research and Promotion, Pittsburgh, PA, 15206, USA,
出版信息
Soc Psychiatry Psychiatr Epidemiol. 2015 Feb;50(2):335-8. doi: 10.1007/s00127-014-0955-4. Epub 2014 Nov 4.
Abstract
This study examined how adverse childhood experiences (ACE) may explain disparities in poor mental health between lesbian, gay, and bisexual (LGB), and heterosexual adults. Data are from three US states' 2010 behavioral risk factor surveillance system surveys (n = 20,060) that included sexual orientation, ACE inventory, and mental distress. LGB status was significantly associated with mental distress (OR = 1.85 [1.14-3.02]). Once incorporating ACE scores into the multiple regression analysis, LGB status was no longer associated with mental distress (OR = 1.28 [0.76-2.16]). The results corroborate previous research that LGB individuals report greater prevalence of childhood adversity than their heterosexual peers, which may explain LGB adulthood health disparities.
摘要
本研究探讨了童年不良经历（ACE）如何解释女同性恋、男同性恋和双性恋（LGB）成年人与异性恋成年人在心理健康不佳方面的差异。数据来自美国三个州2010年行为危险因素监测系统调查（n = 20,060），该调查包括性取向、ACE量表和心理困扰。LGB身份与心理困扰显著相关（OR = 1.85 [1.14 - 3.02]）。一旦将ACE分数纳入多元回归分析，LGB身份与心理困扰不再相关（OR = 1.28 [0.76 - 2.16]）。结果证实了先前的研究，即LGB个体报告的童年逆境患病率高于其异性恋同龄人，这可能解释了LGB成年人的健康差异。
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2
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Am J Prev Med. 2014 Apr;46(4):337-49. doi: 10.1016/j.amepre.2013.11.010.
3
Improving the adverse childhood experiences study scale.改善不良童年经历研究量表。
JAMA Pediatr. 2013 Jan;167(1):70-5. doi: 10.1001/jamapediatrics.2013.420.
4
Disparities in adverse childhood experiences among sexual minority and heterosexual adults: results from a multi-state probability-based sample.性少数群体和异性恋成年人不良童年经历的差异：基于多州概率抽样的结果。
PLoS One. 2013;8(1):e54691. doi: 10.1371/journal.pone.0054691. Epub 2013 Jan 23.
5
Association between perceived insufficient sleep, frequent mental distress, obesity and chronic diseases among US adults, 2009 behavioral risk factor surveillance system.2009 年美国行为风险因素监测系统：美国成年人感知睡眠不足、经常出现心理困扰、肥胖与慢性病之间的关系。
BMC Public Health. 2013 Jan 29;13:84. doi: 10.1186/1471-2458-13-84.
6
Associations among bullying, cyberbullying, and suicide in high school students.高中生中欺凌、网络欺凌和自杀之间的关联。
J Adolesc. 2013 Apr;36(2):341-50. doi: 10.1016/j.adolescence.2012.12.001. Epub 2013 Jan 16.
7
Disproportionate exposure to early-life adversity and sexual orientation disparities in psychiatric morbidity.儿童期逆境经历与精神疾病发病风险的不成比例关联及其与性取向的差异。
Child Abuse Negl. 2012 Sep;36(9):645-55. doi: 10.1016/j.chiabu.2012.07.004. Epub 2012 Sep 7.
8
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J Stud Alcohol Drugs. 2012 Jul;73(4):675-85. doi: 10.15288/jsad.2012.73.675.
9
A meta-analysis of disparities in childhood sexual abuse, parental physical abuse, and peer victimization among sexual minority and sexual nonminority individuals.一项关于性少数群体和非性少数群体个体中儿童期性虐待、父母身体虐待和同伴受害差异的荟萃分析。
Am J Public Health. 2011 Aug;101(8):1481-94. doi: 10.2105/AJPH.2009.190009. Epub 2011 Jun 16.
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