Al-Shawi Ameel F, Lafta Riyadh K
Department of Community Medicine, College of Medicine, Al Mustansiriya University, Baghdad, Iraq.
Department of Community Medicine, College of Medicine, Al Mustansiriya University, Baghdad, Iraq ; Public Health Department, University of Washington, Seattle, Washington, USA.
J Family Community Med. 2015 May-Aug;22(2):78-84. doi: 10.4103/2230-8229.155374.
Studies have revealed a powerful relationship between adverse childhood experiences (ACEs) and physical and mental health in adulthood. Literature documents the conversion of traumatic emotional experiences in childhood into organic disease later in life.
The aim was to estimate the effect of childhood experiences on the physical health of adults in Baghdad city.
A cross-sectional study was conducted from January 2013 to January 2014. The study sample was drawn from Baghdad city. Multistage sampling techniques were used in choosing 13 primary health care centers and eight colleges of three universities in Baghdad. In addition, teachers of seven primary schools and two secondary schools were chosen by a convenient method. Childhood experiences were measured by applying a modified standardized ACEs-International Questionnaire form and with questions for bonding to family and parental monitoring. Physical health assessment was measured by a modified questionnaire derived from Health Appraisal Questionnaire of Centers for Disease Control and Prevention. The questionnaire includes questions on cerebrovascular diseases, diabetes mellitus, tumor, respiratory and gastrointestinal diseases.
Logistic regression model showed that a higher level of bonding to family (fourth quartile) is expected to reduce the risk of chronic physical diseases by almost the half (odds ratio = 0.57) and exposure to a high level of household dysfunction and abuse (fourth quartile) is expected to increase the risk of chronic physical diseases by 81%.
Childhood experiences play a major role in the determination of health outcomes in adulthood, and early prevention of ACEs. Encouraging strong family bonding can promote physical health in later life.
研究表明童年不良经历（ACEs）与成年后的身心健康之间存在密切关系。文献记载了童年时期的创伤性情感经历在日后转化为器质性疾病的情况。
旨在评估巴格达市童年经历对成年人身体健康的影响。
于2013年1月至2014年1月进行了一项横断面研究。研究样本来自巴格达市。采用多阶段抽样技术，选取了巴格达市的13个初级卫生保健中心和三所大学的8个学院。此外，还通过便利抽样法选取了7所小学和2所中学的教师。通过应用改良的标准化ACEs国际问卷形式以及关于与家庭关系和父母监督的问题来衡量童年经历。通过源自美国疾病控制与预防中心健康评估问卷的改良问卷来评估身体健康。该问卷包括有关脑血管疾病、糖尿病、肿瘤、呼吸系统和胃肠道疾病的问题。
逻辑回归模型显示，与家庭关系紧密程度较高（第四四分位数）预计可将慢性身体疾病风险降低近一半（比值比 = 0.57），而经历高水平家庭功能失调和虐待（第四四分位数）预计会使慢性身体疾病风险增加81%。
童年经历在决定成年后的健康结果以及早期预防ACEs方面起着重要作用。鼓励建立紧密的家庭关系可促进晚年身体健康。
